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Misuse of Antibiotics puts you at risk.

When used inappropriately, it can result in serious infections, longer recovery time, and loss of effectiveness for future treatments, due to infections becoming antibiotic-resistant.
Follow your doctor's advice.

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Antibiotics are used to prevent
or treat bacterial infections only. They DO NOT
work on viral infections such as flu or
the common cold.

When are antibiotics required?

Antibiotics are not required for viral infections because they DO NOT work on viruses. Common viral infections include:

Colds

Flu (Influenza)

COVID-19

HFMD (Hand Foot Mouth Disease)

Viral symptoms usually go away with time and symptomatic relief.

What you should do if you are down with the common cold or flu:

Get plenty of rest

Stay hydrated

Practice good hygiene habits to prevent the infection from spreading

Consult your doctor if you do not get better

Antibiotics kill or slow down the growth of bacteria. Hence, they are required for bacterial infections, such as:

Lung infection (Pneumonia)

Strep throat

Ear infection

What you should do:

Follow your doctor’s advice exactly when taking antibiotics

Common side effects of antibiotics

When your doctor prescribes antibiotics to treat your infection, the benefits outweigh the risks. However, side effects may occur as antibiotics destroy both good and bad bacteria.

Nausea or vomiting

Diarrhoea

Bloating

Loss of appetite

Your doctor may then prescribe probiotic tablets along with your antibiotic to maintain and restore good bacteria. If you start developing other symptoms like allergic skin rashes due to the antibiotic or/and your side effects become worrisome, you should consult a doctor immediately.

Consequences of
antibiotics misuse

Overuse or misuse of antibiotics can lead to antibiotic resistance. This reduces the effectiveness of antibiotics in treating infections when they are really needed. This can lead to undesirable consequences as illustrated below:

Drug-resistant bugs

Bacteria in the body become resistant to antibiotics – developing the ability to resist the drugs designed to kill them.

Increased medical costs

Complications caused by antibiotic-resistant bacteria can increase the length of hospital stay and the cost of medical care.

Increased health risks

Without antibiotics that work, illnesses caused by antibiotic-resistant bacteria are harder or impossible to treat, and can lead to disability and death.

If left unchecked, it is projected that antimicrobial resistance (AMR) could cause as many as 10 million deaths worldwide by 2050 - which is higher than death attributed to diabetes (1.5 million) and cancer (8.2 million).

What is the difference between antibiotics and antimicrobials?

Antibiotics are a specific type of antimicrobial that is used to treat bacterial infections. Meanwhile, antimicrobial is a broad term that includes antibiotics, antivirals, antiparasites, and antifungals which treat infections caused by bacteria, viruses, parasites, and fungi respectively.

What is antimicrobial resistance?

Antimicrobial resistance (AMR) occurs when microorganisms (bacteria, viruses, parasites, and fungi) found in people, animals, food and the environment develop resistance and no longer respond to medication designed to kill them.

As a result, antibiotics and other antimicrobial medicines become ineffective, making infections increasingly difficult or impossible to treat.

AMR is one of the world’s most urgent public health problems, as it can affect people at any stage of life, as well as the healthcare, veterinary, and agriculture industries.

How does AMR spread?

Patient consumes antibiotics and develops drug-resistant bacteria in the gut.

Drug-resistant bacteria spread to other patients through unclean facilities and poor hygiene.

 

Animals are fed antibiotics and develop drug-resistant bacteria in their gut. The bacteria remain on the meat from the animals.

Drug-resistant bacteria spread to humans through food, the environment (water, soil, air), or by direct human-animal contact.

Drug-resistant bacteria spread to the general public.

Learn how you can protect yourself and your loved ones against AMR here.

Preventing antibiotic and antimicrobial resistance

Fight the spread of bacteria by practising good hygiene such as proper handwashing with soap and water, proper preparation of food and keeping up to date with your vaccinations. It’s best not to get sick in the first place!

When prescribed for bacterial infections, take antibiotics exactly as per your doctor’s advice.

Ensure you and your family receive timely vaccinations to prevent infections and the overuse of antibiotics.

Adopt a healthy lifestyle and practice good hygiene. Wash hands with soap and water for 20 seconds regularly.

Consume thoroughly cooked food and clean water.

When you are sick, always see your doctor who will prescribe medicine for you according to your condition.

Don't adjust antibiotics dosage on your own

Don’t share your antibiotics with someone else

Don't save your antibiotics for future illnesses. Discard all
leftover antibiotics.

Don’t use antibiotics to treat viruses like common cold or flu.

Let’s all play our part in preventing antibiotic and antimicrobial resistance.

Frequently Asked Questions (FAQs)

Having green phlegm is not always a sign of a bacterial infection that requires antibiotics to get better. More white blood cells are produced in our body during infections which can be caused by viruses or bacteria. When large amounts of white blood cells are present in your phlegm, it may appear green.

Therefore, coloured phlegm does not mean you need antibiotics.

Antibiotics DO NOT work on viruses and do not speed up recovery from viral infections. Common misuses of antibiotics include using them for viral infections such as flu, the common cold or COVID-19.

Taking antibiotics unnecessarily can lead to antibiotic resistance.

Symptoms of bacterial and viral infections can be similar for upper respiratory tract infections. Differentiating between the two requires medical assessment and you should consult your doctor for the treatment you need.

Resources

Here’s an animated clip to help you learn why antimicrobials are a precious resource and how you can help to reduce the spread of
antimicrobial resistance.


Video credits: “The Antibiotic Tales” by Sonny Liew and Hsu Li Yang (NUS Saw Swee Hock School of Public Health)

Help your loved ones or others understand the importance of appropriate antibiotics usage by sharing the resources below.

Download brochure

Download poster

Some other resources to learn about antimicrobial resistance:

Other videos on antibiotics

Antimicrobial Resistance: What You Need to Know


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Misuse of Antibiotics puts you at risk.
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