ID :
171655
Tue, 03/29/2011 - 16:55
Auther :
Shortlink :
http://m.oananews.org//node/171655
The shortlink copeid
Misuse of antibiotics in Pakistan a concern
Karachi, March 29, 2011 (PPI): On the 1st day of the Scientific Session of 48th Annual Medical Symposium of JPMC, in the key note lecture on “Rational use of antibiotics in medical practice” Dr. Naseem Salahuddin, Consultant Physician at Indus Hospital, mentioned that misuse of antibiotic is creating an increase resistance in microbes.
She mentioned that over the counter sale of antibiotic without prescription from a doctor is compounding the situation in Pakistan. She said that antibiotics are too frequently used in too little dose which contribute towards increasing antibiotics resistance. She also criticized the various private laboratories who are failing to maintain proper external quality control giving misleading culture sensitive reports.
In the second keynote lecture by Prof. Kamran Hameed, Dean Ziauddin University Hospital, on “An update in the management of rheumatoid arthritis (RA)”, he mentioned that RA is the most common connective disorder in Pakistan. It needs multi-disciplinary approach in treating patients of RA but this facility is only available in few hospitals of Pakistan. He mentioned that the drugs used in treating this disease are highly toxic and need to be supervised by experience physicians.
In the original research paper by Dr. Aijaz Ali of JPMC on 281 patients of liver cancer found that both hepatitis-B & C infections with non-alcoholic fatty liver disease and alcohol liver disease, diabetes and obesity all increases the risk of liver cancer.
The study presented by Dr. Waquaruddin of PMRC concluded in his study that large number of patients suffering from chronic hep-C infection may have normal enzymes and may not need interferon therapy; therefore, it was strongly recommended that a liver biopsy should be done in all these cases before anti-viral therapy.
Dr. Lajpat of JPMC in his original research paper highlighted that chronic liver disease and dengue fever are the two major causes of low platelets in patients presented to tertiary care hospital.
Dr. Wardah reporting the incidence of dengue fever mentioned that it was unknown before the medical community in Pakistan before 2005 and only seen in the people visiting African countries. Since then dengue fever has become an endemic fever in Pakistan with its peak incidence in post-monsoon season. Younger patients and male are more susceptible. Low platelets in patients suffering from dengue fever may help in identifying those who have risk of bleeding.
Dr. Sameer from AKUH presented his paper on “stress, job satisfaction and work hours in medical and surgical residency programs in private sector teaching hospitals of Karachi, Pakistan”. It was a questionnaire based study highlighted that 56% of junior doctors were under stress with no significant difference in stress among residents working in either medicine or surgery. 75% of the residents reported to be satisfied with their job. This study concluded that greater mean working hours could be the possible reason to increase stress and decrease job satisfaction among residents.
In a study on rural women by Jewat Sunder from Peoples Primary Health Care Initiatives Sindh, indicated that black discoloration of tongue may be hereditary but mostly it is indicative of poor oral hygiene, commonly seen in the rural women along with mouth ulceration, gum bleeding, dental caries, bad breaths, due to smoking, chewing of tobacco, nas, niswar, and ignoring habit of mouth washing and brushing teeth.
In the joint session of Radiology, Radiotherapy, Oncology, on breast cancer, the paper presented by Dr. Ghulam Haider of JPMC highlighted that the reports of breast cancer from the different laboratories are not up to the standard and guidelines established by the American College of Pathologists. There is an urgent need to educate pathologists regarding the importance of adequate surgical pathology reporting of breast cancers.
Dr. Shaista in her study indicated the importance of MRI imaging in detecting early breast cancers.
She mentioned that over the counter sale of antibiotic without prescription from a doctor is compounding the situation in Pakistan. She said that antibiotics are too frequently used in too little dose which contribute towards increasing antibiotics resistance. She also criticized the various private laboratories who are failing to maintain proper external quality control giving misleading culture sensitive reports.
In the second keynote lecture by Prof. Kamran Hameed, Dean Ziauddin University Hospital, on “An update in the management of rheumatoid arthritis (RA)”, he mentioned that RA is the most common connective disorder in Pakistan. It needs multi-disciplinary approach in treating patients of RA but this facility is only available in few hospitals of Pakistan. He mentioned that the drugs used in treating this disease are highly toxic and need to be supervised by experience physicians.
In the original research paper by Dr. Aijaz Ali of JPMC on 281 patients of liver cancer found that both hepatitis-B & C infections with non-alcoholic fatty liver disease and alcohol liver disease, diabetes and obesity all increases the risk of liver cancer.
The study presented by Dr. Waquaruddin of PMRC concluded in his study that large number of patients suffering from chronic hep-C infection may have normal enzymes and may not need interferon therapy; therefore, it was strongly recommended that a liver biopsy should be done in all these cases before anti-viral therapy.
Dr. Lajpat of JPMC in his original research paper highlighted that chronic liver disease and dengue fever are the two major causes of low platelets in patients presented to tertiary care hospital.
Dr. Wardah reporting the incidence of dengue fever mentioned that it was unknown before the medical community in Pakistan before 2005 and only seen in the people visiting African countries. Since then dengue fever has become an endemic fever in Pakistan with its peak incidence in post-monsoon season. Younger patients and male are more susceptible. Low platelets in patients suffering from dengue fever may help in identifying those who have risk of bleeding.
Dr. Sameer from AKUH presented his paper on “stress, job satisfaction and work hours in medical and surgical residency programs in private sector teaching hospitals of Karachi, Pakistan”. It was a questionnaire based study highlighted that 56% of junior doctors were under stress with no significant difference in stress among residents working in either medicine or surgery. 75% of the residents reported to be satisfied with their job. This study concluded that greater mean working hours could be the possible reason to increase stress and decrease job satisfaction among residents.
In a study on rural women by Jewat Sunder from Peoples Primary Health Care Initiatives Sindh, indicated that black discoloration of tongue may be hereditary but mostly it is indicative of poor oral hygiene, commonly seen in the rural women along with mouth ulceration, gum bleeding, dental caries, bad breaths, due to smoking, chewing of tobacco, nas, niswar, and ignoring habit of mouth washing and brushing teeth.
In the joint session of Radiology, Radiotherapy, Oncology, on breast cancer, the paper presented by Dr. Ghulam Haider of JPMC highlighted that the reports of breast cancer from the different laboratories are not up to the standard and guidelines established by the American College of Pathologists. There is an urgent need to educate pathologists regarding the importance of adequate surgical pathology reporting of breast cancers.
Dr. Shaista in her study indicated the importance of MRI imaging in detecting early breast cancers.