Around 70-75 percent of patients treated in hospital intensive care rooms (ICUs) are estimated to die due to bacterial resistance to antibiotics. In fact, globally deaths due to antimicrobial resistance were recorded at 1.27 million people.
This was stated by the Chair of the Antimicrobial Resistance Control Committee, Dr. Harry Parathon in a virtual discussion organized by the Coordinating Ministry for Human Development and Culture recently. According to him, antimicrobial resistance triggers death because the disease being treated does not heal due to the resistance of germs or bacteria to antibiotics.
Based on the results of an assessment of 1,273 doctor’s prescriptions in several hospitals, most patients were prescribed the wrong dosage, or were prescribed antibiotics, even though they did not actually need antibiotics.
“We reviewed the data on excessive use of antibiotics, we collected doctor’s prescriptions from several hospitals, we looked at it. And there are two of them, those who overuse, they have the right type of antibiotic but they use it, the dose is too large, for too long. “Secondly, there is misuse of the name, there is no indication, but they have to take antibiotics,” said Harry.
Harry Parathon further said that around 70-80 percent of prescribing in Indonesia needs to be improved, especially antibiotic prescribing. The World Health Organization WHO, he added, is currently calculating inappropriate or excessive use of antibiotics, because this problem is also a problem in many countries.
Community members must be educated not to use antibiotics as a cure for all diseases, he added.
“Yes, we understand that antibiotics are drugs that have two effects. One, it is beneficial, it can cure, but at the same time it can trigger bacterial resistance. “If it heals, it’s okay, but if we are exposed to bacteria that become resistant in our bodies, our bodies are not in prime condition, so they are old people, babies, post-surgery, those who have comorbid illnesses, those are the ones who will be threatened by resistant bacteria,” he said. .
Antimicrobial resistance is a form of immunity or defense of a germ or bacteria against a drug. Germs or bacteria that cause disease, which should be killed by antibiotics at the right dose and at a certain time, are not killed by the antibiotics given.
This is worrying because careless consumption of antibiotics still occurs in many places. A pharmacist in Sidoarjo, Riki Rinjani, said that there are still residents who buy antibiotics at pharmacies without a prescription, or without any indication of a disease that requires antibiotics.
“These people can buy it at the pharmacy without proper indications, so they just have a normal cough and have already bought antibiotics. “Or what’s even more ridiculous, for example, oh I have a rheumatic pain, I bought amoxicillin, for example, there are still lots of things like that in pharmacies,” said Riki.
Riki emphasized that pharmacies do not provide services for purchasing antibiotics without a doctor’s prescription, and those who do not have a doctor’s prescription and still want to get painkillers, will always be given alternative medicines that are appropriate according to the diagnosis of the pain they feel. Riki emphasized that the use of antibiotics will not be problematic if it is in accordance with the indications of illness, dosage, and the correct time of use.
“As long as people use it correctly, nothing will happen. However, more often than not, people don’t use it properly. “If he drinks in the morning, afternoon and evening, he doesn’t take into account the evening, so there is a period at night when the antibiotics in the body are empty,” he added.
Sidoarjo resident, Dinie Wardhani, admitted that he just understood that not all diseases require antibiotics. However, there are also practicing doctors in clinics who prescribe antibiotics so that patients recover quickly.
“Once when my child was sick and had to seek treatment elsewhere, he was given antibiotics. Well, I was asked, was the illness caused by a virus, not bacteria, but the doctor said this, so that it would heal quickly. “It’s just that I also came back, sometimes doctors also have their own considerations about giving antibiotics,” said Dinie.
Harry Parathon said that disease resistance to antibiotics can cause the disease to not heal, and can even result in death. Doctors and the public are asked to be wiser in using antibiotics, to prevent an era where diseases cannot be cured by any type of antibiotic. (plum)