HEPATITIS C-BY DR SHRI DHAR
DEAR DRS
HERE IS SUMMARY OF HEPATITIS C
HEPATITIS C THIS VIRUS COMES MAINLY THROUGH BLOOD TRANSFUSION .
IF ANY PATIENT WHO HAS HAD A BLOOD TRANSFUSION AND NOW DEVLOPS AN ATTACK OF VIRAL HEPATITIS THINK OF HEPATITIS C
OR IF A PATIENT IS FOUND TO HAVE PERSISTENT ABNORMAL LIVER FUNCTION TEST ON TWO OR THREE OCCASIONS THEN THINK OF HEPATITIS C
SYMPTOMS OF HEPATITIS C ARE==There may no symptoms at at all it remain silent for a long until it causes cirrohsis of liver or liver cancerSymptoms of acute hepatitis C infection may be decreased in appetite, fatigue, abdominal pain, jaundice, itching, and flu-like symptoms (headache ,bodyaches,marked weakness and asthenia
Mode of transmission
1. Blood transfusion
2. Sharing needles
3. From dental procedures(through hepatitis c infected equipment)
4. Tattoo making
5. Nose and ear pierceing
6. Sharing tooth brush,razors,scisors etc
Note: Hepatitis c is not transmitted by sexual intercourse(rare if it occur),hugging,kissing,eating others food bites, using utensils of of an infected person.
it is not transmitted by brestfeeding to baby.
Diagnosis=Hepatitis C testing begins with serological blood tests used to detect antibodies to HCV. Anti-HCV antibodies can be detected in 80% of patients within 15 weeks after exposure, in >90% within 5 months after exposure, and in >97% by 6 months after exposureCourse and Prognosis =Hepatitis C may ends in cirrohsis of liver or liver cancer
NO VACCINATION IS AVAILABLE TILL TO DATECHAMPANZIANS WHICH RESEMBLES TO HUMANS ARE PROTECTED FROM HEPATITIS C, OTHERWISE IT’S VACCINATION MIGHT HAVE AVAILABLE TODAY.WHEN HEPATITIS C VIRUS IS INJECTED TO CHIMPENZEES THEY GOT ITS INFECTION BUT THE DISEASE DOES NOT PROGREES IN THEM THAT IS WHY IT’S VACCINATION IS NOT AVAILBLE ,HUMAN DNA RESEMBLE TO CHIMPENZEES IN A GREAT EXTEND
Tuesday, September 7, 2010
Monday, September 6, 2010
Discussion of Alcoholic hepatitis
The patient is a 45 years old.
He used to take alcohol and non-veg occasionally.
On examination there was tenderness in whole abdomen and on percussion bloating.
He told me that he was on fast two days back and at night he had 5-6 large pegs of wine and non-veg.
So to clear the Ama condition i gave him Chitrakadi vati 2 tabs tds for 3 day with bland diet only.
On third day his tenderness reduced but there was yellowishness in his eyes.
There was no fever.
I send him for routine blood and LFT.
As the LFT readings were very high i send him for USG.
But in USG liver and other organs were Normal.
Then I applied a this formula—
SGOT(AST) > SGPT(ALT)=Alcoholic Hepatitis
SGOT < SGPT= Viral Hepatitis
As SGOT (2930) was more than SGPT(2200),which show it is a case of Alcoholic Hepatitis.
I am the only Ayurveda physician practicing purely in Ayurveda so my other colleagues told me to refer it to Allopathy hospital and even I was not confident to handle this alone. Even I consulted a reputed specialist of my town at my own.He told to hospitalize the patient immediately. But my patient refused and asked me to give my Ayurveda treatment only.
So i tried Liv 52 drops in high dose i.e 2 tsf twice a day and Drakshadi kashyam 3 tabs bd(for pitha dosha).
After 5 days of treatment his appetite improved and his dahaalso reduced.
I stopped Drakshadi tabs and switched to Liv 52 DS syp 2 tsf bd and Nirocil 1 tab tds
.Patient reported again after 5 day.
I repeated the test for progress of my treatment of 10 days.
And there was such a remarkable improvement in LFT.
ALT and AST were normal and bilirubin was still 4.
Now the patient is on Liv 52 DS syp 2 tsf bd only and has very gud relief in his symptoms.
