Antibiotic overuse
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Discussion

anonymous-user

Original Poster:

83 months

Friday 13th October 2017
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[redacted]

Brainpox

4,314 posts

180 months

Friday 13th October 2017
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anonymous said:
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Everyone. It's not the individual that is resistant to antibiotics - it's the bacteria. Over time they will develop resistance and the worry is we won't be able to produce new antibiotics fast enough.

jas xjr

11,309 posts

268 months

Friday 13th October 2017
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as i understand it , it is not us that are becoming immune to antibiotics , it is the bacteria.
i also heard a report this morning. the financial case for developing new antibiotics is weird too.

a

439 posts

113 months

Friday 13th October 2017
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My understanding is that antibiotic-resistant strains of bacteria will develop (as they already have, but there'll be more) - this will affect everyone. People who can currently be treated with antibiotics will find them ineffective, and people like you who don't/can't use antibiotics will not get herd immunity as the infections spread.

We took our baby to the doctor a few months ago with an infection which we thought probably needed antibiotics. Doctor confirmed he needs antibiotics... I asked whether there was a local/cream antibiotic we could use, or anything else we could try first. Doctor looked very concerned and asked if I'm "refusing to use antibiotics for religious reasons". confused

All I did was ask if there's something gentler with less side-effects than pumping a baby's body full of antibiotics! As it turns out the antibiotics gave him weeks of stomach problems, so I was right to ask (although in this case there was probably no choice as the infection was too deep for cream).

You'd think a doctor would understand the reluctance to use antibiotics unless there's no choice...

otolith

68,697 posts

233 months

Friday 13th October 2017
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Yep, as stated, it's not the humans which become resistant but the bacteria. So you then have a strain of bacteria knocking about that those antibiotics don't work on. Then we have to start treating it with the more obscure antibiotics, but eventually those will stop working too. Evolution in action.

otolith

68,697 posts

233 months

Friday 13th October 2017
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Simple evolutionary theory - exposure to the agents creates selection pressure. Without the exposure, the bacteria carrying the mutations giving them immunity would have no competitive advantage and their genes would be unlikely to prosper.

otolith

68,697 posts

233 months

Friday 13th October 2017
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There is an answer, though - a perpetual arms race to keep producing novel agents to which they lack immunity.

sawman

5,167 posts

259 months

Friday 13th October 2017
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as has been said its the bugs that are resistant to the drugs.

There have not been any truly Novel antibiotics developed since the 1980's. So what we have has been around a while, over exposure to antibiotics in farming as well as healthcare has resulted in this current problem. I read somewhere recently that there are some watercourses somewhere in the developing world (might have been china, I cant remember) where the level of antibiotic concentration in the water would be considered therapeutic if it was in the bloodstream.

The sobering thought is that if a new drug was invented today, its likely to take several years to come to market due to the rigourous safety testing, etc'

there are drugs developed in the 50's that have not been used extensively in humans due to their unpleasant side effects, which are now starting to be deployed, because thats all thats left that will work is some cases.

The upshot of all this is that elective surgery will become increasingly risky (things like joint replacements, etc) and high risk surgery will become a complete no go (heart surgery, transplant etc) It will be like returning to the 19th century, people dying of complications of the flu etc.

not very cheery really....

Edited by sawman on Friday 13th October 19:54

sawman

5,167 posts

259 months

Friday 13th October 2017
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anonymous said:
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that would be a positive angle on the decimation of the earths population, yes! yes

dandarez

14,012 posts

312 months

Friday 13th October 2017
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Here is a sobering thought (if you like).

Last year antibiotic prescriptions fell by 2.6m to 34m prescriptions (in the UK).
I suppose that is good news from the previous year?

Compare that to the number of another prescription that has risen rapidly.
That of anti-depressant prescriptions issued - almost 60m.

SIXTY million!
Apparently costs the NHS £750,000 a day!

Are we really that depressed?

I don't know, but seems a good reason to be.

seeourex

1,114 posts

210 months

Saturday 14th October 2017
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Big Pharma has little incentive to develop new antibiotics as financially it doesn't make sense. Any novel antibioticwill be used as sparingly as possible, as a last resort on infections resistant to all other anitbiotics, to minmise the spread of resistance. Low sales= crap return on investment.

There a few glimmers of hope however. One possibility (not without its own problems) is Bacteriophage therapy - use viruses that kill bacteria (bacteriophages) as treatment. The bacteria develop resistance, but of course the viruses can evolve as well wink .

dandarez

14,012 posts

312 months

Saturday 14th October 2017
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Another point. NHS and other bodies all scared stiff about this coming winter and flu virus and infections in hospitals.

Get this.
Going into hospital the last thing you want is to get infection.

Best be careful which hospital you have.

All medics, nurses etc get the flu jab free. Naturally.

Yet take up is another post-code lottery.
A survey showed one hospital's staff had a 97% take up of the jab.
One hospital had a very low 19% take up of the 'free' jab to them.

Unfortunately, no areas or hospital names given.

Fingers tightly crossed then?