JADE Student Edition 2020 October 2020 | Page 42

Emergence of highly antibiotic resistant‘ Superbugs’ and the implications of antibiotic resistance
Abstract
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Article # 2

Emergence of highly antibiotic resistant‘ Superbugs’ and the implications of antibiotic resistance
Gurniak Johal
Keywords:
Antibiotic resistance; superbugs; methicillinresistant staphylococcus aureus; penicillin-binding protein 2a
DOI:
https:// doi. org / 10.21252 / 5t67-7409

Emergence of highly antibiotic resistant‘ Superbugs’ and the implications of antibiotic resistance

Abstract

Many types of bacteria are now insensitive to antibiotics, the drugs which were designed to kill them; this insensitivity is known as antibiotic resistance( AR). Horizontal gene transfer( HGT) is responsible for widely distributing antibiotic resistance among bacteria.‘ Superbugs’, such as Methicillin-Resistant Staphylococcus aureus( MRSA), are particularly evasive, with resistance to several different antibiotics. The expression of high levels of resistance in these bacteria is due to novel, non-standard, proteins, including Penicillin-Binding Protein 2a( PBP2a), which allows MRSA to survive in the presence of antibiotics, even when other kinds of Staphylococcus aureus( SA) cannot. Unnecessary antibiotic use is mainly to blame for the development of AR, with the Centers for Disease Control and Prevention reporting that nearly 50 % of all US antibiotic use in outpatients is inappropriate. Other factors include ease of availability, and public unawareness; in a concerning recent study of around 55,000 members of the public, around 15,000 said they had never heard of antibiotic resistance. AR in the bacterium Heliobacter pylori( H. pylori) has resulted in antibiotic-based therapy success rates dropping by 17 % for nitroimidazole therapies, and 36 % for bismuth therapies. The Organisation for Economic Co-operation and Development( OECD) says that hospitals may be required to spend up to an extra US $ 40,000 to treat resistant infections. Current predictions show the resistance crisis worsening significantly by 2050; changes must be made now to contain antibiotic resistance before it is too late

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Introduction to antibiotic resistance
Antibiotics are drugs that are designed to kill bacteria. In recent years, many bacteria have become immune to these drugs, meaning that they can no longer be killed by them – this is what is known as antibiotic resistance.
When an antibiotic is used on a population of bacteria, a small number of bacteria in the population may not be killed, due to a random genetic change, or mutation, emerging in their DNA that allows them to survive. These surviving bacteria are now the only ones that can reproduce, so the genetic change will be passed on
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