This proves the efficacy of Ayurveda medicines even in acute cases and even strengthened my belief in Ayurveda.Jai AYURVEDA.
He used to take alcohol and non-veg occasionally.
On examination there was tenderness in whole abdomen and on percussion bloating.
He told me that he was on fast two days back and at night he had 5-6 large pegs of wine and non-veg.
So to clear the Ama condition i gave him Chitrakadi vati 2 tabs tds for 3 day with bland diet only.
On third day his tenderness reduced but there was yellowishness in his eyes.
There was no fever.
I send him for routine blood and LFT.
As the LFT readings were very high i send him for USG.
But in USG liver and other organs were Normal.
Then I applied a this formula—
SGOT(AST) > SGPT(ALT)=Alcoholic Hepatitis
SGOT < SGPT= Viral Hepatitis
As SGOT (2930) was more than SGPT(2200),which show it is a case of Alcoholic Hepatitis.
I am the only Ayurveda physician practicing purely in Ayurveda so my other colleagues told me to refer it to Allopathy hospital and even I was not confident to handle this alone. Even I consulted a reputed specialist of my town at my own.He told to hospitalize the patient immediately. But my patient refused and asked me to give my Ayurveda treatment only.
So i tried Liv 52 drops in high dose i.e 2 tsf twice a day and Drakshadi kashyam 3 tabs bd(for pitha dosha).
After 5 days of treatment his appetite improved and his dahaalso reduced.
I stopped Drakshadi tabs and switched to Liv 52 DS syp 2 tsf bd and Nirocil 1 tab tds
.Patient reported again after 5 day.
I repeated the test for progress of my treatment of 10 days.
And there was such a remarkable improvement in LFT.
ALT and AST were normal and bilirubin was still 4.
Now the patient is on Liv 52 DS syp 2 tsf bd only and has very gud relief in his symptoms.
This proves the efficacy of Ayurveda medicines even in acute cases and even strengthened my belief in Ayurveda.Jai AYURVEDA.
this is a case of viral hepatitis not alcholic hepatitis,please read article Heapatitis abcde on this site as i have written in my article it is self limiting disease only patience in dr and patient is required.very soon i shall write a short article on alcholic hepatitis,but for your knowledge PLEASE REMEMBER THIS LINE WHILE DIAGNOSING ALCHOLIC HEPATITIS
The ratio of aspartate aminotransferase to alanine aminotransferase should be 2 or more
In most cases, the liver enzymes do not exceed 500.
the formula is SGPT DIVIDED BY SGOT=VALUE SHOULD BE MORE THAN TWO (ONLY TRUE IN ALCHOLIC HEPATITIS)
BUT IN OTHER CASES IT SHOULD BE MORE THAN 1 -------Dr.Shridhar
I Agree with Dr ShriDhar that the ratio in alcoholic hepatitis is more then 2.Infact The SGOT/SGPT ratio is significantly elevated in patients with alcoholic hepatitis and cirrhosis (2.85 +/- 0.2) compared with patients with post necrotic cirrhosis (1.74 +/- 0.2), chronic hepatitis (1.3 +/- 0.17), obstructive jaundice (0.81 +/- 0.06) and viral hepatitis (0.74 +/- 0.07).But in your case the symptoms are more suggestive of alcoholic hepatitis rather then viral.Just ve a feeling the lab reports have been goofed up----------Dr.Rishi
Sunday, September 5, 2010
VARICELLA-CHICKENPOX
there r 6 common fevers with rashes in general practice
there is one formula to know the name of that fever,count the day of the apperance of rashes from the of day of the starting of fever
VERY SICK PEOPLE MUST TAKE DOUBLE TEA
1.very = varicella (chichen pox)
2.sick =scarlet fever
3.people=small pox
4.must.=measles
5.take=typhus
6.double=dengu fever
7.tea=typhoid fever
In chicken pox only symptomatic treatment should be given as it is a case of viral fever keep in mind complication of encephlopathy(viral encephlitis symptoms r stupor,coma,convulsion no doubt it is very rare complication only1-2% but still keep in mind)ANOREXIA MAY BE PRESENT DUE TO GASTRITIS (WHICH IS DUE TO THE TOXINS LIBRATED BY THE VARICELLA VIRUS)SO WHEN VIRUS BECOMES INEFFECTIVE EVERY THING WILL BE REVERSED AUTOMATICALLY
there is one formula to know the name of that fever,count the day of the apperance of rashes from the of day of the starting of fever
VERY SICK PEOPLE MUST TAKE DOUBLE TEA
1.very = varicella (chichen pox)
2.sick =scarlet fever
3.people=small pox
4.must.=measles
5.take=typhus
6.double=dengu fever
7.tea=typhoid fever
In chicken pox only symptomatic treatment should be given as it is a case of viral fever keep in mind complication of encephlopathy(viral encephlitis symptoms r stupor,coma,convulsion no doubt it is very rare complication only1-2% but still keep in mind)ANOREXIA MAY BE PRESENT DUE TO GASTRITIS (WHICH IS DUE TO THE TOXINS LIBRATED BY THE VARICELLA VIRUS)SO WHEN VIRUS BECOMES INEFFECTIVE EVERY THING WILL BE REVERSED AUTOMATICALLY
Hepatitis-D (Delta virus)
INFECTION OF HEPATITS D NEVER OCCUR ALONE .
