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© Crown copyright 2008
Produced by COI for the Department of Health
284682/Ben 1p Feb08
First published February 2008
If you require further copies of this title quote
284682/Get well soon without antibiotics
and contact:
DH Publications Orderline
E-mail: [email protected]
Tel: 08701 555 455
Fax: 01623 724 524
Textphone: 08700 102 870
(8am to 6pm, Monday to Friday)
www.nhs.uk/antibiotics
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¤…±øKI◊¬ı±À˚˛±øȬfl¡ ¬ı…¬ı˝√√±¬ı˛ Ú± fl¡À¬ı˛˝◊√ Œ¸À¬ı˛ ά◊Í≈¬Ú
¤…±øKI◊¬ı±À˚˛±øȬfl¡ õ∂øÓ¬À¬ı˛±Òœ ˝√√À˚˛ ›Í¬±˚˛˛ ά◊»¸±˝√√ Ú± ø√À˚˛, ¸ø«√« › fl¡±ø˙¬ı˛ ˜Ó¬ ¸±Ò±¬ı˛Ì ’¸≈‡&ø˘¬ı˛ Ê√Ú…
¸øͬfl¡ ø‰¬øfl¡»¸± ¬Û±›˚˛±¬ı˛ √¬ı˛fl¡±¬ı˛ ¸•§Àg ¤˝◊√ õ∂‰¬±¬ı˛¬ÛSøȬÀÓ¬ [ø˘Ù¬À˘ÀȬ] ¬ı≈øÁ¡À˚˛ ¬ı˘± ˝√√À˚˛ÀÂ√º
’±ø˜ øfl¡ˆ¬±À¬ı ’±˜±¬ı˛ ¸ø«√¬ı˛ ø‰¬øfl¡»¸± fl¡¬ı˛¬ı∑
Œ¬ı˙œ¬ı˛ˆ¬±· ¸ø√«, fl¡±ø˙∏ ¬ı± ·˘±˚˛ ¬ı…Ô±¬ı˛ ø‰¬øfl¡»¸± fl¡¬ı˛±¬ı˛ ¸¬ıÀ‰¬À˚˛ ˆ¬±˘ ά◊¬Û±˚˛ ˝√√À26√ õ∂‰≈¬¬ı˛ ¬Ûø¬ı˛˜±ÀÌ
Ó¬¬ı˛˘ øÊ√øÚ¯∏ ‡±›˚˛± ¤¬ı— ø¬ı|±˜ ŒÚ›˚˛±º ¸ø«√ õ∂±˚˛ ≈√˝◊√ ¸5±˝√√ ¬Û˚«ôL Ô±fl¡ÀÓ¬ ¬Û±À¬ı˛ ¤¬ı— Œ˙À¯∏¬ı˛ ø√Àfl¡
