Event to be able to call the appropriate use of antibacterial drugs for resistant bacteria countermeasures November 9 20:30

An event was held in Tokyo to consider countermeasures against resistant bacteria for which antibacterial drugs such as antibiotics do not work, and JOY and others who had experience with tuberculosis called for the appropriate use of drugs.

Antibacterial resistant bacteria are born all over the world due to overuse of antibacterial drugs, and if measures are not taken, 20 million people worldwide will die from tuberculosis and pneumonia due to resistant bacteria worldwide by 2050 There is also a prediction.

The national government has designated November as a measure promotion month, and held a talk event to call for measures at the hall in Chuo-ku, Tokyo on the 9th.

Among them, JOY, a talented person who had tuberculosis and experience with antibacterial treatment, and Takao Omagari, director of the International Center for Infectious Diseases, the National Center for Global Health and Medicine, He explained that the bacteria does not work, and that resistant bacteria are born by surviving the bacteria by taking halfway without taking the antibacterial drug prescribed in the case of disease caused by bacterial infection.

On top of that, as measures that the general public can do, when antibacterial drugs were prescribed, they were encouraged to use the drugs appropriately, such as taking them as directed and not prescribing them in the cold.

A high school girl from Tokyo, who participated, said, “I didn't think that the problem of resistant bacteria would lead to death. I thought that my illness was cured and I sometimes stopped taking antibiotics.” I was talking.

Antibacterial drugs in over 30% of children's colds

A national research team examined how many antibacterial drugs such as antibiotics are prescribed for children, and more than 30% of children diagnosed with colds that do not work with antibiotics are prescribed antibacterial drugs. I understood that it was.

While antibacterial drugs are effective against bacteria, they are not effective against colds and influenza caused by viruses, and an increasing number of resistant bacteria that are not effective due to unnecessary prescriptions has become a global problem. .

National research groups, such as the National Center for Child Health and Development, analyze the medical remuneration statement, and prescribe the names of illnesses and medications for children under 15 years of age who have been treated at medical institutions throughout the country for 4 years until 2016. Investigated about.

As a result, of the approximately 44.46 million children diagnosed with upper respiratory tract inflammation or so-called cold symptoms, approximately 14.13 million, or 32%, were prescribed antibiotics.

In addition, when examining the types of antibiotics prescribed for all patients, including colds, 86% of the drugs were effective against many types of bacteria.

This type of medicine is prescribed to people who do not have bacterial infection, and it has been linked to the creation of “multi-drug resistant bacteria” that many antibacterial drugs do not work. It is.

According to the director of the National Center for Child Health and Development at the National Center for Child Health and Development who conducted the survey, “Establishment of antimicrobial agents that are difficult for antibacterial drugs to be seen in daily medical examinations. I need it. "

Reduce antibacterial drugs in the whole area

The national action plan to reduce resistant bacteria states that the use of antibacterial drugs will be reduced to two-thirds over the next five years, while being effective against many types of bacteria. The goal is to cut the amount of antibacterial drugs that are easy to produce in half.

As part of efforts to reduce resistant bacteria, in Tokyo and Fuchu City, pediatrics, internal medicine, and otolaryngology clinics and pharmacies are working together to optimize the prescription of antibacterial drugs.

Nine clinics in Fuchu City from Ototoshi allow each clinic to check the data on how much antibacterial drugs were prescribed to children.

Comparing the data, the amount of antibacterial drugs prescribed is approximately five times wider, and there are many clinics such as “penicillin” that target specific bacteria while others have many It has been found that there are variations in the types of drugs prescribed, such as many “3rd generation cephem” that are effective against various types of bacteria.

One of the clinics participating in the initiative, Sakiyama Pediatrics, reviewed the data for about nine months and found that antibacterial drugs that are effective against many types of bacteria were prescribed more than necessary. I understand.

Based on this result, the necessity of strict judgment was made. As a result, since last summer, the prescription of antibacterial drugs to patients who have come to the clinic for cold symptoms has been eliminated, and the treatment has also been affected. That is not.

The mother of a 4-year-old boy who visited with symptoms of fever and cough over 38 degrees said, “An antibacterial drug has an image that fever falls quickly, but I think the teacher prescribes it after identifying the symptoms.” I was talking.

The mother of a 9-month-old baby who visited for medical care because of fever said, “I will prescribe it when I have a disease that cannot be cured without using antibacterial drugs. It was.

Director Hiroshi Sakiyama says, “First of all, it is important to correctly grasp the current situation, and we have stopped using antibacterial drugs just in case. We want to extend our efforts nationwide.”

Resistant bacteria

Resistant bacteria are spreading in various countries due to overuse of antibacterial drugs, etc. According to a survey by the British government committee, 700,000 people died worldwide in 2013 due to tuberculosis and pneumonia caused by resistant bacteria If measures are not taken, by 2050, it is predicted that more than 10 million people will die each year, especially in Asia and Africa.

WHO = World Health Organization in 2015 educated and enlightened about drug resistance, adopted an action plan that included the appropriate use of antibacterial drugs, and called for action plans in each country.

In addition, WHO has pointed out that “infection with resistant bacteria” is one of the ten threats to human health, and is strongly urging them to take measures to raise awareness of the problem and to use antimicrobials appropriately.