Thai hospitals are struggling with super bacillus
Thailand is heading for a health crisis due to antimicrobial resistance, which can lead to more complicated treatments for bacterial infections and higher costs. The National Antimicrobial Surveillance Center concludes that after a survey in 28 hospitals during the period 2000-2010.
An antimicrobe kills or inhibits the growth of microorganisms such as bacteria, fungi and protozoa. Carbapanems and Cefoperazone-Sulbactam are considered the last antibiotics against many bacterial infections.
Hospitals are struggling with Acinebacter baumannii, which is resistant to Carbapanem. This super bacillus infects in and out patients. The number of infections increased dramatically over the period studied from 1-2 percent in 2000 to 60-62 percent in 2010.
The Escherichia coli bacteria, which causes urinary tract infections and blood poisoning, are 80 percent resistant to Ampicillin. Penicillin and Erythromycin resistance in children under 5 years old stands at 47 and 57 percent, respectively.
"The issue can become so severe that we may not be able to discover new antibiotics to keep pace with widespread drug resistance," the report says. Developing an antibiotic takes 10 to 20 years of research and development before it becomes available, but bacterial resistance develops within three to four years. Only two new antibiotics have been developed in the past 10 years: Glycylcycline and Oxazolidinone.
Resistance is caused by the wrong medicines being prescribed, patients' poor adherence to prescribed doses, times and durations, lack of access to essential antimicrobials and the use of antibiotics in intensive livestock farming.
The manager of Thai Drug System Watch is concerned about the large amount of antibiotics that Thailand imports, the misuse of medicines and the lack of proper figures.
That is no longer a Thai problem, here in the Netherlands you also step into the hospital with fear and trembling. Firstly because a hospital is a hotbed of bacteria anyway, and secondly because they themselves do not take things too seriously with the rules, I think of that Maasland case for a moment.
Before you know it you are resistant to just about everything, except death…..
This is also partly caused by countries such as the Netherlands and Thailand stuffing chickens with antibiotics (the beast could get sick)
The result is resistant bacteria, which will become a worldwide problem
You mean the Klebsiella Oxa-48 bacteria in the Maas "stad" hospital in Rotterdam, which is a special case because it is a merger hospital and the bacteria originated in the former Zuiderziekenhuis. (Merger of Clara and Zuiderziekenhuis).
That's right, I used that as an example in this case.
It is also not about where he gets away in this case, it just shows that we are dealing with increasingly resistant “cases”
How that hospital handled it, I leave it in the middle ……
I don't know that Maasland case. Explain please
It is also very extreme in Thailand with the prescribing behavior of antibiotics. This is almost standard during a doctor's visit.
That in itself is objectionable, possibly stimulated by the profit motive. Even worse is that the Thai patient stops the course after one or two pills of antibiotics.. I'm better now, they say.
Think that the profit motive is not too bad, the antibiotics prescribed by the local hospitals cost almost nothing.
It also strikes me that the Thai hospitals, doctors almost always prescribe a cure of 5 days. In the Netherlands that is almost always at least 7 to 10 days.
If you look on the internet for the relevant antibiotics, it is always 7 days. And indeed when I look at my in-laws, the cures are not completed, I also have the idea that if the Thai bothers with a fart, they immediately go to the hospital, and yes they come back with an antibiotic cure.
Unfortunately, I am an expert in this field in Thailand.
And what Jan has already noticed, it is not true when the pleurisy will break out. Medical science is convinced that a pandemic will break out.
Also good for the pharmaceutical companies, how did things go a few ago with the Mexican flu………
Yes indeed correct.
Bird flu, swine flu, Sars, Ebola, you name it.
It only takes one to mutate, and you could have a global disaster
With bird flu, they were terrified that he would make the “jump” from human to animal…..
Think of AIDS, an infectious disease that was never known before, there has been a lot of speculation as to where it came from.
If you look at the map where the most infections were, you come from the Belgian Congo, Belgium used to have a vaccination program against Polio there.
You will not hear me say that such a thing has been the cause, but I will say that it was not there before........
