IIMAR was formed in MARCH 2008 to promote prudent use of antibiotics so as to reduce the possibility of spread of antibiotic resistance.
Coordinators: Dr. A. J. Tamhankar & Dr. Mira Shiva.
Let us all JOIN together and spread a word for prudent use of antibiotics. Site Maintained by Dr. Ashok J. Tamhankar
“It is not that it may happen in the future. It
is a very present reality – in all parts of the world, in developing and
developed countries; in rural and urban areas; in hospitals; on farms and in
communities,” Mr. Ban noted. Read his entire speech here
Margaret Chan (left), Director-General of the World Health
Organization (WHO), José Graziano da Silva (center), Director-General of the
Food and Agriculture Organization (FAO), and Monique Eloit (right), Director
General of the World Organization for Animal Health (OIE), address journalists
on the high-level meeting on antimicrobial resistance.
Contributed by: Dr. Megha Sharma and Dr.
A.J.Tamhankar; Edited by Siddharth David
hospital infection control committee(HICC) and Department of Microbiology of All
India Institute of Medical Sciences (AIIMS), Bhopal, invited Dr. A.J.
Tamhankar, National Coordinator, Indian Initiative for management of Antibiotic
Resistance (IIMAR) and Dr. Megha Sharma1,
R.D. Gardi Medical
College, Ujjain (RDGMC) (both also affiliated to Karolinska Institute,
Stockholm, Sweden) for conducting a 5 day workshop on hand hygiene for all
categories ofhealthcare workers at AIIMS
and also the Medical and Nursing students, in August 2015. The series of
workshops was inaugurated by the Medical Superintendent, AIIMS Bhopal Dr. K. C.
Tamaria, in presence of Dr. Debasis Biswas, Dr. Shashank Purwar, Dr. T. Karuna
and other faculty members. Overall six workshops were conducted for various
categories of health care workers (HCWs), one for students and one also for OPD
patients and hospital visitors.
The workshop sessions started with a short
address on Hand Hygiene by Dr. Tamhankar. Thereafter, Dr. Megha Sharma, the
main resource person, who conducted the workshops, took over. Dr. Megha Sharma
initially made a presentation focusing on the importance of hands in daily
routine and during clinical work. She also explained the ways of spread of
microorganisms, including pathogens, from one person to another. She emphasized
that healthcare worker`s contaminated hands can transfer various infections not
only to the patients they are taking care of, but also to coworkers who are
also at the risk for cross infections. These infections, also known as Health care associated infections (HAIs)
are responsible for increasing morbidity, which leads to a chain of events like
increased antibiotic use, increased antibiotic residues in environment,
increased antibiotic resistance in bacteria, increased untreatable infections,
increased loss of productive man-hours and in extreme cases mortality, all of
which can have a negative impact on the public health and economy of a country.
Dr. Sharma further emphasized on the
most effective and worldwide accepted precaution for controlling spread of
infections, which is 'Hand Hygiene'.
Hand hygiene could be maintained either by use of soap and water or by using alcohol
based hand rub, commonly known as sanitizer. The participants were trained
to follow steps to maintain hand hygiene using these materials. The steps of 'How and when to wash hands with soap and
water?' and 'How and when to use an
alcoholic hand rub?' as recommended by world
Health Organization; were demonstrated and practiced. Various activities,
such as Oath
taking, best slogan
competition, and cross word puzzle;
were planned in order to maintain a high level of interest amongst the
participants. The winning participants received prizes and all participants received
a certificate of participation at
the end of each workshop.
On the fifth day of the workshop, an exclusive
open session was conducted for common public visiting the out-patient departments at AIIMS, Bhopal. Dr. M. Sharma, Dr. T.