fl¡±ø˙ ˝√√ÀÓ¬ ¬Û±À¬ı˛ › Œù≠ɱ ά◊ͬÀÓ¬ ¬Û±À¬ı˛º ¤¬ı˛ ˘é¬Ì&ø˘ fl¡˜±ÀÚ±¬ı˛ Ê√Ú… ’ÀÚfl¡ ¬ı˛fl¡˜ ›¯∏≈Ò ¸˝√√ÀÊ√˝◊√
øfl¡ÚÀÓ¬ ¬Û±›˚˛± ˚±˚˛ - Œ˚˜Ú ¬Û…±¬ı˛±ø¸È¬±˜˘ƒº ’±¬ÛÚ±¬ı˛ Ù¬±˜«±ø¸Àà¬ı˛ fl¡±ÀÂ√ ά◊¬ÛÀ√˙ ‰¬±˝◊√À¬ıÚº ¸ø√«È¬±
˚ø√ øÓ¬Ú ¸5±À˝√√¬ı˛› Œ¬ı˙œ Ô±Àfl¡, ’Ô¬ı± ’±¬ÛÚ±¬ı˛ ˝√√±“¬Û ÒÀ¬ı˛ ¬ı± ¬ı≈Àfl¡ ¬ı…Ô± ˝√√˚˛, ’Ô¬ı± ˝◊√øÓ¬˜ÀÒ…˝◊√
’±¬ÛÚ±¬ı˛ ˚ø√ Œfl¡±Ú ¬ı≈Àfl¡¬ı˛ ’¸≈‡∏ ŒÔÀfl¡ Ô±Àfl¡, Ó¬±˝√√À˘ ’±¬ÛÚ±¬ı˛ ά±Mê√±À¬ı˛¬ı˛ ¸±ÀÔ Œ√‡± fl¡¬ı˛À¬ıÚº
’±˜±¬ı˛ ¬ı±2‰¬±À√¬ı˛ ¬ı…±¬Û±À¬ı˛ øfl¡ ˝√√À¬ı, Ó¬±À√¬ı˛ fl¡±ø˙ › ¸ø«√ Œ˘À·˝◊√ ’±ÀÂ√∑
¬ı±2‰¬±À√¬ı˛ õ∂±˚˛˝◊√ fl¡±ø˙ › ¸ø«√ ˝√√˚˛, ø¬ıÀ˙¯∏ fl¡À¬ı˛ ˚‡Ú Ó¬±¬ı˛± ¶≈®À˘ ø·À˚˛ ’Ú… ¬ı±2‰¬±À√¬ı˛ ¸±ÀÔ Œ˜À˙º
¬Û¬ı˛±˜À˙«¬ı˛ Ê√Ú…, ’±¬ÛÚ±¬ı˛ Ù¬±˜«±ø¸Àà¬ı˛ ¸±ÀÔ fl¡Ô± ¬ı˘À¬ıÚº ˚ø√ ˘é¬Ì&ø˘ √œ‚«¶ö±˚˛œ ˝√√˚˛ ¤¬ı— ’±¬ÛøÚ
˚ø√ ø¬ıÀ˙¯∏ˆ¬±À¬ı ø‰¬øôLÓ¬ Ô±Àfl¡Ú, Ó¬±˝√√À˘ ’±¬ÛÚ±¬ı˛ ά±Mê√±À¬ı˛¬ı˛ fl¡±ÀÂ√ ˚±À¬ıÚº øfl¡c, øÓ¬øÚ
¤…±øKI◊¬ı±À˚˛±øȬfl¡˝◊√ Œ˚ Œ√À¬ıÚ, Œ¸ ’±˙± fl¡¬ı˛À¬ıÚ Ú±º
¤…±øKI◊¬ı±À˚˛±øȬfl¡ øfl¡∑
¤…±øKI◊¬ı±À˚˛±øȬfl¡ ˝√√À26√ fl¡Ó¬&ø˘ &èQ¬Û”Ì« ›¯∏≈Ò, ˚± ¬ı…±flƒ¡øȬø¬ı˛˚˛±¬ı˛ [Ê√œ¬ı±Ì≈¬ı˛] ŒÔÀfl¡ ˝√√›˚˛±