HEPATITIS D VIRUS ALWAYS DEPEND ON HEPATITIS B OR C VIRUS .
THE INFECTION OF HEPATITS D OCCUR MAINLY BY THE INTRAVENOUS ROUTE OR DRUG USERS.
THIS VIRUS MAINLY CAME FROM SPECIAL SHORT STATURED PLANTS
THIS VIRUS COULD NOT CREATE ANY PROBLEM IF IT IS PRESENT ALONE IN THE BODY, BUT WHEN OCCUR ALONG WITH THE INFECTION OF HEPATITIS B OR C , IT MAKES THE INFECTION OF HEPATITIS B&C MORE FATAL,CHANCES OF DEVELOPING HEPATO-CELLULAR AND CIRROHSIS OF LIVER INCREASES MANY TIMES.
HEPATITIS D VIRUS ALWAYS DEPEND ON HEPATITIS B OR C VIRUS .
THE INFECTION OF HEPATITS D OCCUR MAINLY BY THE INTRAVENOUS ROUTE OR DRUG USERS.
THIS VIRUS MAINLY CAME FROM SPECIAL SHORT STATURED PLANTS
THIS VIRUS COULD NOT CREATE ANY PROBLEM IF IT IS PRESENT ALONE IN THE BODY, BUT WHEN OCCUR ALONG WITH THE INFECTION OF HEPATITIS B OR C , IT MAKES THE INFECTION OF HEPATITIS B&C MORE FATAL,CHANCES OF DEVELOPING HEPATO-CELLULAR AND CIRROHSIS OF LIVER INCREASES MANY TIMES.
Footnote on Hepatitis-B
DEAR DRS,
HERE IS FOOT NOTE ON HEPATITIS BHEAPATITIS B
1 IT IS ALSO INFECTIOUS DISEASE
2.INCUBATION PERIOD IS 50-150 DAYS
3.TRANSMITTED THROUGH NEEDLE,BLOOD PRODUCTS,SEXUAL INTERCOURSE,DEEP FASINATING KISS,AND IN ANY CONDITION WHERE EXCHANGE OF FLUID OCCUR BETWEEN TWO BODIES,TATTO MAKING,FROM BARBAR SHOPS,PIRECING OF EAR AND NOSE ETC
4.GRADUAL ONSET
5.MORE SERIOUS
6.CHRONIC HEPATITIS MAY OCCUR AND MAY PERSIST FOR YEARS.CHRONIC ACTIVE HEPATITIS MAY OCCUR WHICH CAUSES LIVER DAMAGE AND THIS MAY LEAD TO FIBROSIS OF LIVER LEADING TO CIRROHSIS OF LIVER.
7.THE PATIENT MAY BECOME THE CARRIER OF HEPATITIS B.