Karuna (AIIMS) and the team helping Dr. sharma from R. D. Gardi Medical
College, Ujjain and AIIMS, Bhopal demonstrated the right way to wash hands using
soap and water that was practiced by the participants. A sticker, developed by the APRIAM2 Hygiene Team, was distributed to each participant
showing 'When to wash hands with soap
and water'?An estimated 700 members of the general community benefitted
from the session
conducted for OPD patients, their caretakers and relatives.
On the final day, Dr. Tamhankar gave
a lecture on the topic “Antibiotic use, Antibiotic Residues, Antibiotic
Resistance & Environment” which was attended in large numbers by the
faculty and the staff of AIIMS and also the participants. In the lecture Dr.
Tamhankar explained the ‘Interrelation between
Environment, Antibiotic use, Antibiotic Residues and Antibiotic Resistance’.
In the end, Dr. Tamhankar and Dr. Sharma
were felicitated by AIIMS.
Hard work of Mr. Amit Pawar, Mr.
Abdul Shadab, Mr. Jeetendra Jat and Ms. Sunita Parmar of APRIAM2 Hand Hygiene Team, RDGMC,
Ujjain is appreciated for making these training sessions a success.
Megha Sharma leads a campaign titled 'Swachcha
Bharat- Swastha Bharat' since 2011. The campaign is conducted by APRIAM2 Hygiene Team with an aim
to improve hygiene practices among present and future health care workers and
the community. The team led by Dr. Megha Sharma interacts with school children,
anganwadis and health care workers at C.R. Gardi Hospital, Ujjain
charitable trust hospital and Government district hospital, Ujjain. Training
sessions and workshops at these places are conducted on regular basis. The linkage
between cleanliness, hygiene and health is focused in the activities and
presentations. The team has introduced in-house prepared alcohol based hand rub
in the hospitals to maintain hand hygiene ( http://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-015-0840-1).
project is an ongoing collaborative research project between R. D. Gardi
Medical College, Ujjain and Karolinska Institutet, Stockholm, Sweden. Prof.
(Dr.) Cecilia Stålsby Lundborg is principal investigator of the project and Dr.
A. J. Tamhankar is senior scientific advisor.
Experts on antibiotic resistance
called on the United Nations General Assembly meeting in September this year to
decisively act to reduce the growing number of deaths due to limited access to
effective antibiotics. Writing in the Lancet, they say that even though many current antibiotics are losing their effectiveness, millions
of people do not have ready access to effective antibiotics. Ramanan
Laxminarayan, director of the Center for Disease Dynamics, Economics &
Policy, and a lead author of the call to action pointed out that many deaths
are caused by insufficient access and delays in getting antibiotics while
resistance is being reported at all levels.
To develop an effective plan,
both these issues need to considered according to the article.Laxminarayan and his co-authors
are calling on the UN General Assembly to establish a UN High-Level
Coordinating Mechanism on Antimicrobial Resistance (HLCM) that will also
require the involvement of organizations such as UNICEF, UNDP, UNEP, UNESCO,
and the World Bank. The effort would have four core responsibilities:
Launch a global advocacy campaign to raise
awareness about the lack of access to antibiotics and drug resistance
Monitor and evaluate defined, enforceable targets
to reduce the number of deaths globally due to lack of access and
inappropriate use of antibiotics in humans as well as animals
Mobilize resources from donors, aid agencies and
countries to effectively finance the effort, and
Support and coordinate multi-sectoral action to
implement the World Health Organization's Global Action Plan on
Antimicrobial Resistance alongside national efforts to improve access to
The authors state that the UN
must play a central role in the fight against a global health problem that
could undo much of the progress the world has made against disease and poverty
and this can lead to effective tackling of the problem like the HIV/AIDS
commitments in 1996.
This is only the third time in
its history that the UN General Assembly will use its High-Level Heads of State
meeting to deliberate on a health issue that threatens the health of
populations worldwide. This is also the first time that a One Health issue, a
concept which involves the health of humans, animals and the environment, is
being discussed at this high-level forum. Such strong global commitments can
lead to greater success in the battle against antibiotic resistance.