"Superbugs" with Up to 50 Percent Drug Resistance Invade Europe
November 18, 2011 8:54 AM
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One bacterium, called Klebsiella pneumoniae, has been particularly harmful with 15 to 50 percent of cases due to bloodstream infections resistant to carbapenem antibiotics
The European Center for Disease Prevention and Control (ECDC) has found that multi-drug resistant
, or "superbugs," are spreading throughout Europe with resistance to even the strongest antibiotics.
One bacterium, called Klebsiella pneumoniae, has been particularly harmful. K. pneumoniae typically causes pneumonia, bloodstream and urinary tract infections.
K. pneumoniae has become resistant to antibiotics in Europe, leading to infection in many countries. In fact, K. pneumoniae is even resistant to the most powerful antibiotics called carbapenems.
According to the ECDC, 15 to 50 percent of K. pneumoniae due to bloodstream infections were resistant to carbapenems.
According to Marc Sprenger, ECDC's director, rates of resistance to "last-line" antibiotics such as carbapenems by K. pneumoniae had doubled to 15 percent in 2010 from 7 percent five years ago.
There are two main issues with fighting the superbug: the lack of commercial incentive to invest in last-line antibiotics, and the misuse of antibiotics.
There are very few new antibiotics in development. According to experts, only large drug firms like AstraZeneca are partaking in antibiotic research, and there's a lack of effort in creating new antibiotics that will only be used as a last line of defense.
Antibiotic misuse is a large problem with fighting bacteria. When antibiotics are overused, bacteria find other avenues of surpassing the antibiotics and invading the body. According to Sprenger, countries with the highest rates of multi-drug resistant infections also tend to be the ones with the
highest antibiotic use
. These countries include Cyprus, Greece, Bulgaria and Hungary.
But K. pneumonia isn't the only superbug to worry about. A different risk report focuses on a gene called New Delhi metallo-beta-lactamase (NDM-1), which can be found in K. pneumonia or E. coli. It makes bacteria resistant to nearly all drugs, and the ECDC reported 106 cases in 13 European countries by the end of March 2011. In late 2010, there were only 77 cases in the same 13 countries. In August 2010, there were patients in South Asia and Britain discovered with the NDM-1 gene.
Experts say doctors are largely to blame for the overuse of antibiotics leading to abuse and eventually resistance. They say patients demand them without needing them and hospitals readily give them out.
International Business Times
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RE: Silly Doctors
11/18/2011 4:11:53 PM
Shoot, why don't they just give them sugar pills? Or are the doctors in with the pharmacies or something?
RE: Silly Doctors
11/19/2011 11:18:38 AM
That doesn't adress the reason why people ask for medicine. And i can understand the no.1 reason for abuse of antibiotics: Kids.
What's more scary to a parent then losing their child? That can break down the best of them. My dad is a very wise and calm individual, but when i was 3 months old and i had a fever of 41,3C (42C is enough to kill an adult) even he didn't mind antibiotics at all. In that situation, of course medicine is approriate. But what it leaves behind is "oh my god my 3 month old baby nearly died, i'm NOT going to let it get this far next time".
Of course doctors share in the blame, for still giving out antibiotics. But parents can be very persuasive when they think the doctor is gambling with their childs life, no matter how small the odds might be. Since i'm an adult i've gotten sick much less often since my immune system is fully developped, and i go to the doctors office less often because i belive something really needs to be wrong before i need to go to the doctor. Even so, more often then not i've heard "wrong posture while sitting", "it'll go away", "nothing really to do about that" etc. And i'm willing to accept it since he's the doctor and probably knows what's best (don't worry if i'm really in pain i force him to check again too).
Thing is, would even i have that attitude with my own child? Absolutely not. My kid isn't going to die i'm damn well going to make sure of that. Me? i won't die, i can take a hit. I think that's the main culprit of overuse of antibiotics. Nor do i think that's something we can change since it's so deeply rooted in our being.
So all in all.... the best thing to do is just to keep developping antibiotics, for widespread *and* limited use. We are going to need to anyway, no matter how much you limit the use *eventually* bacteria will become resistant.
RE: Silly Doctors
11/19/2011 7:06:31 PM
I cant speak for other countries, but in America it is considered unethical/illegal to give placebo unless the patient is participating in a drug trial.
Pharmacies don't stock sugar pills and a pharmacist isn't going to lie to the patient about what s/he is dispensing.
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