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Telangana ranks third in antibiotic usage in India, reveals study

Based on an international research report, Telangana ranked third in India for antibiotic usage. The overuse or abuse of antibiotics has been associated with an increase in antimicrobial resistance. According to experts, this has frequently led to superbugs that do not respond to even tertiary antibiotics.

According to the latest issue of the scientific publication, Journal of Antimicrobial Resistance, Telangana recorded the third highest consumption of antibiotics in the country between 2011 and 2019. Delhi ranked first, followed by Punjab.

However, a positive trend observed at the national level was a decline in antibiotic consumption. The use of antibiotics varies widely between states, both in terms of an increase and a decrease.

A team of researchers from Boston University, USA, and the Public Health Foundation of India, Delhi, conducted the study. Among the researchers were Shaffi Fazaludeen Koya, Senthil Ganesh, Sakthivel Selvaraj, Veronika J Wirtz, Sandro Galea, and Peter C Rockers.

Delhi had the highest median consumption rate (dose per 1,000 people) at 23.5, followed by Punjab 22.9 and Telangana 15.3. Those with the lowest rates were Madhya Pradesh 7.2, Bihar 8.1, Rajasthan 8.3, Jharkhand 8.5 and Odisha 8.9.

The rates increased in six states, including Telangana, during the study period. Median consumption rates were highest in states with high per-capita incomes, such as Telangana.

Between 2011 and 2019, the annual consumption rate at the all-India level decreased by 3.6%. There was a 13.1% decrease in access to antibiotics (essential and widely available) and a 0.59 to 0.49 ratio for watch antibiotics (those given to treat selected diseases).

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“India’s private sector antibiotic consumption rate was lower than global rates. The rates varied across states and the appropriateness of use decreased in most states over the years. States with an increase in appropriate use over time could serve as best practice examples,” the researchers said.

According to the researchers, India is the largest consumer of antibiotics globally in terms of absolute volume. Studies from India have reported poor prescription quality including unindicated prescription of broad-spectrum antibiotics without evidence of bacterial infection,” they said.

9,000 stockists (60% of total stockists across the country) provided data, representing 5,000 pharmaceutical companies, 18,000 small distributors and sub-stockists, and 5 lakh retailers.

 

 

 

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