We read with great interest the recent Commission by Ramanan Laxminarayan and colleagues1 about antibiotic resistance and the need for global solutions. This problem has many different facets that can vary between regions and countries. In south Asia it is easy to buy antibiotics over the counter without a prescription, which obviously leads to overuse of these drugs and paves the way to resistance. But one could argue that in countries such as Nepal, where there might not be doctors in remote areas, antibiotic use without a doctor's prescription could be essential to cure an illness, and perhaps even to save a life.
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