8.RECOVRY IS 80%
9.AUSTRIALIAN ANTIGEN IS ALWAYS POSITIVE
IF AUSTRIALIAN ANTIGEN IS POSITIVE (HBsAG) THEN GO FOR HEPATITIS Be ANTIGEN IF IT IS POSITIVE------- IT MEAN THE VIRUS IS REPLICATING AND ACTIVE WHICH POSITIVELY NEED ANTI-VIRAL THERPY LIKE LAMIVADINE WHICH IS THE ONLY FDA APPROVED MEDICINE FOR HEPATITIS B
COMPLICATIONS=
A) CIRROHSIS OF LIVER---PORTAL HYPERTENSION OR HEPATO-CELLULAR FAILURE OR BOTH
B) CANCER OFLIVER
C) RECURRENT ACTIVE HEPATITIS
D) RENAL FAILURE
E) HEPATO-ENCEPHLOPATHYNOTE = IN 80% OF THE PATIENT AUSTRIALIAN ANTIGEN BECOME NEGATIVE WITH IN 6MONTHS
TREATMENT=Rasayana therapy(Pippali,Ashwagandha,Sariva,Jiraka,Draksha: for fatigue, immunomodulation and rejuvenation and to decrease the viral load.
Antiviral herbs:Bhumyamalaki,Kalmegha,Kutki..Hepatoprotective herbs:Punarnava, Bhringaraja,Pipali, Ghritakumari..
Liver Detoxyfying:Moolaka,Apamarga,Arka,Chirayata.
PLEASE PUT ONTAB LAMIDAC 100MG DAILY FOR 1YEAR IF HEPATITIA Be ANTIGEN IS POSITIVE
HERE IS FOOT NOTE ON HEPATITIS BHEAPATITIS B
1 IT IS ALSO INFECTIOUS DISEASE
2.INCUBATION PERIOD IS 50-150 DAYS
3.TRANSMITTED THROUGH NEEDLE,BLOOD PRODUCTS,SEXUAL INTERCOURSE,DEEP FASINATING KISS,AND IN ANY CONDITION WHERE EXCHANGE OF FLUID OCCUR BETWEEN TWO BODIES,TATTO MAKING,FROM BARBAR SHOPS,PIRECING OF EAR AND NOSE ETC
4.GRADUAL ONSET
5.MORE SERIOUS
6.CHRONIC HEPATITIS MAY OCCUR AND MAY PERSIST FOR YEARS.CHRONIC ACTIVE HEPATITIS MAY OCCUR WHICH CAUSES LIVER DAMAGE AND THIS MAY LEAD TO FIBROSIS OF LIVER LEADING TO CIRROHSIS OF LIVER.
7.THE PATIENT MAY BECOME THE CARRIER OF HEPATITIS B.
8.RECOVRY IS 80%
9.AUSTRIALIAN ANTIGEN IS ALWAYS POSITIVE
IF AUSTRIALIAN ANTIGEN IS POSITIVE (HBsAG) THEN GO FOR HEPATITIS Be ANTIGEN IF IT IS POSITIVE------- IT MEAN THE VIRUS IS REPLICATING AND ACTIVE WHICH POSITIVELY NEED ANTI-VIRAL THERPY LIKE LAMIVADINE WHICH IS THE ONLY FDA APPROVED MEDICINE FOR HEPATITIS B
COMPLICATIONS=
A) CIRROHSIS OF LIVER---PORTAL HYPERTENSION OR HEPATO-CELLULAR FAILURE OR BOTH
B) CANCER OFLIVER
C) RECURRENT ACTIVE HEPATITIS
D) RENAL FAILURE
E) HEPATO-ENCEPHLOPATHYNOTE = IN 80% OF THE PATIENT AUSTRIALIAN ANTIGEN BECOME NEGATIVE WITH IN 6MONTHS
TREATMENT=Rasayana therapy(Pippali,Ashwagandha,Sariva,Jiraka,Draksha: for fatigue, immunomodulation and rejuvenation and to decrease the viral load.
Antiviral herbs:Bhumyamalaki,Kalmegha,Kutki..Hepatoprotective herbs:Punarnava, Bhringaraja,Pipali, Ghritakumari..
Liver Detoxyfying:Moolaka,Apamarga,Arka,Chirayata.