(must be from animal to human by itself) 🙂
But those doctors are just as hard on themselves, I got an inflammation on my forehead and after a few days I went to a pharmacy whose owner is also a doctor in a local hospital (you). She looked at it and determined it was herpes. She prescribed an ointment (Virogon) and I asked through my girlfriend how to apply it. She did say, 2x a day and if it's not over after a few days, come back for an injection. But what appears from the leaflet, the half-life is 3 hours, so apply every 3 to 4 hours, and at least 7 days! Just sayin…
We do, I've been following it for years.
Apart from a super TB that is emerging nowadays, resistant to just about everything we have, we currently have 2 controversial ones:
In the Maasland hospital we talk about a variation of MRSA, which was known to the hospital for a long time, but was concealed. Tig people infected, and already a little less than thirty people to the eternal hunting grounds with greetings from the hospital.
A few links for the quick:
http://maastricht.nieuws.nl/nieuws/31629/angst_voor_dodelijke_bacterie
http://www.nrc.nl/nieuws/2011/05/31/al-maanden-uitbraak-resistente-bacterie-in-maasstad-ziekenhuis-in-rotterdam/
http://gezondheid.blog.nl/actualiteiten/2011/07/27/twee-nieuwe-bacteriedoden-in-maasstad-ziekenhuis
http://www.elsevier.nl/web/Nieuws/Nederland/306874/Inspectie-stelt-Maasstad-Ziekenhuis-onder-toezicht.htm
It's all kept a little under the cap, so that we don't break out in a sweat. This probably comes from countries such as India, Thailand, etc., probably by holidaymakers, and those who have had cosmetic treatment carried out in those countries.
Another controversial one at the moment is the EHEC, which we find (at the moment) in the sprouts, although this has not yet been established with certainty.
This joke has already cost vegetable growers millions, and we even got a ban on exports, dozens of deaths, thousands of infections.
http://www.rivm.nl/Onderwerpen/Onderwerpen/E/EHEC_bacterie
http://www.volkskrant.nl/vk/nl/2672/Wetenschap-Gezondheid/article/detail/2455932/2011/06/22/EHEC-angst-is-voorbij-onduidelijkheid-blijft.dhtml
http://www.nu.nl/ehec/
http://nl.wikipedia.org/wiki/EHEC
Consequence: Kidney failure and other misery resulting in death in the worst case, survivors, permanent injury!
We are now made to believe that the storm has blown over, nothing more to worry about, we can eat well again, and go about our business again.
However, nothing could be further from the truth, as you also know, I could gather that from your article.
I don't want to sow doom or fear at all, but the question is not whether the chaos will break out, the question is only when, and with what variation we will have to deal with.
I only have to think about the past, the plague wiped out 2 thirds of Europe, Hong Kong flu 60 million, England 200 million, all "cautious" estimates
Luckily we got antibiotics, we don't have to worry anymore, they thought…
@ Jan, flu is a virus. And a virus is different from a bacteria. The biggest problem is that antibiotics are not completed in countries such as Asia. It is too easily prescribed even with a virus. But antibiotics do nothing for a virus.
When people feel better, they stop the treatment, as a result of which the bacteria become resistant. Is that a big problem.
We are dealing with overpopulation on the earth, nature will strike back of its own accord, you can wait for that. Not a nice scenario, but what can you do about it?
By the way, I've been following this news for years and it's worrying.
@Peter, I completely agree with you, but one does not exclude the other. We are sitting alone on a nice ball, but it is a powder keg, and you can almost sit and wait for a pandemic to come, or that we will deal with things ourselves (food chain, DNA modification, pesticides, ect) will get the 1 and other over us, the only question is what and when….
So far it has not been too bad with those MRSA and EHEC, but if we continue like this it will probably not stay that way.
Thais have a strange view of medicines. Because medicines are expensive, using (a lot of) them sends a signal to those around me that “I can afford it, I have resources, I am important”. Family often tries to hitch a ride on the stupid farang's wallet when it comes to medicines and doctor visits. In the spirit of “I think I should get myself thoroughly checked in Bumrungat, and you pay”. Is something going on then? No, but since you pay, I think it is the right thing to do. Then there's the added burden of medicating that you start taking antibiotics at the slightest bit (you pay for it anyway), then take medications to counteract the effects. Also aspirin, panadol, chloresterol lowering agents (but continue to eat prawns and fatty pork), Endless long discussions about something that just goes away like a sore throat, not to mention once (sometimes twice) a month that "all hell breaks" loose”