˝◊√ÚƒÀÙ¬flƒ¡˙ÀÚ¬ı˛ [¸—Sê˜À̬ı˛] ø‰¬øfl¡»¸± fl¡¬ı˛ÀÓ¬ ¬ı…¬ı˝√√±¬ı˛ fl¡¬ı˛± ˝√√˚˛º ¬ı…±flƒ¡øȬø¬ı˛˚˛± ˜±øÚÀ˚˛ øÚÀÓ¬ ¬Û±À¬ı˛
¤¬ı— ¤fl¡È¬± ¤…±øKI◊¬ı±À˚˛±øȬÀfl¡¬ı˛ õ∂ˆ¬±¬ı ¸˝√√… fl¡À¬ı˛ Œ¬ı“À‰¬ Ô±fl¡±¬ı˛ ά◊¬Û±˚˛ ‡≈“ÀÊ√ ŒÚ˚˛º Ó¬±¬ı˛±
뤅±øKI◊¬ı±À˚˛±øȬfl¡ õ∂øÓ¬À¬ı˛±Òœí ˝√√À˚˛ ›Àͬ, ˚±¬ı˛ Ù¬À˘ ¤…±øKI◊¬ı±À˚˛±øȬfl¡ ’±¬ı˛ fl¡±Ê√ fl¡À¬ı˛ Ú±º ’±˜¬ı˛± Œfl¡±Ú
¤fl¡È¬± ¤…±øKI◊¬ı±À˚˛±øȬfl¡ ˚Ó¬ Œ¬ı˙œ ¬ı…¬ı˝√√±¬ı˛ fl¡¬ı˛¬ı, Ó¬Ó¬˝◊√ ¬ı…±flƒ¡øȬø¬ı˛˚˛±¬ı˛ Œ¸È¬± õ∂øÓ¬À¬ı˛±Ò fl¡¬ı˛±¬ı˛ 鬘Ӭ±
Œ¬ıÀάˇ ˚±›˚˛±¬ı˛ ¸y±¬ıÚ± Œ¬ı˙œ ˝√√À¬ıº ¤˜ƒ’±¬ı˛ƒ¤¸ƒ¤-¤¬ı˛ [MRSA-¤¬ı˛] ˜Ó¬ øfl¡Â≈√ ¬ı…±flƒ¡øȬø¬ı˛˚˛±, Œ˚&ø˘¬ı˛
ŒÔÀfl¡ ˝√√±¸¬Û±Ó¬±À˘ ˝◊√ÚƒÀÙ¬flƒ¡˙Ú ˝√√˚˛, Œ¬ı˙ fl¡À˚˛fl¡øȬ ¤…±øKI◊¬ı±À˚˛±øȬfl¡Àfl¡ õ∂øÓ¬À¬ı˛±Ò fl¡¬ı˛ÀÓ¬ ¬Û±À¬ı˛º√
¤¬ı˛ ¬ı√À˘ ’Ú… ¤…±øKI◊¬ı±À˚˛±øȬfl¡ ¬ı…¬ı˝√√±¬ı˛ fl¡¬ı˛± ˚±˚˛ Ú± Œfl¡Ú∑
Ó¬± fl¡¬ı˛± ˚±˚˛, øfl¡c Œ¸&ø˘ ˝√√˚˛Ó¬ ¤Ó¬È¬± fl¡±˚«fl¡¬ı˛œ ˝√√À¬ı Ú±, ¤¬ı— Œ¸&ø˘¬ı˛ ŒÔÀfl¡ ˝√√˚˛Ó¬ ’±¬ı˛› ¬ÛÀ¬ı˛±é¬
õ∂øÓ¬øSê˚˛± ˝√√ÀÓ¬ ¬Û±À¬ı˛º ¤¬ı— Œ˙¯∏ ¬Û˚«ôL, ¬ı…±flƒ¡øȬø¬ı˛˚˛± ¤&ø˘¬ı˛ ø¬ıèÀX› õ∂øÓ¬À¬ı˛±Ò 鬘Ӭ± ·Àάˇ
Ó≈¬˘À¬ıº ’±˜¬ı˛± øÚø(Ó¬ Ú˝◊√ Œ˚ Û≈¬ı˛±ÀڱȬ±¬ı˛ Ê√±˚˛·±˚˛ ’±˜¬ı˛± ¸¬ı¸˜˚˛ ÚÓ≈¬Ú Œfl¡±Ú ¤…±øKI◊¬ı±À˚˛±øȬfl¡
