The Current State of Antibiotic Resistant “Superbugs”
Introduction
The rapid emergence of antimicrobial resistant bacteria is a startling problem facing the medical community and this problem is only expected to worsen in the coming years. When Sir Alexander Fleming discovered the first antibiotic, penicillin, in 1928, many proclaimed his finding as the most important modern medical discovery. Simple infections such as pneumonia could be treated rather easily despite the fact that such diagnoses could prove to be commonly fatal in the early 20th century. Penicillin was also successfully used as a prophylactic treatment to curtail bacterial infections from overcoming the Allied forces during the second World War. However, it was only less than a decade later that the first penicillin resistant bacteria were detected and the once all-powerful antibiotic faced a startling Darwinian reminder: “… the history of evolution is that life escapes all barriers… Life breaks free... Life expands to new territories... Painfully, perhaps even dangerously... But life finds a way”. It is due to life’s incredible ability to evolve and adapt that we find ourselves in a state of nervousness and apprehension about the “post-antibiotic apocalypse” that is approaching ever so rapidly. In its most recent report, the World Economic Forum Global Risk committee listed antibiotic resistance as one of the greatest threats to human health. In the United State alone, is is estimated that over 2 million
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.
Throughout my life, adults have insisted the use of antibiotics to fight against the most inconsequential illnesses, whether it’s the cold or the flu. However, neither illness is due to invasion of bacteria. This misuse can lead to antibiotic resistance, also known as antimicrobial resistance(AMR), currently one of the central issues facing the public health system. While the process for antibiotic resistance occurs naturally through the process of adaptation, the mismanagement of antibiotic resources has accelerated the rate at which the bacteria adapt. The occurrence of this misinformation isn’t limited to a few adults: even some of my peers suggest taking antibiotics when faced with the flu. This leads to asking whether AMR is truly a problem and are present regulations enough to combat the issue.
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
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
With all of our modern advances, it seems somewhat strange that chronic health problems have become so commonplace. When antibiotics were discovered, they predicted the end of disease. Instead, we now have a world full of frightening antibiotic resistant infections.
Antibiotics have played an essential role in the fight against diseases and infections since the 1940’s. Antibiotics are a leading cause for the rise of global average life expectancy in the 20th and 21st century. They have greatly reduced illnesses and deaths due to diseases. With the introductions of antibiotics in the 1940’s, like penicillin into clinical practice, formally deadly illnesses became immediately curable and saved thousands of lives (Yim 2006). Antibiotic use has been beneficial and when prescribed and taken correctly their effects on patients are exceedingly valuable. However, because these drugs have been used so widely and for such a long period of time the bacteria that the antibiotics are designed to kill have adapted,
A current predicament in the field of science is antibiotic resistance against superbugs.Though fighting against superbugs; which can be defined as a strain of bacteria unable to be killed using multiple antibiotics, is now a large problem, in the past it was not. The evolution of resistance in bacteria due to antibiotic abuse and lack of product development has brought upon us once again the fear of a pre-antibiotic era; one where simple, once easily defeated infections could kill. Already, infectious diseases are the 3rd leading cause of death in the US and the 2nd across the entire world, and drug resistant superbugs send 2 million Americans to hospitals every year; killing 23,000 of those people. And any bacterium can quickly and easily become multidrug resistant, the leading cause of this being antibiotic misuse in both humans and animals.( "Clinical Infectious Diseases." The Epidemic of Antibiotic-Resistant Infections: A Call to Action for the Medical Community from the Infectious Diseases Society of America. UCLA Medical School. Web. 27 Mar. 2016.)
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.
(KArch) We as human-hosts are not just helpless victims, our continuous reliance on antibiotics treatment helps contribute to the ever growing problem. The increased and inappropriate use of antibiotic therapy is the main cause of these antibiotic resistant bacteria. Patient this day and age are often prescribed pills for every condition. Patients come into doctors’ offices demanding antibiotics and healthcare providers are filling these orders. This in turn contributed to this growing chain of antimicrobial resistance.
The use of the healthcare system as a whole is largely determined by the cost incurred by the patient, as well as insurance companies within the healthcare system. As for combating the growth of antibiotic resistance, it might be beneficial to increase the cost of antibiotics so that they are used only when clinically appropriate. This, however, would lead to a decrease in access to patients who might actually need these forms of treatment and who are unable to afford them. Additionally, increasing the cost of treatment options may cause there to be a delay or abandonment of therapy. While neither of these options may be ideal to patients, and even the healthcare system as a whole, the consideration of their use may aid in lowering the prevalence of antibiotic resistance.
In the past tense 60 years, antibiotic drugs have been critical to the fight against infectious disease caused by bacteria and other microbe. Antimicrobial chemotherapy has been a lead cause for the dramatic rise of norm life expectancy in the Twentieth Century. 1 However, disease-causing bug that have become resistant to antibiotic drug therapy are an increasing public health trouble. “Wound contagion, tuberculosis, pneumonia, gonorrhea, childhood ear infections, and septicemia are just a few of the diseases that have become hard to treat with antibiotics.” 2 One part of the job is that bacteria and other germ that cause infections are remarkably resilient and have developed several ways to resist antibiotics and other antimicrobial drug. 3 Another part of the problem is due to increasing use, and abuse, of existing
Dr. Martin Blaser, author of Missing Microbes: How the Overuse of Antibiotics is Fueling Our Modern Plagues, paints antibiotics as a negative force in the world that causes disease. Dr. Blaser has studied the role of bacteria in human disease for more than thirty years at Vanderbilt University, and has experience as the director of the Human Microbiome Project at New York University. He also works with the National Institute of Health on infectious diseases. Meanwhile, Dr. David Shlaes, author of Antibiotics: The Perfect Storm, focuses on the drugs’ ability to cure disease. Dr. Shlaes has worked for 30 years in anti-infective academia, industry, and consulting. He served as Professor of Medicine at Case Western Reserve University for five years, and then moved to industry, where he became vice president of Infectious Diseases at Wyeth Research. Later, he took a position as executive vice president of research and development at Idenix Pharmaceuticals in Cambridge, Massachusetts, and formed his own consulting company. He now works predominantly with biotech companies and venture capital firms in their evaluation of anti-infective companies. While they take different approaches, the two doctors concur that antibiotic resistance is a major problem and that society needs to find ways to slow it down. One way to slow down the spread of resistant bacteria is finding ways to ensure
Since antibiotics, such as penicillin, became widely available in the 1940s, they have been called miracle drugs. They have been able to eliminate bacteria without significantly harming the other cells of the host. Now with each passing year, bacteria that are immune to antibiotics have become more and more common. This turn of events presents us with an alarming problem. Strains of bacteria that are resistant to all prescribed antibiotics are beginning to appear. As a result, diseases such as tuberculosis and penicillin-resistant gonorrhea are reemerging on a worldwide scale (1).
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).
According the World Health Organization (WHO), antibiotic resistance is one of the world’s greatest health threats to date (Haddox, 2013). In the article, The Health Threat of Antibiotic Resistance, Gail Haddox (2013) discusses the danger antibiotic resistance poses in today’s society and strategies to prevent the expansion of antibiotic resistance. In Europe alone, an estimated 25,000 deaths have been attributed to multi-resistant infections (Haddox, 2013). Common infections are now harder to treat due to the increased resistance to antibiotics across the world, in fact some are becoming untreatable. Antibiotics should be treated like oil, a non-renewable resource (Haddox, 2013).