The Sunday Guardian

Fight against drug-resistant ‘superbugs’ gets fresh boost

Scientists are racing to develop a new generation of medicines capable of defeating even the most drug-resistant of superbugs that pose a serious threat of causing a global epidemic today.

- KATIE FORSTER

Anew antibiotic designed to fight drugresist­ant “superbugs” has become available to patients in the UK.

Doctors are “running out of options” for treating common infections caused by bacteria which mutate to resist regular antibiotic­s, said microbiolo­gist Matthew Dryden.

“Resistance is increasing, almost exponentia­lly. It’s a problem facing every emergency department in this country,” he told The Independen­t.

But innovative new drugs like Zavicefta, which combines a traditiona­l antibiotic in the same class as penicillin with a brand new drug that attacks resistance mechanisms, are being introduced to tackle the growing threat of antibiotic resistance.

“One method of resistance is that the bugs have developed enzymes that destroy antibiotic­s,” said Dr Dryden.

“This antibiotic is a combinatio­n of the new and the old. It’s combining two drugs, one that’s entirely novel, avibactam, which inhibits the enzymes that cause resistance. That’s combined with a drug we’re pretty familiar with, called ceftazidim­e, that we know is well-tolerated.”

Scientists are racing to develop a new generation of drugs capable of defeating even the most resistant superbugs, which represent an “increasing­ly serious threat to global public health,” according to the World Health Organisati­on.

Antimicrob­ial resistance is caused when bacteria, viruses, fungi and parasites change through continued exposure to drugs, which then become ineffectiv­e against them.

Over time, excessive use of antibiotic­s could lead to minor infections causing serious health complicati­ons, making surgery and treat- ment for diseases such as cancer much riskier.

Zavicefta, made by pharmaceut­ical giant Pfizer, will used to treat multi-drug resistant infections including complicate­d abdominal infection, complicate­d urinary tract infection and hospitalac­quired pneumonia.

But while it will provide patients with considerab­le benefits, it does not represent the end of the fight against superbugs as bacteria can also become resistant to new drugs, said Dr Dryden.

“The threat hasn’t gone away, so we have to have different solutions. New antibiotic­s is an important aspect of it, but to persuade the world to stop using more antibiotic­s is really difficult.” Better education on the risks of antibiotic resistance, improved diagnostic tools and the developmen­t of alternativ­e treatments could all be used in the fight against superbugs.

“We use antibiotic­s too much, not just in human health but in animal health, in livestock and agricultur­e,” he said.

In some areas, drug leakage from factories can mix with untreated sewage in rivers, causing a “primeval mix of bacteria and low-dose antibiotic­s” which encourages the bacteria to mutate and adds to the problem.

Conservati­ve MP Kevin Hollinrake called the threat of antibiotic resistance the “new black death” ahead of a parliament­ary debate last week over a new report on the issue. The review, conducted by Jim O’Neill, predicted 10 million lives would be lost annually by 2050 as bacteria become more drugresist­ant.

“We do need a solution because antibiotic­s are absolutely life- saving,” said Dr Dryden. “We can’t envisage our children dying of simple bacterial infections that were readily treatable. It’s a shocking vision of the future.” THE INDEPENDEN­T

“This antibiotic is a combinatio­n of the new and the old. It’s combining two drugs, one that’s entirely novel, avibactam, which inhibits the enzymes that cause resistance.”

 ??  ?? Aritst’s representa­tion of drug-resistant superbug.
Aritst’s representa­tion of drug-resistant superbug.

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