The chairman of the Antimicrobial Resistance Control Committee (KPRA), Dr. Hari Paraton, MD, SpOG (K), reveals that in humans there are about 90 trillion bacteria, some of which are already resistant or immune. Among them from the consumption of drugs before, can be from a doctor's prescription or due to buy themselves.
Dr. Day admits there are still many doctors who do not understand very well about the proper use of antibiotics. On the other hand, ordinary people are also accustomed to buying their own medicine at pharmacies. Even Dr. Day added, lack of understanding of the appropriate consumption of antibiotics also occur overseas.
"The Netherlands is the only country in the world whose consumption of antibiotics is very small, do not distinguish Indonesian children with londo children (bule, red) because the same.If in Indonesia, maybe already given antibiotiknya 2, whereas in the Netherlands, children cough hot runny nose, Given the syrup down the heat was not.Let alone the immunity itself, "he said.
Published in the journal Cell, researchers say the ancestors of Enterococcus probably live in the abdomen of ancient water animals and evolved.
In addition to drug interactions, interactions with patients or people who have taken antibiotics may also trigger antibiotic resistance.
"It does not hurt but be a carrier or carry resistant bacteria," said Dr. Hari in Pfizer Press Circle (PPC) on Antibiotic Resistance at the Wyndham Hotel Surabaya some time ago.
This means medical teams such as doctors and nurses can also be considered as carriers of resistant bacteria because of their daily familiarity with antibiotics.
This is exacerbated by the use of antibiotics in the industry, such as chicken, beef or pork farms. When these animals are injected with antibiotics to accelerate their growth and then their flesh is consumed by humans, it means leaving an antibiotic residue in the human body.
"It's the same with water, their dirt that goes to the ground, then the ground water is drunk, as well as drinking antibiotic residues," added Dr. Hari.
But that does not mean it can not be prevented. In order for these resistant bacteria resistant cycles to be disconnected, patients or hospital visitors who interact directly with fellow patients, doctors or nurses are advised to wash hands afterward.
"So do not forget to wash your hands, change clothes, especially after being in antibiotic nests like ICU (Intensive Care Unit), to cut off the transmission of residual antibiotics," said Dr. Hari.
Dr. Day noted, in a study conducted at RSUD Dr Soetomo Surabaya, 76 percent of cases treated did not require antibiotics. This figure is almost equivalent to the record at the national scale. Unprepared cases of antibiotic immunity used to be only 9 percent, but by 2016 it is estimated to have jumped to 66 percent, primarily in major hospitals.
If this is allowed, the impact will not only be felt by the health world but also the global economy. In the world of health, staying inflammation will occur that predicted to occur in 2050.
"So the operation is successful, the infection is not so high death threats and the cost becomes expensive, especially bacteria can cross between countries, can be through food or people," he said.
Not to mention the death rate due to antibiotic resistance. Unfortunately, in Indonesia has never done research to calculate this figure.
"If I look for a counterpart with Indonesia, we take Thailand, there is already research that reveals the death toll because of the resistance that reaches 38,000 cases, with a population of about 70 million people.This means in Indonesia his expected death could reach 135,000 of the total Population is around 250 million people, "he concluded.