Antibiotic Resistance

The question of antibiotic resistance is a growing phenomenon in contemporary society and modern medicine; it pertains to pathogenic organisms and is one of the most eminent issues of public health in the twenty-first century. Though resistant genes are ancient, its increasing prevalence poses a threat. It demands a greater need for antibiotic therapies. New resistance mechanisms may spread globally and limit our ability to treat disease and lead to a giant hole in the pillars of modern medicine.

When a bacteria is exposed to antibiotics, they are not always guaranteed to die. This is called antibiotic resistance. Sometimes antibiotics can only stop the bacteria from multiplying (make it stagnate), and other times it causes the bacteria to multiply even more. These three results depend on antibiotic concentration, bacterial mutation, and bacterial genetic exchange.

Antibiotics are amongst the most important medical discoveries and their introduction represents a remarkable success story (Hedin, 2011). The term antibiotics literally means against life (Walsh, 2000). Thus antibiotics can be used against any microbe such as bacteria, viruses, fungi, and protozoa. However, some people use the term to only apply to bacteria, but in this paper, the more appropriate term will be used.

“The Last Resort,” by Maryn McKenna is an article about antibiotic resistance. It explains the increase of carbapenem-resistant Enterobacteriaceae also known as CREs which are a class of antibiotic-resistant bacteria. CREs have been described as “a risk as serious as terrorism”(McKenna, 2013, p.394). CREs can cause bladder, lung, and blood infections that can develop into life-threatening septic shock. Unfortunately, it kills half of the people who contract it. This bacteria is resistant even to carbapenems, which are considered drugs of last resort because of the serious health risks in taking them. “Antibiotics have been falling to resistance for almost as long as people have been using them; Alexander Fleming, who discovered penicillin, warned about the possibility when he accepted his Nobel prize in 1945”(McKenna, 2013, p.394). Although CREs was first discovered almost 15 years ago, it did not become a public-health priority until just recently. The North Carolinan strain of Klebsiella produced an enzyme called Klebsiella pneumoniae carbapenemase or KPC for short. It broke down carbapenems which made the strongest antibiotic now resistant. “Physicians find themselves caught between using bad drugs or using no drugs at all”(McKenna, 2013,

Antibiotics are medicines that are used to treat bacterial infections. Antibiotic resistance means that an antibiotic is no longer effective in treating an infection. Resistance can develop if you use antibiotics the wrong way.

When non-resistant bacteria are exposed to an antibiotic, most of them die. But due to the increase of mutations some of the bacteria are becoming resistance to the antibiotic. The bacteria are all subject to natural selection. Natural selection is as simple as saying that the bacteria that have not developed a mutation or resistance that helps them to survive die. The ones that do, survive and pass on the mutation to the next generation. This means that we are constantly having to adapt our antibiotics because so much of the mutation is getting passed along. The flu vaccination is a good example of how mutations are carried over and how the vaccine had to be changed every year to fight the ever changing virus. Some strains

One environment where bacteria are regularly exposed to antibiotics is in large livestock operations, where producers very often treat their cows and other animals with drugs to prevent epidemics in the unsanitary and overcrowded conditions, which are common in the livestock industry. The simple reason for this is that in the short term it is cheaper to drug up the animals with antibiotics than to keep a clean living environment for them. Another big reason for these producers to drug up the animals is the fact that feeding antibiotics to the livestock makes for larger animals. The problem occurs when bacteria in these animals survive the bombardment of antibiotics, and some always do, the

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.

In doing research for an example of natural selection, I came across antibiotic resistant bacteria. This has become one of the biggest threats to the healthcare community and Center for Disease Control. Through the use of antibiotics in treatments that are not necessarily bacterial infections, as well as the over use and misuse of antibiotics, bacteria have evolved in ways making the antibiotics used against them useless. If a bacteria manages to survive through a dose of an antibiotic, they are capable of mutating and can transfer their DNA to other bacteria. The new bacteria multiply quickly and spread to other parts of your body or outside of your body to a new host. Once the bacteria have mutated and its DNA has been transferred to

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

Is the United States Healthcare system equipped to address the increasing threat from resistant Staphylococcal aureus, and resistant gram negative infection in US hospitals?

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

For a bacterium to become resistant a change in its DNA must occur. This can happen in more than one way. Bacterium may gain resistance through spontaneous mutation within the bacterium’s DNA. This occurs when a single amino acid that makes up a protein changes arrangement, the order of the peptide chain (made up of amino acids, joined together to make up proteins) then the purpose of the protein in the DNA changes. This causes the genetic makeup of the cell to alter. If the mutation is of benefit and gives the bacteria resistance, once all the other none resistant strains of bacteria are killed, the resistant bacteria multiplies and reproduces, creating a new strain of bacteria which is resistant to the antibiotic in hand. Once a resistance gene is obtained and inserted into the DNA, the bacterium can dominate other bacteria and

Less than 50 years after penicillin was discovered, strains of bacteria were discovered to be resistant to antibiotics (Haddox, 2013). Over the years scientists have changed the structure of the antibiotics to avoid this resistance, every time the bacteria adapts to overcome the changes. Bacteria divides as fast as 20 minutes and have many different ways to adapt (Haddox, 2013). Bacteria pass their drug resistance between strains and species, causing antibiotics to be less effective to all bacteria (Haddox, 2013).

Antibiotic resistance is a major topic talked about today in the scientific and medical communities because of the increased rate it is occurring. Antibiotics are medicines used to treat foreign bacteria in the body. In 1928, Alexander Fleming discovered the first antibiotic, penicillin, when testing the bacteria pathogen Staphylococcus aureus; the mold in his lab was capable of killing bacteria. Taking too many antibiotics can destroy the microbes in the gut, which help fight the bacteria in the first place. When bacteria changes DNA in the cell, the newly formed bacteria infection is now resistant to the former antibiotic treatments used previously ("Facts about Antibiotic Resistance" 2016). Once the bacteria cannot be inhibited by the antibiotic,