Disaster expected in resistant bacteria

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Antibiotic-resistant bacteria are becoming a danger to the world's population

The US Agency for the Protection of the Disease warns of more and more antibiotic-resistant bacteria. Every year, 23,000 people fall victim to the resistant bacteria, a total of over two million people would become infected. Accordingly, the agency would develop a "danger to the world population".

23,000 deaths per year The Centers for Disease Control (CDC) came to a worrying result as a result of a first-time estimate of the number of deaths annually resulting from an infection with multi-resistant bacteria. According to this, 23,000 deaths per year could be assumed, which would roughly correspond to the number of victims of the flu.

"Greatest Impact on Human Health" The CDC has now summarized its results in its report "Antibiotic resistance threats in the United States, 2013" and, according to its own statements, gives "a very first snapshot of the burden and threat of antibiotic-resistant germs, which have the greatest impact on human health, ”said the CDC scientists. For Helen Boucher from Tufts University in the US state of Massachusetts, the situation is more than serious, because "we are facing a catastrophe," said the doctor. It was therefore all the more important to alert people.

Antibiotics repeatedly criticized Antibiotics repeatedly give rise to discussions and criticism. On the one hand there are dozens of bacteria-fighting agents, without which many medical advances would not have been possible, since from today's perspective the patients would not have survived “ordinary” infections. On the other hand, there is the often ill-considered and widespread use of antibiotics, because they are used far too often and too often incorrectly, which means that more and more antibiotic-resistant strains of bacteria have formed over time. According to a report by the Center for Disease Control, it can be assumed that "up to half of the antibiotics used in humans and a large part in animals are unnecessary in the USA
and is inappropriate and everyone is less protected. "Accordingly," stopping some of these unnecessary and inappropriate antibiotic use in humans and animals could help slow the spread of resistant bacteria, "the CDC scientists said.

Resistance is spreading at a remarkable rate "Because the risks posed by antibiotic-resistant bacteria are immense to the US scientists, because" New forms of antibiotic resistance can cross international borders and thus easily spread across countries. "Many forms of resistance would spread at a remarkable rate, more than two million people a year would become infected with these pathogens in the United States alone, and at least 23,000 would even die from them. The pathogen Methicillin-resistant Staphylococcus aureus (MRSA) alone accounts for 11,000 deaths, which is also widespread in Germany and leads to more than 100,000 infections every year. The problem with MRSA: In many people, the staphylococci can be found on the skin without the pathogens causing an illness. The bacteria are extremely dangerous and can cause serious skin or tissue infections and even lead to life-threatening sepsis if they enter the bloodstream. According to the CDC, for example, in 2011 there were around 80,000 such severe MRSA infections in the United States alone, with the majority of these patients being treated in hospital beforehand.

Additional costs of infections of $ 20 billion In addition to the health risk, the agency should not underestimate the economic consequences of antibiotic-resistant bacteria, because “the infections cause considerable avoidable costs for the already strained American health system. In most cases, antibiotic-resistant infections require extended and / or more expensive treatments, longer hospital stays and additional visits to the doctor, and overall result in more disability and deaths compared to infections that are easy to treat with antibiotics, ”the researchers said in their report. As a result, additional treatment costs of $ 20 billion could be expected, as well as social costs of up to $ 35 billion a year due to lost productivity.

Clostridium difficile particularly dangerous According to the scientists, the so-called "carbapenem-resistant enterobacteria" (CRE) and the trigger of gonorrhea "Neisseria gonorrhoeae" are particularly worrying in this context. In addition, there is the stick bacterium "Clostridium difficile", which is one of the most common hospital germs and causes severe, life-threatening diarrhea, which, of all things, can occur as a side effect of antibiotic treatment. Accordingly, "250,000 people need hospital care for Clostridium difficile each year, with in most cases the use of antibiotics as the main factor that led to the disease," the researchers write in their report. According to the CDC, at least 14,000 people would die from the consequences of the infection.

Demand for a fundamental change in the daily use of antibiotics In view of this situation, according to the CDC, “four core tasks” would have to be worked on “that can help to fight these deadly infections”: avoiding the spread of the infections, as closely as possible tracking the resistant bacteria, a fundamental change or improvement the daily use of antibiotics and support the development of new antibiotics and new tests for the diagnosis of resistant bacteria. (No)

Picture: Dr. Karl HERRMANN / pixelio.de

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