2- What is AMR ?
Antimicrobial resistance requires a global solution
For Example:- AIIMS Rishikesh Dept. wise antimicrobial utility data (May 23)
MICU | TICU (431) | CCU 266 | Neurosurgery ICU | PICU | Medical-Gastro | Pulmonary Medicine | Med-onco & Hemat | ED 312 | Burn & Plastic | ENT | General Sx | Ped Sx | Ped.ED | Geriatric ward | Medicine wards (1&2) | |
Incharge | Dr.Mukesh Bairwa | Dr.M Q.Azam | Dr.Ankit A | Dr.Rajnesh Kumar | Dr.Lokesh | Dr. Rohit Gupta | Dr. Girish Sindhwani | Dr. Uttam Nath | Dr.Nidhi | Dr.Vishal Mango | Dr. Manu Malhotra | Dr. Somprakas Basu | Dr. Satyashree B | Dr.N.K.Bhatt | Dr.Minakshi Dhar | Dr Ravikant |
Total number of patients (N) | 15 | 11 | 11 | 12 | 13 | 22 | 13 | 13 | 17 | 14 | 14 | 46 | 18 | 11 | 14 | 42 |
Total Patients on antibiotic (N1) | 15 | 11 | 11 | 12 | 13 | 12 | 13 | 13 | 16 | 13 | 13 | 38 | 15 | 9 | 11 | 34 |
N1/N % | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 94% | 93% | 93% | 82% | 84% | 82% | 78% | 81% |
No Antimicrobial (0%) | Dermatology | Opthalmology | Psychiatry | Radiotherapy |
Genetic variability
Selective pressure
Vertical transmission
Horizontal transmission
Foreign DNA can be packaged in:
Plasmids
Bacteriophages
Other mobile genetic elements
Growing population of
resistant bacteria
Major mechanisms of resistance
