How countries can curb antibiotic resistance
New Delhi, Sep 9 : The proliferation of disease-causing antibiotic resistant organisms is correlated with many social and environmental factors such as poor sanitation, unsafe water and higher corruption, a study published in the Lancet Planetary Health, has showed.
The study, led by researchers from the Centre for Disease Dynamics, Economics and Policy (CDDEP), here, showed that better infrastructure and better governance were significantly associated with lower measures of antimicrobial resistance.
Good governance includes lower corruption, political stability, rule of law, and absence of violence; while infrastructure measures include sanitation, safe water, internet accessibility, urbanisation, and access to electricity.
Although the use of antibiotics is commonly known to drive the emergence and maintenance of antimicrobial resistance, the team found that antibiotic consumption was not significantly associated with higher antimicrobial resistance.
Reducing antibiotic consumption is insufficient to control antimicrobial resistance because contagion--the spread of resistant strains--seems to be the dominant factor, the researchers said.
"While reducing antibiotic consumption is important, we have to remember that resistance genes are already widely disseminated in the environment," said Ramanan Laxminarayan from the Centre.
"Preventing transmission of resistant pathogens through investments in improved water and sanitation, and primary healthcare are central to our ability to tackle antimicrobial resistance."
The study, based on economic and public health data from 73 countries, found that countries with higher corruption and less spending on public health infrastructure have higher rates of antibiotic resistance
"There are not magic bullets here," Laxminarayan said. "Any new antibiotic will run into the same challenges as existing ones and resistance will emerge rapidly unless we take the problems of improving the health system head on."
Thus, improving sanitation, increasing access to clean water, and ensuring good governance, plus increasing public health expenditures, all need to be addressed to reduce global antimicrobial resistance, the researchers said.
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Samson's unbeaten 87 powers CSK to eight-wicket win over DC
New Delhi (PTI): Sanju Samson bossed the chase with authority, anchoring a modest 156-run target with a fluent 87 not out as Chennai Super Kings outclassed Delhi Capitals by eight wickets in the IPL here on Tuesday.
Samson's knock came off just 52 balls with seven fours and six sixes, batting through the innings as CSK completed the chase in just 17.3 overs giving a huge boost to their net run-rate.
Electing to bat on a tricky surface, Delhi Capitals were restricted to 155/7.
West Indies left-arm spinner Akeal Hosein set the tone with the new ball, returning tidy figures of 1/19, including 14 dot balls.
Reduced to 69/5 in 11 overs, Delhi found some late impetus through Tristan Stubbs (38; 31 balls) and Sameer Rizvi (40 not out; 24 balls), who stitched together a crucial 65-run (off 47 balls) stand to give the innings a respectable total.
Brief Scores:
Delhi Capitals: 155 for 7 in 20 overs (Tristan Stubbs 38, Sameer Rizvi 40 not out; Noor Ahmed 2/22)
Chennai Super Kings 159 for two in 17.3 overs (Sanju Samson 87 not out, Kartik Sharma 41 not out). CSK win by eight wickets.