‡≈“ÀÊ√ ¬Û±¬ıº ¸±•xøÓ¬fl¡ ¬ıÂ√¬ı˛&ø˘ÀÓ¬, ’À¬Û鬱fl‘¡Ó¬ ’ä ¸—‡…fl¡ ÚÓ≈¬Ú ¤…±øKI◊¬ı±À˚˛±øȬfl¡ ’±ø¬ı©‘®Ó¬
˝√√À˚˛ÀÂ√º
¤…±øKI◊¬ı±À˚˛±øȬfl¡ õ∂øÓ¬À¬ı˛±Òœ ˝√√À˚˛ ›Í¬± øfl¡ˆ¬±À¬ı ¤Î¬ˇ±¬ı∑
¤…±øKI◊¬ı±À˚˛±øȬfl¡ ’À¬Û鬱fl‘¡Ó¬ fl¡˜ ¬ı…¬ı˝√√±¬ı˛ fl¡À¬ı˛ ’±˜¬ı˛± ’ÀÚfl¡ ¸˜À˚˛˝◊√ ¤˝◊√ õ∂øÓ¬À¬ı˛±Ò 鬘Ӭ± ·Àάˇ
›Í¬±¬ı˛ ·øÓ¬ fl¡˜±ÀÓ¬ ¬Û±ø¬ı˛º ¤˝◊√ õ∂øÓ¬À¬ı˛±Ò fl¡¬ı˛±¬ı˛ 鬘Ӭ± ·Àάˇ ›Í¬± ¸•Û”Ì«ˆ¬±À¬ı Ô±˜±ÀÚ± ¸y¬ı Ú˚˛º
øfl¡c ¤¬ı˛ ·øÓ¬ fl¡˜±À˘, õ∂øÓ¬À¬ı˛±Ò 鬘Ӭ±¬ı˛ õ∂¸±¬ı˛ ¬ıg ˝√√À˚˛ ˚±˚˛ ¤¬ı— ÚÓ≈¬Ú Ò¬ı˛ÀÚ¬ı˛ ¤…±øKI◊¬ı±À˚˛±øȬfl¡
’±ø¬ı©®±¬ı˛ fl¡¬ı˛±¬ı˛ Ê√Ú… øfl¡Â≈√ ¸˜˚˛ ¬Û±›˚˛± ˚±˚˛º
¤…±øKI◊¬ı±À˚˛±øȬfl¡ õ∂øÓ¬À¬ı˛±Òœ ˝√√›˚˛±¬ı˛ ¬ı…±¬Û±À¬ı˛ ’±ø˜ øfl¡ fl¡¬ı˛ÀÓ¬ ¬Û±ø¬ı˛∑
˚‡Ú ά◊¬Û˚≈Mê√ qÒ≈˜±S Ó¬‡Ú˝◊√ ¤…±øKI◊¬ı±À˚˛±øȬfl¡ ¬ı…¬ı˝√√±¬ı˛ fl¡¬ı˛±º ’±˜¬ı˛± ¤‡Ú Ê√±øÚ Œ˚,
¤…±øKI◊¬ı±À˚˛±øȬfl¡ Â√±Î¬ˇ±˝◊√ Œ¬ı˙œ¬ı˛ˆ¬±· fl¡±ø˙ › ¸ø«√¬ ¤fl¡˝◊√ ¬ı˛fl¡˜ ¸˜À˚˛ ˆ¬±˘ ˝√√À˚˛ ˚±˚˛º ˚‡Ú
¤…±øKI◊¬ı±À˚˛±øȬfl¡ Œ√›˚˛± ˝√√˚˛, Ó¬‡Ú ¸•Û”Ì«ˆ¬±À¬ı ¬ı…±flƒ¡øȬø¬ı˛˚˛± øÚ˜”«˘ fl¡¬ı˛±¬ı˛ ά◊ÀVÀ˙…, ¬Û≈À¬ı˛± Œfl¡±¸«È¬±˝◊√
