एन्टीबायोटिक प्रतिरोध (antibiotic resistance)
TRANSCRIPT
Antibiotic Resistance;DalGw ljBfno
:jf:Yo ;r]tgf sfo{qmd२०७३
GARP Nepal
Nepal Public Health Foundation
kl/ro
;'IfhLjf0f'sf] ;+qmd0fsf lj?4df k|of]u x'g] cf}iflwnfO{ PG6Ljfof]l6s elgG5 .
Antibiotics eg]sf ZflQmZffnL cf}iflwx? x'g .
Antibiotics x? @);f}+ ZftfAbLsf rdTsfl/s cf}iflw x? x'g .
Penicillin klxnf] antibiotic xf] h'g !(@* df Alexander Fleming n] kQf nufPsf lyP .
Antibiotics x?df ;+qmd0f /f]Sg ;Sg] Ifdtf x'G5 .
kl/ro cont.…
• /f]usf] pkrf/ / /f]usf] /f]uyfd sf lglDt antibiotic x? dfgj / hgfj/ b'j} dfk|of]u ul/G5
• Antibiotic x?sf] k|of]u a[bL ljsf;sf lglDt s[lif / hgfj/ x?df klg k|of]u ul/G5
d'vaf6 v'jfpg] (tablets, capsules or syrup, suspension)
oL antibiotics x? gd| b]lv dWod vfnsf ;+qmd0fx?df k|of]u x'G5g .
aflxl/ Zfl//df nufpg] (creams, lotions, sprays or drops)
logLx? cfFvf sfg / 5fnfsf] ;+qmd0fdf k|of]u ul/G5g .
;'O{ åf/f lbg] ( Injection)
;fdfGo tof w]/} uDeL/ ;+qmd0f df k|of]u ul/G5g
Antibiotics k|sf/ x?
s] PG6Lafof]l6sx?n] ;a} /f]ux? la?4df sfd u5{g t<<<
ub}{gg ÛÛÛÛ= antibiotic x? la;f0f' -virus_ åf/f x'g] ;+qmd0f cyjf /f]ux?df sfd
ub}{gg .
h:t} pbfx/0f
Varicella (chicken pox) Rubella (German measles) The common cold Hepatitis Mumps
PlG6afof]l6sx?n] hLjg arfp+5===(Antibiotics Save Lives)
;fr} antibiotic x? rdTsfl/s cf}iflwx? x'g h:fn] cgluGtLnfvf}+ dflg; x?sf] Hofg hf]ufPsf] 5
!($@ kl5 penicillin n] dfq @)) nfv dflg;sf] Hofghf]ufPsf] 5
!($$ / !(&@ sf] lardf antibiotic sf] sf/0fn] dflg;sf] cf};t cfo' ( life expectancy) cf7 jif{n] a9]sf] lyof] .
BUT Too Much of Everything is as bad as too little
t/ cTolws w]/} x'g' klg yf]/} x'g' h:t} g/fd|f] xf]
s]lx d'Vo c;/ x? o; k|sf/ 5g:
PG6Lafof]l6ssf c;/x?
Efmf8fkvfnf -Diarrhea)
k]6 km'Ng] / ckr x'g] (Bloating and indigestion)
k]6 b'Vg] (Abdominal
pain)
ef]s gnfUg] (Loss of
appetite)]
afGtf x'g] (vomiting)
lrnfpg] / 3fp x'g] (Itching skin rashes)
vf]sL nfUg] (Coughing)
8/nfUbf] lr8lr8fx6 x'g]
(allergic reaction)
Thrush (candidiasis)
PlG6afof]l6s k|lt/f]w (Antibiotics Resistance) eGgfn] ;'Id hLjf0f'x?n] /f]u lg/f]wscf}iflw ;+u ug]{ k|lt/f]w xf,] h'g cf}ifwL jf:tadf Tolx hLjf0f'x?af6 nfUg] /f]ux?sf] pkrf/df k|efjsf/L x''Gy] .
PlG6afof]l6s k|lt/f]w eg]sf] PlG6afof]l6sx?sf] c;/nfO{ k|lt/f]w ug]{ AofS6]l/ofx?sf] Ifdtf xf] .
Antibiotic k|lt/f]w (Resistance) eg]sf] s] xf] t ???
धेरै जीवाणुहरुमामा केहह औषधध प्रतिरोधक हुन्छन
एन्न्िबायोहिकहरुलेसंक्रमणबाि बचाउन रोग लगाउने र नलगाउने दवुै जीवाणु लाई माछछ
lsg 5 t Antimicrobial Resistance ljZjsf] rf;f] <<<
ljZjdf clxn] gofF gofF k|lt/f]wsf (resistance) k|lqmofx? k|s6 eO{ a9\b} hfFbfxfd|f] ;fwf/0f ;+qmd0fsf] ;d]t pkrf/ ug]{ ;fdYo{df vt/f k}bf u/]sf] 5 . h;sf] sf/0fn]pkrf/af6 ;fdfGo hLjg latfpg ;Sg] dflg;x?df klg d[To' / c;Iftfsf] hf]lvd a9\b}uO/x]sf] 5 .
