#AntimicrobialResistance is a manmade disaster.
It is amongst the top 10 public health threats facing Humanity.
Available data analysed (for 2019)
4.95 M Deaths
189 M Years of Life lost
thelancet.com/journals/lance…
1/n
Global burden of the disease due to AMR is huge, highest in Africa and South Asia
2/n
MRSA, Cephalosporin resistant E coli, Klebsiella are highly prevalent and Pan drug and XDR superbugs are fast emerging
3/n
What needs to happen?
National and global level measures:
Investment in new antibiotic development, clean water and sanitation as well as reduction of non human use of antibiotics (farming) has to happen on a global scale
4/n
At physician /hospital level:
1. Infection prevention and control
2. Rational prescribing : Including not prescribing antibiotics for any short febrile illness, which is most often a viral infection
3. Self audit OP prescriptions and cut down
4. Educate your patients
5/n
At the patient level:
1. Never buy antibiotics over the counter without a current prescription
2. If I prescribe an antibiotic to you - Please ask me:
'Why do I think you maybe having a bacterial infection?'
'Is this antibiotic really needed?'

n/n

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More from @DrRajathAthreya

Jan 6
#OmicronI #Paediatric infections and admissions 1/n

What do we know from South Africa
-7% of infected kids needed hospitalisation
-18% of all hospital admissions were paediatric
-Paediatric admissions peaked prior to adult admissions
- 0 to 4 group needed most admissions
2/n South Africa (Contd)
- Short admission (mean of 3.2 days)
- 92% needed only ward care (NO HDU/ICU)
-25% needed some oxygen
- 6% needed ventilator care
Overall: early sharp increase in admissions especially 0-4 yo, but most needed short hospital stay and did well.
3/n UK data (so far)
- Positivity rate highest in Preschoolers (<6Y)
- 7% of <6Y infected
- <4 yo more admissions than any other paediatric age group (X3 other children)
- Slight increase in paediatric admissions compared to earlier wave (for every 100 now 107)
Read 7 tweets
Feb 27, 2021
#ChildHealthMatters
#HealthyHabitsForLife
#ChildhoodObesity

Check: Is #BMI of your child healthy?cdc.gov/healthyweight/…

Global prevalence of #obesity doubled b/n 1990-2005 steep ⬆️ in school age kids
1 in 5 Indian child is obese - predicted 17 million will be by 2025
Ill effects of #childhoodobesity
Immediate - ⬆️BP/Cholesterol, joint/muscle problems, gall stones, heartburn, diabetes, asthma, sleep apnea
+ anxiety, depression, bullying, low self esteem
Long term - Risk of adult obesity/severe obesity, diabetes, heart disease, cancers
#ActivityForKids
Make it fun! - sport/dance
Get the family moving
Hr/Day of moderate to vigorous #physicalactivity
1/week strengthening (climbing/jumping)
Trade 'Sit-Time' for 'Fit-Time'
healthychildren.org/English/health…
Read 5 tweets
Feb 23, 2021
#ChildHealthMatters
Childhood #Asthma: not unusual to see some wishing it away. It’s stigmatised and poorly managed. Knowing triggers that can be avoided is the first step. Children need personalised Rx plan

9 Asthma Triggers and What to do About Them healthychildren.org/English/health…
Let us take up:
1.Can you prevent #Asthma?
2. Can you cure Asthma?
3. Will my child get 'addicted' to inhalers?
4. You have prescribed steroids!!
5. Can I try alternative medicine/no medicine?
1.Can you prevent #Asthma?
Primary (Preventing it all together)
Not much, but these help:
Breastfeeding - protective, regulates immune and allergic responses
Avoiding obesity/Overweight + wt loss/healthy wt in children with respiratory symptoms
Avoid exposure to/smoking
Read 13 tweets
Feb 22, 2021
#ChildHealthMatters
Early Childhood Development (ECD) = critical period with consequences for lifetime. A thread:

The brain grows and develops in complexity at a phenomenal rate in first 2-3 years: forming new connections at an astounding rate of >1million per second! Pic Source: The Urban Child Institute
The baby's brain comes with a blue print: genes, but needs critical components to achieve its potential: 1. Nutrition 2. Protection 3. Stimulation The first #1000Days and a bit beyond are crucial for Nature and Nurture to play their role Pic Source: UNICEF
1. Nutrition: Mother's breast milk (and her nourishment) and wholesome age appropriate complementary food from 6 months is crucial Pic Source: https://www.boredpanda.com/breastfeeding-photos-
Read 9 tweets

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