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Dr. Asaf Ali

MBBS

General Physician, Bangalore

42 Years Experience  ·  50 at clinic
Dr. Asaf Ali MBBS General Physician, Bangalore
42 Years Experience  ·  50 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Asaf Ali
Dr. Asaf Ali is a trusted General Physician in Shivaji Nagar, Bangalore. He has over 42 years of experience as a General Physician. He is a MBBS . He is currently associated with Salamat Clinic in Shivaji Nagar, Bangalore. Book an appointment online with Dr. Asaf Ali and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified General Physicians in India. You will find General Physicians with more than 38 years of experience on Lybrate.com. You can find General Physicians online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Specialty
Education
MBBS - Bangalore Medical College and Research Institute, Bangalore, - 1975
Languages spoken
English

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#26/2, Old Bamboo Bazar Road, ShivajinagarBangalore Get Directions
50 at clinic
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What are the symptoms of the swine flu and what type of precautions should we take to get away from swine flu, Also tell me causes of the swine flu.

MBBS
General Physician, Hyderabad
What are the symptoms of the swine flu and what type of precautions should we take to get away from swine flu, Also t...
Hi Swine flu is caused by H1 N1 virus Symptoms are cough high fever Headache stomach pain Body pains Weakness Running nose are few Precautions include Personal hygiene is imp Stay away ppl from cold and similar symptoms
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I have continuous sound ringing in my ears. First it started with the left ear and now it sounds in both the ears. I've been with this situation for almost 8 months. Once I've consulted a doctor who prescribed "cognix plus" apart from some other tabs, but there wasn't any change. I've read about this condition as "tinnitus " So how to ged rid of this.Please tell.

DORL, MBBS
Ear-Nose-Throat (ENT) Specialist, Faridabad
I have continuous sound ringing in my ears. First it started with the left ear and now it sounds in both the ears. I'...
At your age this is mainly due to ear wax problem unless you are using ear phones and ear plugs, this is most dangerous cause for this as with this the trauma is irreversible and patient might require hearing aid with tinnitus masker, get the ear examination done from ear consultant and getthe diagnosis.
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Hello Dr, I have some prickle inside skin near to my shoulder some time pain also. I consult with dermatologist she suggest vitamin b12 test, we took its normal. Still I have problem .no itching pain is there nothing visible in skin. Any suggestions Thanks.

DHB
Homeopath, Sagar
Hello Dr, I have some prickle inside skin near to my shoulder some time pain also. I consult with dermatologist she s...
You can take following Homoeopathic medicine 1- Secale cor 200 2-Thuja 200 each five drop's mixed with some water taken two times a day Massage Olive oil on affected part twice a day for any further assistance you can consult me privately.
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I am a married 30 year old guy, my wife complains for fast ejaculation, whenever we make love we do a lot of foreplay almost for 15 minutes then goes for the intercourse and hardly for less than two minutes, how should I find a solution, we have a kid, she is 25, and during intercourse she has severe pain, please help us.

Advanced Aesthetics
Ayurveda, Gulbarga
I am a married 30 year old guy, my wife complains for fast ejaculation, whenever we make love we do a lot of foreplay...
White Onions Onions are well known to have aphrodisiac properties and also help in enhancing libidos. ? Peel white onion, crush it and make it a smooth paste. ? Fry this paste in a teaspoon of butter and then add this mixture to a spoonful of honey. ? You need to take this medicine on an empty stomach or you should not eat for at least two hours before taking this medicine. ? With regular use, you will find remarkable changes in your attitude towards sex. Sex is the most precious gift given by nature to human beings. It is the integral part of one?s life. It creates a strong bond between husband and wife, gives pleasure and reduces anxiety, anger, depression and tension. Hence it is necessary to keep the sex power alive to enjoy sex life to the fullest. Moderate exercise can help in increasing sex energy to a great extent. Simple push-ups or 30 minutes of regularly walking or jogging can work wonders in building sex power.Sex and exercise both make a person sweat, increase blood circulation, diminish stress and burn calories. They make one feel better and confident. Exercise helps in making sex more enjoyable and satisfying. The exercises of the legs, backs and chest enhance the release of testosterone in men and women. It also increases the flexibility in one?s body in order to accommodate in different positions.Men need cardio exercises in order to have a sustained erection? Certain foods are loaded with nutrients that boost sex drive and increase one?s staying power. Eating these foods help in increasing bedroom power. They help in increasing the production of sex hormones. Vitamins and minerals keep one sexually healthy. The diet that provides energy to sex contains vitamins, minerals and other nutrients required for a healthy body. Zinc is one of the most important ingredients for the proper functioning of the prostate glands of a man. It helps in prostate infections, prostate cancer and help sperm production. ? Dates ? Eat 5 ? 7 dates everyday for a week to see surprising sexual stamina. ? Aswagandha ? It is a gift for Indians. Consume Aswagandha for instant sexual stamina. You can find the result in few hours. You can find aswagandha in the nearest ayurvedic shop. For further assistance you can concern me privately.
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I have gas acidity 2/3 din se sir dard bhhut rahta hai aur kabjiyat bhi rahati hay. Please bateye ye kaise theek hoga?