;+qmd0f la?4sf] k|efjsf/L pkrf/sf] cefjn], y'k|} :t/Lo pkrf/sf ljlwx? c;kmn tyfhf]lvd k"0f{ x'b} uO/x]sf 5g\ .
Antibiotic resistance a9\b} uP/ ;dfhsf nflu 7"nf] hg:jf:Yo ;d:of x+'b} uO/x]sf] 5 h;sf] sf/0f la/fdL b/, d[To" b/ / nfut -cost_ a9\b} uO/x]sf] 5 .
Antibiotics Resistance sf] cj:yf
o'/f]k / cd]l/sfdf dfq} k|Tos aif{ PlG6afof]l6s k|lt/f]wsf sf/0f %),))) sf] d[To' x'g] u/]sf] 5 .
AofS6]l/ofsf] ;+qmd0f, dn]l/of, Ifo/f]u / PrcfO{eL h:tf /f]ux?df ePsf] cf}iflwk|lt/f]wsf] sf/0f ljZjdf k|To]s jif{ slDtdf&))))) dflg;x?n] Hofg u'dfO/x]sf 5g\ .
blIf0f k"jL{ Pl;og b]zx?df nfvf}+ dflg;x? k|lt/f]wL k/hLjLsf] (resistant parasite) hf]lvddf 5g\ .
:jf:YosdL{x?n] rflxg] eGbf a9L dfqfdf PlG6afof]l6s tf]Sg] -l;kmfl/;_ / lat/0f
ugf{n]
la/fdLx?n] tf]lsPsf] cjlw ;Dd cf};lw gvfO{ lbgfn]
kz'wg, t/sf/L v]lt / df5f kfngdf PlG6afof]l6ssf] clws k|of]u ugf{n]
:jf:Yo ;+:yfx?n] ;+qmd0f lgoGq0fdf nfk/jfxL ugf{n]
:jR5\tf / ;/;kmfO{sf] sldn]
gofF PlG6afof]l6sx?sf] ljsf; gx'gfn]
Antibiotic resistance ;+s6 lgDTofpg] ^ sf/s tTjx?
Antibiotic Resistance (k|lt/f]wsf) c;/x?
nf]df] ;do ;Dd /f]u lgsf] gx'g]
nfdf] ;do;Dd pkrf/ ug'{kg]{
d[To"b/ (Mortality) a9\g]
pkrf/sf] nflu dxFuf] cf}iflw (expensive drugs) rflxg]
:jf:Yo k|0ffnLdf (health system) af]em a9\g]5
:jf:Yo If]qsf pGgt k|lalwx? ;d]t c;kmn x'g] ;Defjgf a9\5, . h:t}
7"nf 7"nf zNolqmofx?
k|Tof/f]k0f / cGo
la/fdL dflg; k|lt/f]wL hLjf0f'sf] ;+sns -reservoir of resistant organism_ eP/ ;dfh / :jf:YosdL{x?df ;fg]{ sfd u5{g\ .
PlG6afof]l6s k|lt/f]wdf tkfO{sf] e"ldsf s] t <<<
k|dfl0ft :jf:YosdL{åf/f l;kmfl/; ul/Psf] cf}iflw dfq k|of]u ug]{
;~rf] ePsf] dx;'; ePtf klg l;kmfl/; ul/Psf] cf}iflw 8f]h k'¥ofP/ vfg]
afFsL /x]sf antibiotic x? k'g k|of]u gug]{
cfkm"n] k|of]u ug]{ PlG6afof]l6s c? s;}nfO{ k|of]u ug{ glbg] / c?n] k|of]u
ug]{ antibiotic cfkm"n] klg k|of]u gug]{
;+qmd0faf6 ;w} aRg'k5{ . To;sf] nflu lgoldt xft w'g], la/fdL dflg;sf] clt
3lgi7 eP/ ga:g], tyf rflxg] ;a} vf]k nufpg] .
6. Antibiotics sf] cfjZostf 36fpg ;+qmd0fsf] /f]syfd
;+s|d0f Go'lgs/0f / /f]syfd af6 Antibiotic resistance 36fpg ;lsG5 . h;sf nflu
xft w'g] :j:Yf /xg]
;kmf kflg k|of]u ug]{ jtfj/0f ;kmf /fVg]
:jf:Yo ;:Yffdf x'g] ;+s|d0f 36fpg] vf]k nufpg]
lj/fdL cyjf /f]lu af6 6f9f /lx ;+s|d0f x'g af6 aRg]
Antibiotics should be the last line of defense
NOT the first