Emma Seyi-Onabule
Antibiotic is a medication that stops the growth of or destroys bacteria. They are wonderful drugs and have saved countless lives since their discovery.  However many people in Nigeria, where you don’t need a prescription from a  doctor to get any medication, believe its fine to take antibiotics for anything  whether or not they need it. 
  The sad thing is that many people don’t know that taking antibiotics for  every bit of discomfort or suspected infection can cause major problems. One of  these problems is antibiotic resistance. This occurs when bacteria develops a  way to resist the effects of the antibiotic, thereby making the infections they  cause harder to treat.
  One day a lady explained to me that her daughter had a chesty cough that was keeping her awake at night. I asked her how long she’d had the cough for  and she said it had only started the day before. She then said that she was  very upset because she couldn’t just buy antibiotics over the counter in the  UK and if she were in Nigeria she would just walk into a chemist and purchase  it no questions asked and give it to her daughter. I tried my best to explain  that using an antibiotic as first line treatment could do more harm than good  but she wasn’t prepared to listen. So in the end, I wished her well and left  her in her ignorance.
  In the west, where the use of antibiotics and indeed every medication is  very tightly controlled, antibiotic resistance is a major problem, how much  more in Nigeria where there’s virtually no control.
  Antibiotics do not work on the common cold. This is because it is caused by a virus  against which they are ineffective. The widespread use of these medicines in the misguided attempt to treat the common cold has led to the development of several strains of bacteria that are now antibiotic-resistant.
  Sometimes, a bacterial infection will follow a cold virus. Signs that you may have a bacterial infection after a cold include pain around the face and eyes  and coughing up thick yellow or green mucus. These symptoms are common with a  cold, but if they last for more than a week, you may have a bacterial  infection.
  Also, some people, about one in 40,000, have a potentially fatal allergic  reaction to some antibiotics. So when used by an untrained individual the  consequences can be devastating. But people don’t make the connection; they just blame  some African voodoo.
  Antibiotic resistance is one of the world's most pressing public health problems.  The more we use them, the more likely it is that bacterial resistance will  develop. Some bacteria that cause potentially fatal infections in hospitals, such as methicillin resistant staphylococcus aureus (MRSA) and vancomycin  resistant staphylococcus aureus (VRSA) are resistant to several antibiotics.
  When bacteria are repeatedly exposed to antibiotics (and when people do not  complete their prescribed course of antibiotics) resistant bacteria are favoured.  They survive and multiply.
  When that happens, the illness will linger with no signs of getting better or  it could suddenly take a turn for the worse. 
  You may have to seek emergency medical care, even be admitted to hospital,  where different antibiotics may need to be administered through your veins.  People around you may also get the resistant bacteria and come down with a  similar illness that is difficult to treat.
  With regards to children, if every time your child has the sniffles or cough  you pump them full of antibiotics, how will their immune system develop? 
 Here are some important things to remember when you are thinking of taking antibiotics. Firstly, go to your doctor to determine whether or not you  need them. Secondly, take them as prescribed i.e. at regular intervals and  complete the full course, even if you start to feel better before the end of the  course. 
  And lastly, don’t take someone else’s antibiotic, not all antibiotics are  the same, you could be allergic to it or it could be the wrong one you need for  your condition.
Irresponsible use of antibiotics contributes to the global antibiotic resistance  crisis. You don’t have to go far to find an example. 
  I remember when I was in secondary school and we used to get chloroquine  every week for malaria prophylaxis. We used to call it “sunday sunday  medicine”. Now that same medication is ineffective against the malaria parasite because  it was so misused.
  Next time you want to reach for an antibiotic ask yourself if you really need  it, as you could be doing, not just yourself, more harm than good.