MSc Applied Biology, Diploma in Naturopathy
Ayurveda, Delhi
I have gas acidity 2/3 din se sir dard bhhut rahta hai aur kabjiyat bhi rahati hay. Please bateye ye kaise theek hoga?
Constipation is root cause of most diseases include fiber in diet and for head head ache take 8-10 glass of water A capsule of Field of Green, Arctic Sea ,Honey in Aloe vera Gel All products from FLP.
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Vision Loss in Glaucoma

MBBS, MS - Ophthalmology
Ophthalmologist, Delhi
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Symptoms, types and treatment of Glaucoma

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Dear sir I suffer with an bed headache since 1 year pls help me regarding this matter.

MBBS
General Physician, Mumbai
Dear sir I suffer with an bed headache since 1 year pls help me regarding this matter.
Few things related to headache so that we can plan the treatment accordingly - if pain is associated with blurred or decreased vision than check your eye sight for refractive error - if the pain is associated with cold and fever than we have to rule out sinusitis as the cause and if the pain is pulsatile in nature and with a throbbing pain usually with an aura than we have to rule out migrane as the cause - if the pain is associated with neck problems than we have to rule out cervical spondylosis as the cause - if the pain is associated with either low or high bp or due to hyperacidity than we have to treat the cause after examination.
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I have a head ache from last one week what should I do? I also test my eye power.

DHMS (Hons.)
Homeopath, Patna
I have a head ache from last one week what should I do? I also test my eye power.
Hello, headache is caused due to: * stress, anxiety, depression, acidity, dust, smoke, drug abused.= avoid them. * take, digestible diet to avoid acidity. * adequate, sleep b needed. * adequate, light arrangement be made on study table.* watching tv b avoided. * over all you should go for test of your eyes. Homoeo-medicine** @ spigelia 200-6 pills, thrice a day. @ nat. Mur 200-6 pills, thrice a day. Report wkly.
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I am 37 year old man I am suffering with gastric problem. I use to smoke 4 cigarette in a day. Tell me how can I get rid of the Gas problem without loosing smoking.

MBBS
General Physician, Delhi
I am 37 year old man I am suffering with gastric problem. I use to smoke 4 cigarette in a day. Tell me how can I get ...
Smoking has been always associated with gastritis. So I would recomend you to quit smoking as you atr smoking only 4 cigrattes a day so quittung should be very easy for you. Other than this what you can do is change your dietry habits. Eat food which will make your stool soft in nature like lots of salads. You can eat apple which will also help you a lot and drink plenty of water. This is the natural ways you should can try. But I can precribe you medicine only after there is no improvement with the above.
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From the past week after coming from bathroom I start feeling burning and little pain in my stomach and till night it persists .when I fart I feel a bit relaxed .plz suggest some natural and effective way.

BHMS
Homeopath,
From the past week after coming from bathroom I start feeling burning and little pain in my stomach and till night it...
I think your suffering from gastritis which is very common. Take food in every 3-4 hrs interval. Don't take too much hot or too much cold things. Avoid spicy foods. Don't eat heavy meal after sunset. Take 2-3 boiled ladies finger everyday. Drink 3-4 litrs of water everyday. With this you must need proper homeopathic treatment. Because without treatment your disease will b more virulent. Soo with those above mentioned things you need proper homeopathic treatment. Soo you can contact me through Lybrate.
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My mother always sweats. She feels unconscious sometimes. We have consulted neurologist. Please help.

MBBS, cc USG
General Physician, Gurgaon
I think this problem may be due to anxiety kindly consult Physician/psychiatrist This problem can be solved by Meditation i can give you address of rajyoga meditation center near your house (this is free of cost)
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Age 20 mere pair ke nichle hisee me jalan hoti h aur jab bhi mai apne jiwan sathi ke sath sex karta hu to jyada der tak sex nahi kar pata hoo aur tab jajan bahut hoti h pls help me.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Age 20 mere pair ke nichle hisee me jalan hoti h aur jab bhi mai apne jiwan sathi ke sath sex karta hu to jyada der t...
Dear user. Jalan ke karan zaroor infection hoga. Ek hafte ke liye sex math keejiye. Warm water se area ko din mein theen chaar baar saaf keejiye. Inke bhaavjood agar sahi nahi hotha, tho urologist se miliye. Take care.
2 people found this helpful
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I am male 57 years weigh 80 kgs height 173cms Diabetic 2 since I year taking glyciphage SR 500! tab morning and 1/2 in evening Sugar PP level 186 what to do.

