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Speaker 1: Now a study out answered get a load of this

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Speaker 1: is warning that more than thirty nine million people could

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Speaker 1: die of antibiotic resistant infections between now and twenty fifty.

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Speaker 1: Researchers reckon that increasingly antibiotics are being overused than they're

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Speaker 1: being misused. They're causing self and community based harm. John

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Speaker 1: Bonding as a specialist emergency physician and is with me, now, Hey.

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Speaker 2: John's theer.

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Speaker 1: Does this worry you.

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Speaker 2: Immensely? And it has done for some time?

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Speaker 1: Are you seeing signs of it already?

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Speaker 2: We are. Look that we started west with the MRSA

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Speaker 2: that's been around for a couple of decades. DSBL Lots

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Speaker 2: of those are the terms for the bacteria that are

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Speaker 2: now resistant to standard treatments. MDRO. Multi drug resistant organisms

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Speaker 2: are getting more and more, and I think the prime

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Speaker 2: driver is overuse of antibiotics.

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Speaker 1: Overuse, overuse, for I mean, for how do you over

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Speaker 1: use an antibiotic?

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Speaker 2: Oh, they're significantly overprescribed. So research from the UK shows

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Speaker 2: that are around seventy percent of antibiotics prescriptions occur in

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Speaker 2: primary care, thirteen to fifteen percent a hospital in patients,

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Speaker 2: the rest our patients, dental and the like. And it's

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Speaker 2: felt that fifty percent of primary care prescriptions are inappropriate

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Speaker 2: given to people with things like viral infections, sinusitis, o titis, media, bronchitis,

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Speaker 2: et cetera, and people who don't seem to necessarily realize

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Speaker 2: not only they're doing themselves a disservice by over using them,

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Speaker 2: but it's actually the community resistance that's growing as well.

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Speaker 1: Well, you're not supposed to use antibiotics for bronchitis.

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Speaker 2: No, bronchitis is a viral illness. At the heart of material.

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Speaker 1: Is that at the heart of it that the doctor

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Speaker 1: looks at it and goes, you've got a virus, let

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Speaker 1: me give you an antibiotic.

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Speaker 2: So look, I don't want to impune doctors in particular

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Speaker 2: primary care doctors, my colleagues, and primary care are working

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Speaker 2: very hard. It's partially pressure from the patient misunderstanding, short

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Speaker 2: consultation times, and a little bit of a fault of

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Speaker 2: the healthcare practitioners. We all need to take some responsibility,

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Speaker 2: but the public and public awareness of this is very,

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Speaker 2: very important.

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Speaker 1: The thing about it is, John, I feel kind of

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Speaker 1: slightly helpless in this as just an individual right because

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Speaker 1: being reasonably well informed, I have thought about this affair.

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Speaker 1: But when I'm getting myself prescribed an antibiotic, is there

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Speaker 1: anything really that I can do? Or frankly, is it

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Speaker 1: if the whole world is over prescribing this stuff, it's

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Speaker 1: going to affect me anyway? Or is it something at

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Speaker 1: an individual level?

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Speaker 2: Look, there is something that at an individual level, and

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Speaker 2: people need to be open to conversations. I mean, I

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Speaker 2: work clinically, you know, most days, and I do get

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Speaker 2: a lot of pressure from patients that really, really really

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Speaker 2: want an antibodic. They say, look, the only reason I'm

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Speaker 2: consulting you today is I want antibiotics. And you try

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Speaker 2: to explain to them, this is a virus. This will

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Speaker 2: not be helped by antibodics. In fact, you will develop

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Speaker 2: more resistance yourself. You'll add to community resistance. So we

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Speaker 2: want to change community expectations. People to have a bit

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Speaker 2: of an understanding what a virus is, what a bacteria is.

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Speaker 1: I guess what, let me ask this hopefully a little

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Speaker 1: bit better. So I didn't do a very good job

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Speaker 1: the first time, right, even if I was uber careful

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Speaker 1: with my antibiotics use and never ever pressured my doctor

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Speaker 1: into giving it to me when I didn't need it,

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Speaker 1: I could still catch one of those resistant bugs and die.

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Speaker 2: Couldn't I most definitely.

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Speaker 1: So there's nothing I can do if the world is

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Speaker 1: stuffing it up for me.

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Speaker 2: Now with the no, there's always something that you can do,

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Speaker 2: you can work yourself on, because then it does affect individuals.

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Speaker 2: If you take too many antibiotics for the wrong reason,

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Speaker 2: you personally will develop resistance and then you personally will

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Speaker 2: need to have the high powered antibiotics that have much

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Speaker 2: great jot.

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Speaker 1: If I don't take too many antibiotics in my life

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Speaker 1: and I catch one of those antibiotic resistant bugs, would

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Speaker 1: I still potentially be able to fight it off?

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Speaker 2: Absolutely? Ill, Look, they are all still treatable with different antibiotics.

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Speaker 2: MRSA can be treated with cootramoxazole. You know, clearly there

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Speaker 2: are superbugs. Some people carry these bugs and are not

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Speaker 2: harmed by them as well.

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Speaker 1: Now, John, are you sure you're not catastrophizing here? And

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Speaker 1: it's like, we're pretty healthy people for the most part,

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Speaker 1: and the people who are dying of these superbugs are

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Speaker 1: kind of sick.

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Speaker 2: Yeah, yeah, they are, they frequently, but some very healthy

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Speaker 2: people are catching illnesses, you know, and COVID with a

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Speaker 2: poster Chile for that and getting very unwell with them,

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Speaker 2: and some people die of me Ninja cockle disease, a terrible,

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Speaker 2: terrible disease, the pandemic of the epidemic of which has passed.

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Speaker 2: But yeah, look at and sometimes that's just a freak chance.

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Speaker 2: So there's always something that we can do as a

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Speaker 2: population about this.

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Speaker 1: Yeah, John, it's always good to talk to you. I

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Speaker 1: really appreciate your expertise. Thanks mate. That's John Bonding, specialist,

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Speaker 1: emergency physician. For more from Hither Duplessy, Allen Drive, listen

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