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How MDRO Can Affect Your Family?

MDRO - Dr.Welling A multi-drug resistant organism (MDRO) is a bacteria that is resistant to many antibiotics. If bacteria are “resistant” to an antibiotic it means that certain drug treatments will not work.

WHO say  ‘ Antimicrobial resistance (AMR) is resistance of a microorganism to an antimicrobial medicine to which it was originally sensitive. Resistant organisms (they include bacteria, fungi, viruses and some parasites) are able to withstand attack by antimicrobial medicines, such as antibiotics, antifungals, antivirals, and antimalarials, so that standard treatments become ineffective and infections persist increasing risk of spread to others.”

The evolution of resistant strains is a natural phenomenon that happens when microorganisms are exposed to antimicrobial drugs, and resistant traits can be exchanged between certain types of bacteria. The misuse of antimicrobial medicines accelerates this natural phenomenon. Poor infection control practices encourages the spread of AMR.

Various microorganisms have survived for thousands of years by their ability to adapt to antimicrobial agents. They do so via spontaneous mutation or by DNA transfer. This process enables some bacteria to oppose the action of certain antibiotics, rendering the antibiotics ineffective

Antibiotic resistance is a serious and growing phenomenon in contemporary medicine and has emerged as one of the pre-eminent public health concerns of the 21st century, particularly as it pertains to pathogenic organisms (the term is especially relevant to organisms which cause disease in humans). In the simplest cases, drug-resistant organisms may have acquired resistance to first-line antibiotics, thereby necessitating the use of second-line agents. In the case of some MDR pathogens, resistance to second and even third-line antibiotics is thus sequentially acquired, a case quintessentially illustrated by Staphylococcus aureus in some nosocomial settings. Some pathogens, such as Pseudomonas aeruginosa, also possess a high level of intrinsic resistance.

Tuberculosis is making its grand re-entry in the developed world through MDR Tuberculosis. So countries like India, where anyways tuberculosis is still the grand daddy of all illness, MDR can turn out to be very dangerous.

What precautions should you take at home and in the community?

  • An MDRO infection can be picked up in the community by anyone, through skin-to-skin contact or by touching anything that a person carrying the germ has touched.
  • Hand hygiene is the most important thing you can do. Wash your hands with a liquid hand soap and water for at least 15 seconds, rubbing all surfaces briskly. Use paper towels to dry hands, and then use the towel to turn off the faucet. Or, use an alcohol hand sanitizer.
  • Do not share personal items like towels and washcloths, bars of soap, razors, or clothes.
  • Clean bathrooms and launder clothing, bedding, towels, and washcloths regularly.
  • Clean objects and surfaces shared with others, such as athletic equipment, before using.

For doctors it is suggested that

  • Use the appropriate antimicrobial or antibiotic medicine for an infection; e.g. no antibiotics for viral infections
  • Identify the causative organism whenever possible
  • Select an antimicrobial which targets the specific organism, rather than relying on a broad-spectrum antimicrobial
  • Complete an appropriate duration of antimicrobial treatment (not too short and not too long)
  • Use the correct dose for eradication; subtherapeutic dosing is associated with resistance, as demonstrated in food animals.

From The Desk of Dr.Welling

This blog is about the latest updates regarding health news that will affect you and your family. Its my 12th years of medical practice and it has given me everything, fame, satisfaction and some out-standing results in my patients. Being in the medical field in itself is very satisfactory and I thank god that he gave me the chance to be a doctor and genuinely help people overcome their illness.

Being a post graduate in Homeopathic medicines, its mandatory that we are voracious readers. For the past 12 years and even today, practically everyday, I go through the top 10 medical research web-sites and latest publications to hunt for topics that will help me help my lovely patients live a better, healthier and a disease-free life. Now hence forth all those topics will be published here in a easy-to-understand language for you.

In this blog my aim would be to offer one place for people around the world to interact and know more about the health studies and research that will affect you now or later.I will also mention my analysis of the topic and critically view its outcome on the society. This blog will not be about my brand WELLING – The Homeopathy Clinic, but about you and your health.

You can buy my books from this site and also contact me for any difficulty or health issue. Due to my busy national and international schedule, currently I am not taking lecturing assignments.

Come, be a part of the global community here. Write your thoughts in the comments section below.

An Integrated Approach To Case Taking & Analsis

Dr.Sankaran has recently written a book on developing an integrated approach to casing taking and analysis. He is very popular internationally for his thinking processes while prescribing, but in India and many other countries he is criticized for his ideas and technqiues. The Homeopathic fraternity has got split into conventional and contemporary homeopaths.

SankaranHe has thus ventured into writing this detailed book to demonstrate how he  integrates the conventional and contemporary homeopathy. He starts by describing the symptoms and systems and how the sensation approach has its foundation in classical homeopathy. It is very important because many senior homeopaths criticize him without understanding the essence of his approach.

He speaks about various techniques of case taking and how different types of techniques help in prescribing. He has explained each of these with cases from his practice. He starts from the very basics like how to observe and scan the patient soon after his entry of patients. The chapter on entry points is superficial and could have been written more in detail. The case examples shown amply demonstrates what goes on in his mind during the case taking and while prescribing. He also show many cases wherein he has not spent more than half an hour with the casetaking process.

Many might be surprised, but he also writes about how exciting factors, ailments from and circumspection helps him in prescribing . In the next section he takes us on a tour of how to approach cases according to kingdoms & levels and what to do if the patients is not talking in detail.

He practically clears all the doubts about his approach including how to apply it in children cases, acute cases and psychiatric cases. He explains in detail about the clever use of repertory and how to use mind section properly. He further speaks of the idea of ‘genius’ as propounded by C.M.Boger. To his understanding, ‘genius’ of a drug  is a distillation of most of the important symptoms and pictures of a remedy – the centre of the remedy. He further illustrates many cases wherein he prescribed on genius of remedies and how the genius forms the basic foundation of his approach through kingdoms.

He explains 5 wonderful cases , again elaborating the wonderful way he integrates the conventional way of prescribing with his newer and more refined way of prescribing.

When I last met Dr.Sankaran, he said his new approach of integrating conventional homeopathy with his approach of sensations, levels and kingdoms has not only given him out-standing results in his practice but a success rates of more than 85%.

This is just the right book to repeatedly read and to be kept for reference in your library even if you are not following Dr.Sankaran’s sensation technique in your practice. If you still don’t have it, its time you get a copy of it.

Dr. Rajan Sankaran is also conducting a seminar on “The Simplicity of Homoeopathy” on January 18, 19 & 20, 2013 at Bombay Hospital. I believe the seminar is already fully booked, but incase few seats are available,  you should book a seat at the earliest. He is the sole speaker for this seminar in which he will be showing several video recorded cases that demonstrates the integrated approach he writes about in this book & follows in his practice. You can call +91 22 4261 6666 to book your seat.

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