Œ‡ÀÓ¬ ˝√√À¬ıº Œfl¡±¸«È¬± ¸•Û”Ì« Ú± fl¡¬ı˛± ˝√√À˘, õ∂øÓ¬À¬ı˛±Ò 鬘Ӭ± ·Àάˇ ŒÓ¬±˘±¬ı˛ Ê√Ú… ˝√√˚˛Ó¬ øfl¡Â≈√
¬ı…±flƒ¡øȬø¬ı˛˚˛± ŒÔÀfl¡ Œ˚ÀÓ¬ ¬Û±À¬ı˛º
Ó¬±˝√√À˘, fl¡‡Ú ’±˜±Àfl¡ ¤…±øKI◊¬ı±À˚˛±øȬfl¡ Œ√›˚˛± ˝√√À¬ı∑
’±¬ÛÚ±¬ı˛ ˚‡Ú õ∂À˚˛±Ê√Ú ˝√√À¬ı, Ó¬‡Ú ά±Mê√±¬ı˛ ’±¬ÛÚ±Àfl¡ ¤…±øKI◊¬ı±À˚˛±øȬfl¡ øÚÀÓ¬ ¬ı˘À¬ıÚ, Œ˚˜Ú,
Œfl¡±Ú øfl¡Îƒ¬Úœ ˝◊√ÚƒÀÙ¬flƒ¡˙Ú ¬ı± øÚά◊À˜±øÚ˚˛±¬ı˛ Ê√Ú…º Œ˜øÚÚƒÊ√±˝◊√øȬÀ¸¬ı˛ ˜Ó¬ ’¸≈À‡¬ı˛ Œé¬ÀS,
¤…±øKI◊¬ı±À˚˛±øȬfl¡&ø˘ ˝√√˚˛Ó¬ õ∂±Ì ¬ı±“‰¬±ÀÓ¬ ¬Û±À¬ı˛º ’õ∂À˚˛±Ê√ÀÚ ¬ı…¬ı˝√√±¬ı˛ Ú± fl¡¬ı˛À˘, ’±˜±À√¬ı˛ ˚‡Ú
õ∂À˚˛±Ê√Ú ˝√√À¬ı, Ó¬‡Ú ¤&ø˘¬ı˛ fl¡±Ê√ fl¡¬ı˛±¬ı˛ ¸y±¬ıÚ± Œ¬ı˙œ Ô±fl¡À¬ıº
fl¡±ø˙ ¤¬ı— ¸ø«√¬ı˛ ø‰¬øfl¡»¸± fl¡¬ı˛±¬ı˛ Ê√Ú… ¤…±øKI◊¬ı±À˚˛±øȬfl¡ ¬ı…¬ı˝√√±¬ı˛ fl¡¬ı˛± ά◊ø‰¬Ó¬ Ú˚˛ Œfl¡Ú∑
¸¬ı ¸ø«√ ¤¬ı— Œ¬ı˙œ¬ı˛ˆ¬±· fl¡±ø˙ › ·˘±¬ı˛ ¬ı…Ô±, ˆ¬±˝◊√¬ı˛±À¸¬ı˛ ŒÔÀfl¡ ˝√√˚˛º ˆ¬±˝◊√¬ı˛±À¸¬ı˛ ŒÔÀfl¡ ˝√√›˚˛± ¸ø«√¬ı˛
˜Ó¬ ˝◊√ÚƒÀÙ¬flƒ¡˙ÀÚ¬ı˛ Œé¬ÀS ¤…±øKI◊¬ı±À˚˛±øȬfl¡ fl¡±Ê√ fl¡À¬ı˛ Ú±º ¬ı…±flƒ¡øȬø¬ı˛˚˛±¬ı˛ ŒÔÀfl¡ ˝√√›˚˛± ˝◊√ÚƒÀÙ¬flƒ¡˙ÀÚ¬ı˛
Ó≈¬˘Ú±˚˛ ˆ¬±˝◊√¬ı˛±À¸¬ı˛ ŒÔÀfl¡ ˝√√›˚˛± ˝◊√ÚƒÀÙ¬flƒ¡˙Ú Œ¬ı˙œ Œ√‡± ˚±˚˛º
øÚÀ‰¬¬ı˛ ›À˚˛¬ı¸±˝◊√ÀȬ¬ı˛ ŒÔÀfl¡ ’±¬ı˛› Ó¬Ô… ¬Û±›˚˛± ˚±À¬ıÂ√
www.nhs.uk/antibiotics