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IMA advises against antibiotic use as seasonal swine flu cases rise

The Indian Medical Association (IMA) has urged people not to use antibiotics for swine flu symptoms, warning that indiscriminate use of drugs such as azithromycin, amoxicillin-clavulanate and cefixime during the ongoing seasonal Influenza A (H1N1) surge could worsen antimicrobial resistance without offering any benefit against the viral infection. In an advisor, the IMA said Influenza A (H1N1) is a viral illness, and antibiotics should only be prescribed if a qualified physician confirms a secondary bacterial infection based on clinical and laboratory findings. It also cautioned against self-medication with antiviral drugs such as oseltamivir, saying these are prescription medicines meant only for specific clinical categories under medical supervision. The advisory comes amid a seasonal rise in H1N1 cases during the monsoon, with Delhi reporting more than 1,770 laboratory-confirmed infections and additional cases being recorded in Maharashtra, Karnataka and West Bengal. According to the IMA, surveillance by the Indian Council of Medical Research (ICMR) shows that the circulating virus remains the seasonal Influenza A (H1N1) strain, with no evidence of new genetic mutations. The association said most H1N1 infections remain mild and self-limiting and there is no cause for panic, though people should remain vigilant. The IMA said common symptoms include sudden high fever, dry cough, sore throat, severe body aches, fatigue, headache, nasal congestion and, particularly in children, nausea, vomiting or diarrhoea. It advised immediate medical attention if patients develop breathing difficulty, chest pain, bluish discolouration of the lips or fingers, coughing up blood, confusion, seizures, persistent vomiting or inability to drink fluids. In children, poor feeding, lethargy, grunting and severe chest retractions require urgent evaluation. The association also reiterated preventive measures, including frequent handwashing, covering coughs and sneezes, wearing a well-fitted mask in crowded enclosed spaces, staying home until at least 24 hours after fever subsides, and annual influenza vaccination for healthcare workers, pregnant women, older adults and people with chronic illnesses.

26 Sep 2026 4:44 pm