Antibiotic Resistance
When antibiotics were first identified
as being effective, they were widely used even when there
was no obvious bacterial infection present. Penicillin and
all antibiotics were called wonder drugs, and Doctors and
patients alike considered them appropriate for just about
everything
There are two major drawbacks to this practice.
Firstly, the impact of so many antibiotics was to reduce
the natural bacteria colonies inside people’s bodies
which reduced their natural resistance to further infection;
of course, this meant they ‘needed’ more antibiotics.
The other drawback has become a major concern
and has resulted in a much more restricted use of antibiotics
by doctors and hospitals.
What’s wrong with using so
many antibiotics?
Bacteria replicate very quickly and can
go through many generations in a short time.
All living cells have the potential to
replicate slightly differently to the original cell. Consider
the line of numbers 123456789 being copied by a school child
into a book; often, the child will write 123456789 but occasionally
it may be written as 123546789 or 132456789. It is a small
error to look at, but would it seem like a small error if
the numbers were your bank balance?
Such changes within a cell are called mutations.
Some of these changes have very little impact whilst others
can cause the new cell to die or be significantly different
in some way. Mutations can become a whole new sub group of
bacteria in a relatively short time because of their quick
replication time.
Sometimes, a bacterium mutates in such
a way that it becomes resistant or immune to an antibiotic
that used to kill that type of bacteria. Obviously, the resistant
bacteria will survive the antibiotics so it is the only one
to replicate and potentially be passed onto another person.
Small sections of genetic material, called
a plasmid, can actually move between bacterial cells of the
same and closely related types. These plasmids often contain
more than one resistant factor, thus speeding the growth
of resistance in the colony.
What is antibiotic resistance?
Bacterial resistance is the reduced ability
of an antibiotic to stop the bacteria causing disease in
the host human.
The ways in which bacteria resist the antibiotics
are:
-
Destroying the drug ~ some staphylococci
produce penicillinase to destroy natural penicillins
-
Sites the antibiotic attaches to are
altered and less susceptible to the drug
-
Over production of the enzyme which
is targeted by the drug ~ the antibiotic can only negate
so much enzyme at once, thus some enzyme is left available
to the virus
-
Cellular changes that reduce the cell
absorbing the drug
-
Under production of substances antibiotics
act upon
How do we reduce these problems?
The overuse of antibiotics encourages the
bacterial strains that are resistant and thus it becomes
harder to treat patients.
Now that we are aware of this,
Doctors will only prescribe antibiotics when they are sure
your illness is caused by bacteria and can be helped by antibiotics.
Don’t expect antibiotics every time
you visit a Doctor – antibiotics will not affect viral
infections such as colds, flu and most sore throats. Your
expectations can influence how many unnecessary antibiotics
are given out.
It is also important to use all of the
antibiotics you are prescribed. If you don’t, it is
likely that not all bacteria in your system will be killed.
The surviving bacteria will not only make you sick again,
but they may have developed a resistance to the drug after
the initial exposure.
Any left over antibiotics must be disposed
of; no one should ever have antibiotics that were not prescribed
for them and their current illness.
With more discriminate use of antibiotics,
we can keep the numbers of resistant bacteria under control
and make sure that antibiotics are an effective tool for
generations to come.
Tash Hughes is a Microbiologist and the
owner of Word
Constructions. She is available to solve all your business
writing problems! From letters to policies, newsletters to
web content, Word Constructions writes all business documents
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