It
seems as if all of the diseases and pandemics we discussed in class, were for
the lack of a better term, chance occurrences. It is believed that the origins
of the Ebola outbreak can be traced back to children playing with and eating
infected bats. Some of the deadliest influenza outbreaks were simply the effect
of mutating virus; a fact of life and biology which humans are not able to
control. However, superbugs or antibiotic-resistant diseases, have their
origins in the over-prescribing of antibiotics, a very human activity. Before
these superbugs started to appear and scientists began to study them, many
doctors were over-prescribing antibiotics. Antibiotics are only effective in
treating a bacterial infection, not something like a common cold or flu, yet
doctors were prescribing antibiotics to any individual who presented any
symptoms closely resembling a bacterial infection. I recall growing up and
experiencing a few ear and sinus infections, which can be caused by both
viruses as well as bacteria. Never did my doctors really test for a virus or
bacteria; instead just prescribing an antibiotic. The other major problem with
antibiotics is the fact that patients often do not follow the instructions on
the prescription bottles or stop taking the medication once they feel
better. The problem with this is that it provides the perfect conditions for
bacteria to mutate; which is why superbugs are starting to surface across the
globe. We as members of a global community need to recognize this danger and
threat, and take steps to reduce the possibility of a widespread superbug
pandemic caused by our own negligence.
A WebMD article written by Kelli
Miller states: “every year, about 2 million
people get sick from a superbug, according to the CDC. About 23,000 die”. She also
cites the rather unsettling reminder that: “antibiotics are the foundation on
which all modern medicine rests. Cancer chemotherapy, organ
transplants,
surgeries, and childbirth all rely on antibiotics to prevent
infections. If you can't treat those, then we lose the medical advances we have
made in the last 50 years." It is very troubling to think that many of our
advanced medical treatments and procedures, like those mentioned above, could
be at risk if our current antibiotics were ineffective. Diseases like MRSA, C
diff (Clostridium
difficile), and Multidrug-Resistant
Acinetobacter are very serious infections that pose a significant threat to
one’s life. I had a family member who got sick with MRSA a few years ago, and I
was shocked by the number of antibiotics he had to take to help his body fight
off the infection. He also found out that he was allergic to one of the
antibiotics, which adds another level of complexity to this problem. Even if
scientist and researchers continue to develop new, better, and stronger
antibiotics, there is still the chance that these antibiotics will not be
tolerated well by the patients these medications are intended to cure. I think
that by now I have made it clear that superbugs are a very serious and
important reality that we are all going to face as members of the global
community.
As I have stated earlier, this
superbug problem has been created at the hands of both doctors and patients. An
infectious-disease specialist, Dr. Amesh Adalja, writes “antibiotics resistance isn’t just something that happened
after the discovery of penicillin”
and the article continues to state: “researchers
have discovered bacteria in caves that are resistant to many antibiotics, even
though these bacteria have never had contact with humans, or been exposed to
antibiotic drugs. Bacteria likely evolved…to defend themselves against other
bacteria, or help them survive in other ways”. According to this specialist, the
problem we have today could not have been fully prevented solely by the
conservative and appropriate use of antibiotics. Instead, organisms have been
mutating and evolving for as long as they have been on earth, but now that we
all live in a very globalized environment, these new and resistant diseases can
spread overnight to all corners of the globe; something that simply could not
happen a few hundred or thousand years ago. Based on her argument, these
superbugs are the product of a natural evolutionary process that was
exacerbated by the misuse of antibiotics. Dr. Amesh Adalja desires for science to work towards
developing new treatments and vaccinations to combat the constantly evolving
bacteria and viruses. My hope is that researchers are able to find new
medications and vaccines, but I hope that we can look back at this period of
our history and learn from our mistakes, so both doctors and patients are more
cognizant of the dangers of the misprescribing and misuse of all drugs, but
especially antibiotics.
NPR published an article which addresses
how different bacteria evolve to become antibiotic-resistant superbugs. The
writer includes a video of an experiment (I will include the link), that I
highly suggest you watch if you have a few minutes. This experiment depicts
exactly how E. coli bacteria can mutate to survive in successively
higher amounts of antibiotics, rendering these treatments ineffective.
While the problem of superbugs seems
very threatening and concerning; it should be noted that modern medicine is
still advancing every day and developing new and successful ways to treat a
number of the already mentioned superbugs. It is true that people die from
diseases like MRSA, but at the same time, I witnessed a family member be cured of
this disease with a cocktail of new antibiotics. When I was seeing my doctor
last week, I noticed in the waiting room there was a chart about what symptoms
do or do not require an antibiotic. I believe that taking even small measures,
like simply putting up posters, will help to educate the public and slow the
development of future superbugs.
Suggested
Video: https://www.npr.org/sections/health-shots/2016/09/08/492965889/watch-bacteria-invade-antibiotics-and-transform-into-superbugs
I found your blog very interesting as I had never before really heard of the superbug problem. I too remember many times when I have been given antibiotics just to make sure that I wouldn't get pneumonia when I didnt even have the disease, or any bacterial infection. I think that over prescription is a problem in general, I mean just look at the opioid problem that is currently plaguing society. The problem with preventing over prescription is the fact that it can lead to people not being able to get the proper medications even when they are in fact in need of them, as with opioids. I really like your solution to putting up posters and making people more aware of the situation. Awareness is the first step to preventative measures.
ReplyDeleteI have noticed that doctors have over prescribed for certain symptoms without actually testing people. I have known many people who got medication without testing and it turns out that the sickness was nothing to serious but they were given medication for a much more serious note. This sadly leads to problems of the higher tolerance for drugs which requires higher doses or a stronger drug and when they do get seriously ill and their tolerance is too high for certain drugs then this could effect them even more. This moves into your point of the super-bugs and the causes of them which is nothing short of underrepresented in news.
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