Antibiotic Policy In India - A Must

India’s Silent Epidemic: The Unethical Use of Antibiotics

In the race to treat infections quickly, India finds itself in the dangerous lane of antibiotic misuse—both in hospitals and in the community. While antibiotics were once hailed as miracle drugs, today their indiscriminate use has become one of the country’s gravest healthcare threats.

Ethics on Ventilator

Antibiotics are meant to be prescribed with caution, but in India, they are often handed out like candies. Be it a viral sore throat or a minor fever, antibiotics are given without confirming bacterial cause. Worse still, pharmacists continue to dispense them over-the-counter, bypassing the need for a prescription altogether.

In hospitals, especially in ICUs, broad-spectrum antibiotics are used as a knee-jerk reaction—often before any culture is taken. This “shoot-first-ask-later” policy creates resistant superbugs and kills off beneficial bacteria, making future infections harder to treat.

From Miracle to Mayhem

The ethical problem lies not just in overuse, but in how they are used. Most hospitals lack proper antimicrobial stewardship programs. Doctors feel pressured by patient demands or the fear of litigation. The result? Escalation to higher antibiotics without proper indication, and often, without any follow-up.

In the community, awareness is dangerously low. Patients self-medicate, demand quick fixes, and believe antibiotics cure everything—from a cold to COVID. Sadly, few understand the long-term damage this causes—not just to themselves but to society.

A Looming Public Health Catastrophe

India is already seeing a spike in multidrug-resistant organisms (MDROs). These “superbugs” are making even simple infections lethal. Surgical procedures, cancer treatments, and intensive care are all at risk because when antibiotics fail, modern medicine fails.

What Needs to Change?

  • Ban over-the-counter sales of antibiotics.

  • Implement mandatory stewardship programs in all hospitals.

  • Train doctors and pharmacists in rational prescribing.

  • Launch mass public awareness campaigns on antibiotic resistance.

  • Encourage culture-based diagnosis before starting treatment.

The Way Forward

The ethical use of antibiotics is not just a medical issue—it’s a moral one. We owe it to future generations to act responsibly today. The war against bacteria is not won in labs alone—it’s won in how wisely we use the weapons we already have.

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