PLEASE PUT ONTAB LAMIDAC 100MG DAILY FOR 1YEAR IF HEPATITIA Be ANTIGEN IS POSITIVE
Sunday, August 29, 2010
Click photos
DOCUMENT YOUR CASES BY CLICKING PHOTOS… SOME BASICS ABOUT CHOOSING THE RIGHT CAMERA
Today is my day (sun-(Divakar)-day)…as usual I don't want to create panic in your both hemispheres of the brain by telling a long story, at least today. Reading books or knowing things other than our own subject…always create some continuous enthusiasm, which will enable me to read our subject more passionately…Enthusiasm is the only thing which keeps me get going…otherwise life is little bit boring..How to take authentic medical photos? Here are some tips…1. I strongly suggest that one should keep the record of the patients by clicking photos at regular intervals…it has 4 advantages (I think... many) …(i)Patient can see the difference( ii)It can be very useful to you for case presentation later...(iii)Collection of successful case studies with good photos create a very good opportunity to write a book(iv) It enhances your confidence2. Whenever you take photo of a patient...Some points are always to be remembered:A. Explain to the patient that what you are going to do B. For Ano-rectal cases you may require consent of the patient3. Never take photos exposing the face of the patient; you can cover the face by editing (photo morphing and editing softwares are available online..eg.freeonlinephotoeditor.com & morpheussostware.net, etc.)4. Always take the follow up photos at the same place and at the same angle (it looks authentic)5. Always try to incorporate date of the photo in it.(many cameras have this feature..Otherwise you can write on a card board)6. If you want to take the picture of a drug, leaf etc...Back ground should be in contrast color for better look… (E.g. Leaf...Background should be Red or pink (you can use butter paper)7. Patient should never feel that you are doing a sting operation on him/her...So, be gentle with the patient by making him/her comfortable…8. If you want to show skin lesions of the patient...Photo should always be a close angled one (you can use macro setting on, where you can show the healing tissue, discharge, etc. effectively)9. Fracture should always be shown with the x-ray film along with the photo.10. Don't swap the follow up photos (ilaaj se pehle ka photo (woh actually baad ka hota hai) ilaaj ke baad wala photo (woh pehle ka hota hai)..Avoid cheap slimming centre photo techniques…11. Discharge (blood, pus, serous discharge, etc.) should always be photographed in natural light.12. Use the right camera for the photos, as it should look good…even if you show it on a bigger screen… For that, you have to know the basics of digital cameras…I am not an expert in that field..I will try to tell some of the important functions and nomenclature of the camera which will be useful to you while purchasing a new one (remember what the Sales Man tells about any product is always insufficient ... and it's a deliberate move by him to sell a lesser known or not so good product)SOME BASICS ABOUT CHOOSING THE RIGHT CAMERA: HERE ARE THE TIPS…Never fall in to the trap of Mega pixel Mania (it doesn't mean that more pixels ... means more clarity) because the clarity of the picture depends on so many things other than pixels (capacity of the chip (image sensor), quality of the lens, memory card and nature of the exposure of the light, etc.)1. Image sensor is the vital device for capturing good photos...so see the details of its value (more than 2.5 cm will be good
Today is my day (sun-(Divakar)-day)…as usual I don't want to create panic in your both hemispheres of the brain by telling a long story, at least today. Reading books or knowing things other than our own subject…always create some continuous enthusiasm, which will enable me to read our subject more passionately…Enthusiasm is the only thing which keeps me get going…otherwise life is little bit boring..How to take authentic medical photos? Here are some tips…1. I strongly suggest that one should keep the record of the patients by clicking photos at regular intervals…it has 4 advantages (I think... many) …(i)Patient can see the difference( ii)It can be very useful to you for case presentation later...(iii)Collection of successful case studies with good photos create a very good opportunity to write a book(iv) It enhances your confidence2. Whenever you take photo of a patient...Some points are always to be remembered:A. Explain to the patient that what you are going to do B. For Ano-rectal cases you may require consent of the patient3. Never take photos exposing the face of the patient; you can cover the face by editing (photo morphing and editing softwares are available online..eg.freeonlinephotoeditor.com & morpheussostware.net, etc.)4. Always take the follow up photos at the same place and at the same angle (it looks authentic)5. Always try to incorporate date of the photo in it.