Antibiotic Resistance By Bacteria, Viruses, Antibiotics, And Antibiotics

Antibiotic resistance is a phenomenon in which germs evolve to be able to resist the action of drugs. This causes illnesses that were once easily curable with antibiotics to become dangerous infections, requiring alternative medications or higher doses. With millions of deaths increasing every year, antibiotic resistance has become one of the world's most pressing public health problems. This essay will explain the key causes of the emergence of resistant bacteria, including antibiotic misuse, inappropriate prescribing and availability of few new antibiotics, and outline relevant effects of antibiotic resistance.

The development of antibiotics was an important advancement in 20th century medicine. Previously deadly infectious diseases are now routinely treated with antibiotics. Moreover, for modern-day medical procedures such as chemotherapy treatment to be successful, antibiotic use is necessary. For these reasons, the prospect of bacteria developing widespread resistance to antibiotics is a major concern as it would render many modern-day medical therapies unviable.

Antibiotics are powerful very frequently used potential drugs in fighting bacterial infections worldwide, [1]. These agents saved millions of lives in the past fifty years in both hospital-based and outpatient settings. Inadequate measures to control the spreading of infections, overprescribing as well as inappropriate selection and dosing of antibiotics by healthcare providers, unfettered access to antimicrobials by public, failure to adhere to clinically desired treatment regimens are some of the driving force to spread of antibiotics resistance, [2]. In addition, lack of regulations to promote the rational use of antibiotics in humans, infection prevention and control are some of the other factors that lead to emergence of resistance to antibiotics, [3].

Antibiotics are inarguably one of the greatest advances in medical science of the past century. Although the first natural antibiotic Penicillin was not discovered until 1928 by Scottish biologist Alexander Flemming, evidence exists that certain plant and mold growths were used to treat infections in ancient Egypt, ancient India, and classical Greece (Forrest, 1982). In our modern world with the advent of synthetic chemistry synthetic antibiotics like Erithromycin and its derivative Azithromycin have been developed. Antibiotics have many uses including the treatment of bacterial and protozoan infection, in surgical operations and prophylactically to prevent the development of an infection. Through these applications, antibiotics have saved countless lives across the world and radically altered the field of medicine. Though a wonderful and potentially lifesaving tool, antibiotic use is not without its disadvantages. Mankind has perhaps been too lax in regulation and too liberal in application of antibiotics and growing antibiotic resistance is the price we must now pay. A recent study showed that perhaps 70% of bacterial infections acquired during hospital visits in the United States are resistant to at least one class of antibiotic (Leeb, 2004). Bacteria are not helpless and their genetic capabilities have allowed them to take advantage of society’s overuse of antibiotics, allowing them to develop

When antibiotic is used most of the bacteria die but a few bacteria with antibiotic resistance gene survive and reproduce and pass this advantage to their offsprings. This selective pressure exists naturally, however antibiotic misuse can be accused for fastening the spread of the antibiotic resistance gene [Refer to figure 2] (Learn Genetics 2015). Consequently, inappropriate antibiotic intake will lead to a greater chance of superbugs being developed. Antibiotic resistance can be defined as a new ability which a bacterium has developed to stay unattached in the presence of an antibiotic that was previously effective to destroy the bacterium (ABC science 2015). Four key mechanisms that has been identified for bacterial antibiotic resistance can be listed as: producing enzymes that inhibit the functionality of the drug, reducing the effectiveness of the drug by producing targets against which the antibiotic, reducing the permeability of the drug into the bacterium and active export of antibiotics using various pumps (Pogson 2012). All these mechanisms can be developed by any of the bacteria when the corresponding mutated gene of antibacterial resistance is received. The genes code for specific proteins, and variation in the gene leads to alteration of the shape of proteins. This leads to changing the functionality

Widespread use of antibiotics has been very controversial in the media as well in the general population. Due to these controversies, it is very misunderstood to how antibiotics work leading to many patients in the hospital setting wanting to take them when it is not necessary or refusing to take when it is necessary for their survival. Some of this controversy is due to antibiotic resistance, which has spread an alarming rate in the 21st century (Walsh, 2000). Antibiotic resistance is the result of very strong bacteria or microbes that are resistant to the antibiotic prescribed and those microbes accumulate overtime by their survival, reproduction and transfer, leading to increased levels of antibiotic resistance.

