Lets blame the GPs – again. Antibiotic resistance is an international problem and should not be addressed by country or by practice/doctor sanctions.

The news this last week included yet another attack on GPs. The threat of sanctions has alarmed a profession which is already over-managed and having recruitment problems. Lets blame the GPs – again… One of the largest threats comes from TB where world migration and poverty are the big issues. Georgetown University in 2010 published “Antibiotic Resistance: Conquering the Killer Within”. There are graphics showing Russia as one of the worst areas…. Tb world resistance

Another is antibiotics in meat sold at the counter.

There is no doubt that resistance is increasing

but is it due to GPs in the UK?

and the relative use of antibiotics in humans as opposed to meat /animals and other areas is minimal as shown from US figures.

Antibiotics consumed per say in the world:

Antibiotic resistant MRSA in the Eurozone is highest in the West:

Use in animals is top of an inverted pyramid of increasing risk:

Resistance to Penicillin V, one of the most useful is highest in those Southern European countries (Greece, Portugal, Spain) that allow Over The Counter (OTC) purchase of antibiotics.

Antibiotic resistance is an international problem and should not be addressed by country or by practice/doctor sanctions.

BMA holds emergency talks with NICE over antibiotics sanctions threat (Nick Bostock in GP Magasine)

‘Soft touch’ doctors should be disciplined for over-prescribing antibiotics

Doctors write 10m needless antibiotics prescriptions a year, says Nice

GPs advised against antibiotic overuse

Calls for NHS to curb inappropriate antibiotic prescribing

 

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This entry was posted in A Personal View, General Practitioners, Stories in the Media on by .

About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

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