Fri Nov 22 01:09:00 UTC 2024: ## Karnataka Battles Rising Threat of Antimicrobial Resistance

**Bengaluru, November 22, 2024** – The alarming rise of antimicrobial resistance (AMR) is impacting Karnataka, with several cases highlighting the critical need for stronger regulations and public awareness. AMR, classified by the UN as a top 10 global health threat, occurs when pathogens evolve to resist antibiotics, making infections increasingly difficult to treat.

Doctors are reporting a surge in patients with infections resistant to multiple antibiotics. One case involved a 49-year-old cancer survivor whose post-surgery wound infection proved resistant to all antibiotics. His doctor attributed the resistance to prolonged antibiotic use and tobacco consumption. Another case involved a 59-year-old diabetic with a non-healing ulcer infected with a multidrug-resistant organism. A 40-year-old brain surgery patient developed a life-threatening bloodstream infection caused by drug-resistant bacteria.

These instances underscore the urgent need for action. While some hospitals have implemented their own antimicrobial policies, the Karnataka government is developing an Action Plan to Mitigate Antimicrobial Resistance (AMAR), slated for launch in early 2025. This plan will focus on tighter regulations for antibiotic dispensing, including requiring valid prescriptions to curb over-the-counter sales. A recent survey revealed that nearly 80% of pharmacies in a test-purchase drive sold antibiotics without prescriptions. The State Drugs Control Department has already begun prosecuting offending pharmacies.

The AMAR plan will also address public awareness and education, aiming to reduce antibiotic misuse. Initiatives include interactive workshops for pharmacists and pharmacology students, public appeals for responsible antibiotic use, and mandatory warning displays in pharmacies. The plan further emphasizes building capacity through improved surveillance, infrastructure development, and strengthened leadership on AMR. Experts stress the importance of a “One Health” approach, recognizing the interconnectedness of human, animal, and environmental health in addressing this growing threat. The WHO’s Global Action Plan on AMR serves as a guiding framework for global efforts to combat this critical issue.

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