(many cameras have this feature..Otherwise you can write on a card board)6. If you want to take the picture of a drug, leaf etc...Back ground should be in contrast color for better look… (E.g. Leaf...Background should be Red or pink (you can use butter paper)7. Patient should never feel that you are doing a sting operation on him/her...So, be gentle with the patient by making him/her comfortable…8. If you want to show skin lesions of the patient...Photo should always be a close angled one (you can use macro setting on, where you can show the healing tissue, discharge, etc. effectively)9. Fracture should always be shown with the x-ray film along with the photo.10. Don't swap the follow up photos (ilaaj se pehle ka photo (woh actually baad ka hota hai) ilaaj ke baad wala photo (woh pehle ka hota hai)..Avoid cheap slimming centre photo techniques…11. Discharge (blood, pus, serous discharge, etc.) should always be photographed in natural light.12. Use the right camera for the photos, as it should look good…even if you show it on a bigger screen… For that, you have to know the basics of digital cameras…I am not an expert in that field..I will try to tell some of the important functions and nomenclature of the camera which will be useful to you while purchasing a new one (remember what the Sales Man tells about any product is always insufficient ... and it's a deliberate move by him to sell a lesser known or not so good product)SOME BASICS ABOUT CHOOSING THE RIGHT CAMERA: HERE ARE THE TIPS…Never fall in to the trap of Mega pixel Mania (it doesn't mean that more pixels ... means more clarity) because the clarity of the picture depends on so many things other than pixels (capacity of the chip (image sensor), quality of the lens, memory card and nature of the exposure of the light, etc.)1. Image sensor is the vital device for capturing good photos...so see the details of its value (more than 2.5 cm will be good
2.There are basically 2 image sensors (i) CCD (charged coupled device) (ii) CMOS (compliment metal oxide semiconductor) Sony uses CCD and canon uses CMOS both are good …MORE WIDTH OF THE SENSOR…. MORE CLARITY3. Lens is another important part….in camera… (Sony uses Carl –Zeiss(reputed) Panasonic uses( Leica Lenses) canon uses its own lens and Nikon also uses its own lens(it’s called Nikkor)MY SUGGESTION IS… LENS SHOULD BE OF THE SAME COMPANY (THAT’S WHY CANON AND NIKON ARE SUPERIOR AND WIDELY USED)4. Camera should have a good optical Zoom (min.10x zoom is very good for all purposes) digital zoom only enhances the photo resolution by increasing the resolution digitally (Interpolation…)which means quality of the photo will be compromised…(look grainy..If you enlarge the photo) MORE OPTICAL ZOOM...MORE CLEAR RESOLUTION…5. Camera should always have a good flash (red eye is the main side effect of the flash) buy a camera with redeye reduction (most cameras have this function but canon and Sony are the best)..Don’t use flash in day light.6. Always buy camera with MACRO (Macroscopic) option for taking better (close up) medical photos...MACRO SIMPLY MEANS THAT IT MAGNIFIES SMALL OBJECTS OF THE PHOTO WHILE CLICKING... (Very imp. function)7. Image stabilization and Anti-blur, Anti-shake, smile shot and face detection are some other useful functions one should look for..(Sony cameras have all these functions in cameras below Rs.10, 000 range..But my feeling is except anti shake and anti blur most of the techniques are just cosmeticKaunsa camera mera chehra andhere mein detect kar sakta hai? It’s all marketing gimmicks…)8. Screen of the Camera should always be good for better viewing (Min.3 inches LCD screen is a good option)9. Higher ISO settings (sensitivity at which your cameras sensor reacts to the light when you open the shutter) in a camera is useful when you want to take a picture in low light (settings are like 100,200,400 and so on….you can adjust it manually in some cameras…..400 is for low light..100 is for day light, 200 is for night photography)10. Always try to buy a camera with a detachable lens option (so that you can have the freedom of using different lenses (wide angle lens ... (For wider picture) telescopic lens (to capture far away things)Range starts from 22,500(canon 1000D)12. Video Zoom (zoom in /out function while recording a video available) is necessary if you want to record a video of your case or any surgery for that matter..Remember most of the cameras including Sony, Fuji, Olympus, Casio, Kodak etc. lack this function where you have a fixed zoom (cameras below Rs.8,000…Video zooming feature in all cameras start above Rs.12,000 range)CANON AND NIKON ARE THE EXCEPTION...