Antibiotic resistance happens when bacteria come into contact with an antibiotic over and over again.

The overconsumption of antibiotics is a big contribution to drug resistance and is why users should know what happens with the repeated use of these drugs. Even though some bacterial mutation occurs naturally, human use of antibacterial is the cause of higher-levels of resistance (Alliance for the Prudent Use of Antibiotics 2014). Bacteria mutate either by genetic mutation or by receiving the defensive agent. During an infection bacteria multiply naturally within the body and when exposed to antibiotics, bacteria have an opportunity to adapt to the drug (Alliance for the Prudent Use of Antibiotics 2014). During this period of

The more that researchers understood the genetic processes of bacteria, the better they had understood the concept of antibiotic resistance and why it could end up evolving far beyond the capabilities of current medicine (Podolsky 30). Vigorous research for decades since the antibiotic was created allowed a look into how evolving bacteria could become a major health issue as they are conditioned into resisting major strains of antibiotics.

Like any other organism, bacterium are subject to evolutionary pressure. Antibiotic resistance in bacteria is rarely the result of a single mutation leading to full resistance, but rather the result of a series of mutations that incrementally increased antibiotic resistance. For example, in the case of fluoroquinolone resistance, resistance started with a mutation in the efflux pump, granting Streptococcus pneumoniae the ability to survive certain treatment regimens (13). This became an issue when people started to misuse their antibiotics. In this particular example, because patients did not follow their prescription regimens, they only killed the bacteria not resistant to fluoroquinolone. This selective pressure drove bacteria to further develop fluoroquinolone resistance, meaning that the initial infection remained untreated, and would now require a

Antibiotic resistance is and continues to be a global public health issue1.One of the main concerns stems from the ability for bacteria to obtain antibiotic resistance very easily as a result of chromosomal changes, or through plasmids and transposons which generate an exchange of genetic material2. Resistance can also result from single or multiple mutations1,3. To combat this rising force, scientists must research and analyse the many possibilities of mutations in a variety of genes and proteins in specific bacteria and ways to combat them.

Antibiotic resistance is, in simplest terms, just natural selection – but at a hugely exacerbated rate. We can see the effects of natural selection in ourselves; that’s why we don’t have webbed fingers, because they didn’t exactly benefit the terrestrial human race. But while it takes human beings 20-30 years to reproduce, it takes most bacteria 20-30 minutes. Think about that for a second. By reproducing every 20 minutes, a single E. Coli bacterium can create 70 billion new bacteria in just 12 hours. About 2% of those bacteria will have some type of mutation, and

Mutations and genetic evolutions in the bacteria are two ways resistance is growing. These mutations and genetic evolutions get passed down to the next generation, which makes it difficult for scientists to create antibiotics that work each specific strain of bacteria ("Facts about Antibiotic Resistance" 2016). Many resistant antibiotics have targeted the cells by inhibiting the enzymes that usually stop the spread of the bacteria (Diekema 2016). Scientists need to look into preventing these enzymes from getting blocked so the antibiotics can stop the replicating

Antibiotics have become a very important part of medicine. It is used to treat all kinds of bacteria, infections, diseases. Sadly, antibiotics have been coming to an end, they are being used more and more often everyday. They are being used so much that the bacteria they are being used to treat have been starting to become resistant to these antibiotics. Many infections that were once so easy to be treated have been gaining a stronger resistance. This is because of how the bacteria have a special enzyme that kills and eats up the antibiotics. As well as how the resistance that bacteria have can easily be passed off from one bacteria to another. This makes the resistance to antibiotics spread faster and increase rapidly. Much of the bacteria with resistance usually have it in their genes.

The overuse of antibiotics has been a problem for well over a decade. This misuse leads to many nonvisible problems arising within the human population. As the use of antibiotics increases, the number of antibiotic resistant bacteria also increases. When bacteria become resistant to an antibiotic, another antibiotic must be used to try and kill it and the cycle becomes vicious. Michael Martin, Sapna Thottathil, and Thomas Newman stated that antimicrobial resistance is, “an increasingly serious threat to global public health that requires action across all government sectors and society” (2409).