MBBS, MD - Medicine
General Physician, Delhi
I am male 57 years weigh 80 kgs height 173cms Diabetic 2 since I year taking glyciphage SR 500! tab morning and 1/2 i...
1. Do regular exercise for 30 minutes daily like brisk walking 2. Reduce weight if overweight 3control diet a) avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (akhrot) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugar 3 monthly and hba1c six monthly 6. Consult diabetologist for advice and treatment.
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I am a 19 year old boy. I want to say that my heart beats so fast. Normally whan I feel my heart beats there is a great pace of beats and my heart seems to be sound. Also if sonething goes wrong or there is any tension at my home my heart begins to just like blow. E. G when I use to be at examination hall my heart begins to beat till I will get my question paperand then it will be ok.

BSc Home Science, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Bangalore
You have essential fatty deficiency along with several other vitamins as a result your seretonin (neuro transmitter) and other feel good enzyme levels are low as a result your body is not capable of stress management. You must eat walnuts, flex seeds, fishes like salmon, mackerel, sardines etc. Severe deficiency is treated nutritional supplements, especially when the soils are depleted and our diet is unable to provide our body with essential nutrients.
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What is the symptoms of chickenpox and different between sun light heat skin allergy on body? How it can be avoided? Remedies for to avoid sun light heat allergy.

MBBS
General Physician, Chennai
What is the symptoms of chickenpox and different between sun light heat skin allergy on body? How it can be avoided? ...
Chicken pox is a viral disease acompanied with fever exposure to sunlight cause sun burns hence must be protected by using sunscreen lotion or covering the part.
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I have an problem of headache. It is from last two years. Whenever I go in sunlight or do any physical work for lomg time then I feel this headache.

BHMS
Homeopath, Faridabad
I have an problem of headache. It is from last two years. Whenever I go in sunlight or do any physical work for lomg ...
Hello, Some primary headaches can be triggered by lifestyle factors, including: Alcohol, particularly red wine Certain foods, such as processed meats that contain nitrates Changes in sleep or lack of sleep Poor posture Skipped meals Stress Insufficient sleep or rest Overexertion Nutritional deficiencies A secondary headache is a symptom of a disease that can activate the pain-sensitive nerves of the head. Any number of conditions — varying greatly in severity — may cause secondary headaches. Get your blood pressure checked, make a chart. Let me know about the readings, will give you medication accordingly. Also, get eyes tested as headache over the eyebrows is related to your weak eyesight or weak eye muscles. But in your case, it seems to be general weakness or else due to dehydration. Medication: Meantime, can start with homoeopathic medicine - Bakson's Mig-Aid tablet/ after every 2 hours.
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AntiBiotic Resistance on the rise very fast

Post Graduate Diploma in Hospital and Healthcare Management, MD - Consultant Physician, Fellowship Critical Care Management
Internal Medicine Specialist, Faridabad
AntiBiotic Resistance on the rise very fast

In 5 Years, Threat Of Drug-Resistant Superbugs Doubles


A 72-year-old woman in Bengaluru consulted a hospital physician about a severe skin infection and fever. She had previously consulted a couple of general practitioners, who prescribed a course of penicillin for three days and fluoroquinolones—both antibiotics—for two days.

There was no relief.

So, the consultant ordered a culture sensitivity test of pus from the skin lesions to identify what was causing her ailment and figure out what antibiotics it would respond to.

Here’s what the report said:
Pathogen: Klebsiella pneumoniae
Susceptible to: No antibiotic
Resistant to: All antibiotics, including advanced drugs like fluoroquinolones, carbapenems and even the last resort combination usually reserved for severe cases of ICU infection, colistin-tigecycline.

With nothing to offer the patient, save a prescription for paracetamol to keep her fever in check, the doctor sent the patient home, and asked her to return after a week.

In such cases, sometimes, the body’s immunity kicks in and throws off the infection, the physician, Sheela Chakravarthy, consultant (internal medicine) at Fortis Hospital, Bengaluru, told IndiaSpend.

Sometimes, resistance to one or more drugs abates, allowing treatment to be resumed. Chances of that happening are greater at home, not in the hospital, which is a more infectious space where sepsis—a disproportionate and potentially life-threatening immune response by your body to an infection—could set in, she explained.