Abuse of antibiotics abase India
ABUSE OF ANTI-BIOTICS ABASE INDIA
ABUSE OF ANTI-BIOTICS ABASE INDIAThe recent claim that NDM -1 (New Delhi Metallo beta lactamase), the anti-biotic resistant superbug, has originated in India has left the Union Health Ministry fuming.And as we go through the newspapers and other media it seems that the Govt .is worrying about India’s booming medical tourism. What ought to be really worried about is the Country’s high rate of HAI (Hospital Acquired Infections) and the abundant abuse of antibiotics.India , Our Sweet Country, stands strong and first among the abuse and overuse of antibiotics. Of course, other countries like Taiwan, Nigeria, etc. too are in the line....but after all We have to grieve about Our Country first as it is the home town of Great Aacharyas and is the mother state of the Great Science AYURVEDA(The LIFE SCIENCE) AND now here life itself is at trouble due to science. There is no regulatory mechanism to check the abuse.Over-usage of antibiotics and some of these which don’t have the dosage it claims (under dose) will automatically give rise to drug resistant organisms and thus arouse the SUPER-BUG. They have learnt the concept of “Survival of the Fittest’ and are at least fit enough to fight against the present antibiotics.In a single hospital there were 22 cases from whom superbugs were isolated. Note this is the case in a single hospital all over the country.Most of these bugs spread through contaminated hands, air-conditioners, contaminated surfaces and devices used on patients. Those who are on multiple antibiotics or the elderly are largely vulnerable. Superbugs have been around for decades all over the world. There is no record on how many lives are lost due to this. But the recent name given is NDM which has drawn flak from the Government.
ABUSE OF ANTI-BIOTICS ABASE INDIAThe recent claim that NDM -1 (New Delhi Metallo beta lactamase), the anti-biotic resistant superbug, has originated in India has left the Union Health Ministry fuming.And as we go through the newspapers and other media it seems that the Govt .is worrying about India’s booming medical tourism. What ought to be really worried about is the Country’s high rate of HAI (Hospital Acquired Infections) and the abundant abuse of antibiotics.India , Our Sweet Country, stands strong and first among the abuse and overuse of antibiotics. Of course, other countries like Taiwan, Nigeria, etc. too are in the line....but after all We have to grieve about Our Country first as it is the home town of Great Aacharyas and is the mother state of the Great Science AYURVEDA(The LIFE SCIENCE) AND now here life itself is at trouble due to science. There is no regulatory mechanism to check the abuse.Over-usage of antibiotics and some of these which don’t have the dosage it claims (under dose) will automatically give rise to drug resistant organisms and thus arouse the SUPER-BUG. They have learnt the concept of “Survival of the Fittest’ and are at least fit enough to fight against the present antibiotics.In a single hospital there were 22 cases from whom superbugs were isolated. Note this is the case in a single hospital all over the country.Most of these bugs spread through contaminated hands, air-conditioners, contaminated surfaces and devices used on patients. Those who are on multiple antibiotics or the elderly are largely vulnerable. Superbugs have been around for decades all over the world. There is no record on how many lives are lost due to this. But the recent name given is NDM which has drawn flak from the Government.
Just three days back when one of a neighbour came to me for getting a pain killer administered parenterally, I saw his prescription. He is a patient of Renal calculus (left renal calculus-single ---as per the reports) who had a classical symptom of calculi pain and no other symptoms of infection or even nausea or vomiting. The prescription carried both Ofloxacin 400mg and Cefuroxime 500mg,a fluoroquinolone and a second generation cephalosporin respectively and Inj.Hydroxyprogesterone IM stat along with two pain killers. The Physician is a reputed Nephrologist and the hospital is definitely not a petty one. Is not one antibiotic-- sufficient in his line of prophylaxis/treatment? First day the patient came with Diclofenac injection for his pain and the second day he bought Inj.Hydroxyprogesterone for getting administered saying he got relieved with that. It was embarrassing to make him understand and was a different story .If any erudite Physician can back the medicines used in this case, kindly throw light for which I am obliged.The worst of the tale is with the children and the worser are with the infants for whom the antibiotics are prescribed under the name of anti-flu or antitussives , where virus may be the cause in most of the cases. Even educated and well-to-do mothers administer the same medicines whenever their kids exhibit one or the other symptom till the adolescence?????Presently in the case of NDM, a combination of antibiotics are used for treating and again the cycle starts while teams are working on a new class of antibiotics which may take years to deliver.The article definitely doesn’t imply abandoning of antibiotics but a check for the abuse.An uniform antibiotic policy is the need of the hour for the Allopaths.What should be our part to save Our Country err..... the world from them.KINDLY HELP
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