India must overhaul medical training to act on antimicrobial resistanceBMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f4230 (Published 03 July 2013) Cite this as: BMJ 2013;347:f4230
- Abdul Ghafur, consultant in infectious diseases, Apollo Hospital, Chennai, India
High rates of antimicrobial resistance; a lack of functioning policy for antibiotic use; inadequate infrastructure for infection control in many hospitals; and a scarcity of infectious disease specialists: what else do you need for bugs to flourish?
These conditions apply in most countries of the Indian subcontinent. The region has never considered antibiotic resistance a menace serious enough to warrant investment. The burden of malaria, tuberculosis, typhoid, and others was enough to preoccupy Indian healthcare professionals. Hospital acquired infections have been considered primarily to be a problem for, and a preoccupation of, well resourced countries, perhaps leading to neglect of the impact of these infections.
What we forget is that India has an unusual blend …