Most patients, however, succumb to the infection.

Chakravarthy faces situations where she has nothing to offer patients, not because they are suffering from terminal illnesses, such as some forms of cancer, but even when they present with what should be curable infections, “almost every day”, she said.

What Chakravarthy described is the consequence of rampant, inappropriate consumption of antibiotics, spurring the development of superbugs, as the recently released State of the World’s Antibiotics Report 2015 affirms.


India is fast becoming home to superbugs

Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus are three of the deadliest pathogens facing humanity, according to the World Health Organisation (WHO). And India is gradually but increasingly becoming home to multi-drug resistant strains of these pathogens, according to the State of the World’s Antibiotics Report 2015.

Escherichia coli is notorious for causing food poisoning and urinary tract infections.

In 2010, 5% of Escherichia coli samples in India were resistant to carbapenems, last-resort antibiotics for bacteria that are resistant to first-, second- and third-line drugs. By 2014, 12% of E. coli samples were similarly resistant.


Klebsiella pneumoniae causes pneumonia, septicaemia and infections in the urinary tract, lower biliary tract and at surgical wound sites, to name a few.

While 29% of Klebsiella pneumonia isolates were resistant to carbapenems in 2008, this increased to 57% in 2014.

For comparison, fewer than 10% of Klebsiella pneumoniae infections in Europe are carbapenem-resistant.

Staphylococcus aureus can cause skin and soft tissue infections, bloodstream infections, pneumonia and surgical site infections. A particularly nasty strain of, methicillin-resistant Staphylococcus aureus (MRSA), is common in India and increasingly hard to treat.

MRSA was responsible for 40% of post-surgical site infections, according to a 2013 study by the Jawaharlal Nehru Medical College and Hospital, Aligarh.

Between 2009 and 2014, the incidence of MRSA in India has risen from 29% to 47%.

People with MRSA are 64% more likely to die than people with a non-resistant form of the infection, according to the WHO.

How ignorance is spurring the development of superbugs

“My understanding of antibiotic is that it stops bacteria growing in body…I think amoxicillin is for throat infection.”

–An urban participant of a study of perceptions about antibiotic use and resistance among urban and rural doctors, pharmacists and public in Vellore.

Mox, short for amoxicillin, has become a household word across India.

A little knowledge, however, is a dangerous thing. It encourages self-medication, even when medicine is unnecessary, such as when people suffer viral infections—against which drugs are ineffective. Most viral fevers dissipate on their own after a few days with rest, hot fluids and a check on the fever.

Consuming too many antibiotics contributes to pathogen drug resistance.

“Resistance is an outcome of accumulated use,” said Ramanan Laxminarayan, vice president, Research and Policy, Public Health Foundation of India, and director and senior fellow, Centre for Disease Dynamics, Economics & Policy, US, and co-author of the State of the World’s Antibiotic Report 2015.

Indians often rely on corner pharmacists, whose knowledge of dosages may be limited.

Here’s what a rural pharmacist participant of the aforementioned Vellore study said: “Amoxicillin, 6 tablets is to be taken [for full course].”

Amoxicillin’s full course depends on the kind and severity of bacterial infection.

When an antibiotic of lower strength or fewer pills than needed is prescribed, the body cannot fully eradicate the pathogen. Sensing it has come under attack, the bacterium responds by evolving into more resilient, antibiotic-resistant strains.

But with a course of antibiotics, say generic Amoxicillin, costing about Rs 160, close to a day’s wage in many states, and a doctor’s consultation costing anywhere between Rs 100 and Rs 1,000, more than a day’s wage in most places, patients are bound to cut corners.

Another Vellore study participant summed up the situation thus: “If I have money I go to hospital. If not, I get medicine from pharmacy shop. If I get better, I stop and keep for future use.”

Stopping a course of drugs mid-way also contributes to antibiotic microbial resistance.

In a 2015 study in Chennai, 70% respondents confessed to stopping the medication when they felt better. Only 57% completed the antibiotic course.

“Less is more”: the key to preserving antibiotic efficiency

Educate health professionals, policy makers and the public on sustainable antibiotic use, says the State of the World’s Antibiotics Report 2015.

That is sensible advice.

Denmark and Sweden boast of low rates of antibiotic use and near-zero rates of antibiotic resistance because the risks of antibiotic overuse are widely known.

Instituting regulations on antibiotic use has reduced the proportion of MRSA in Europe and the US by about a fifth over the last eight years.

India requires more stringent regulations for antibiotic use.

It isn’t enough to tell physicians that they should prescribe antibiotics only when essential to cure bacterial infections. The right way is to order a culture sensitivity test, which costs money, and the patience to wait for the result.

“Patients want instant and cheap relief, and are willing to shop around for a doctor who obliges,” said Dr Himanshu Shekhar, medical director, SCI International Hospital, New Delhi.

“Some judge doctors on how fast the prescribed medicine cures. Practice pressures lead many doctors to prescribe advanced drugs, without getting a culture-sensitivity test done.”

So, it’s also not enough to have 24 advanced antibiotics, including third- and fourth-generation cephalosporins, carbapenems, and newer fluoroquinolones, under the ambit of Schedule H1 of the Drugs & Cosmetic Rules, 1945, with effect from March 1, 2014.

That means these drugs cannot be sold over-the-counter, but they are still freely prescribed.

Chakravarthy’s suggestion: “Make Schedule H antibiotics available only through hospitals and health centres.”

“Changing antibiotic usage behaviours is critical to preserve the efficacy of existing and new drugs,” proposed Laxminarayan.

India also sorely needs regulations to check antibiotic use in animals raised for human consumption, to meet the State of the World’s Antibiotic Report 2015 recommendation to reduce and eventually phase out sub-therapeutic antibiotic use in agriculture.

Sub-therapeutic use implies mixing antibiotics in animal feed to make them grow faster and to prevent infections from devastating the herd or flock.

India is among the world’s five biggest consumers of antibiotics for livestock. IndiaSpend has earlier reported increasing evidence of antibiotic-resistant bacteria in animals in India, and how this impacts humans.

“Using antibiotics to make animals fatter faster is a waste of a precious resource,” said Laxminarayan.

How surgeons contribute to antibiotic resistance

Surgical antibiotic prophylaxis refers to the prescribing of antibiotics before, during and after operations to prevent infection.

Between 19% and 86% of patients in hospitals in India receive “inappropriate antibiotic prophylaxis”, according to the State of the World’s Antibiotics Report 2015. A prophylactic is preventive treatment for a disease.

Ideally, antibiotic prophylaxis should be administered as a single dose within 60 minutes of the skin incision. However, a 2013 Mangalore-based study found timing adhered to in 22% of cases in a government hospital, 64.9% cases in a medical-college teaching hospital and 80.7% of patients in a tertiary care corporate hospital.

“Smart antibiotic prophylaxis also includes choosing narrow-spectrum antibiotics to target the organism most likely to present concerns based on the kind of surgery being performed, this avoids needless exposure to antibiotics for the other microbes and helps prevent resistance,” said Vimesh Mistry, assistant professor, Pharmacology, Baroda Medical College.

Staphylococcus aureus, which lives on the skin, is most likely to cause infection during surgery. But surgeons frequently make poor antibiotic choices.

“We found appropriateness of choice of antibiotic in 68% cases and 52% compliance with the in-house prophylaxis guidelines,” said Tanu Singhal, infectious diseases specialist, Mumbai, and co-author of another study on antibiotic prophylaxis conducted in PD Hinduja Hospital, Mumbai.

Other prophylaxis inaccuracies include the unnecessary prescribing of antibiotics, inaccurate dose and inaccurate duration of prescription.

“We logged 63% accuracy in prescription duration. Surgeons tend to prescribe antibiotics for too long fearing post-surgery infection,” said Singhal.

In the trade off between protecting the patient better and increasing the risk to society of a pathogen developing resistance, surgeons are choosing the former.

Needed: A back-to-the-basics approach to health

Reducing the need for antibiotics through improved water, sanitation and immunisation is another strategy recommended in the State of the World’s Antibiotics Report 2015.

“Vaccination against pathogens such as the diarrhoea-causing rotavirus and pneumonia-causing Klebsiella pneumoniae helps curtail antibiotic demand, thereby reducing the chances of resistant strains developing,” said Laxminarayan.

In Canada, the widespread use of pneumococcal conjugate vaccines for pneumonia in children has reduced the incidence of pneumonia caused by strains the vaccine covers.

However, just as antibiotic usage spurs the development of superbugs, vaccination is a double-edged sword.

Canada is seeing a rapid increase in the incidence of other strains of pneumonia not protected against by the vaccine.

So, it is better to focus on the basic constituents of health.

Making available clean drinking water and improving sanitation would prevent people from getting sick in the first place. India still has a lot to do on both these fronts.

Improving individual immunity is the best bet to ward off infections, and that is also achievable by healthier eating, exercising, healthier living and the better management of chronic conditions like diabetes and asthma that increase vulnerability to infections when they are not kept in check.


Dr Himanshu Shekhar
MD,Medicine
New Delhi
+919818433208
( Above Article , with My Inputs was published in a leading Health Magazine)
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