Pittsburgh Post-Gazette

Preserve the benefits of antibiotic­s for when they can actually work

- By Michael Stevens Dr. Michael Stevens is the System Healthcare Epidemiolo­gist at the WVU Health System and is a member of the Antimicrob­ial Stewardshi­p Committee at the Society for Healthcare Epidemiolo­gy of America.

As respirator­y viruses follow their usual patterns of surging in the winter months, it’s a good time to address the common misconcept­ion that antibiotic­s are the cure for such ailments. The truth is that antibiotic­s do not treat viruses, and using them for common colds, which are caused by viruses, could cause harm to our individual well-being and the health of the larger community.

Antibiotic­sare, no doubt, lifesaving. Because of antibiotic­s, people are less likely to die from simple wounds that become infected. Childbirth is much safer, advances like transplant­s and cancer treatments are possible, and fewer people die from communicab­le diseases around the world. Since penicillin was first discovered nearly 100 years ago, antibiotic­s have played a huge role in improving the quality of our lives and in extending life expectancy by nearly a quarterof a century.

But antibiotic­s are not magic pills that can cure every infection.

Antibiotic­s do not defend against viruses, which means they are ineffectiv­e against colds, runny noses, most sore throats, COVID19 and the flu. Even some bacterial infections that cause sinus infections and ear infections will get better on their own without antibiotic­s. Taking an antibiotic “just in case” can be counterpro­ductive — and evenharmfu­l.

Using antibiotic­s when they are not needed, or using the wrong antibiotic, can contribute to a phenomenon called antibiotic resistance. When bacteria are exposed to these powerful drugs, they can develop mutations that render them resistant to the drug. As vulnerable bacteria are killed off, resistant ones are left behind to grow and spread. When this happens, illnesses caused by these resistant bacteria are harder to treat.

Antibiotic­s are often used in agricultur­e and livestock, which can further worsen human exposure to drug-resistant bacteria through consumptio­n of animal products and even produce. Therefore, it’s increasing­ly important to think about the interconne­ctedness of human, animal and environmen­tal health — known as the One Health approach. This holistic perspectiv­e acknowledg­es that the health of one component is intricatel­y linked to the health of the others.

Moreover, certain communitie­s are impacted more severely by antibiotic­resistant infections, including Black and non-white Hispanic communitie­s, and those living in poverty who may have less access to quality health care and qualityfoo­d sources.

The bottom line is that antibiotic resistance has multiple causes and solutions, including some actions you can take to make a difference. Steps you can take to protect your health and combat antibiotic resistance:

When you get sick, understand that most respirator­y illnesses (e.g., the common cold) are caused by viruses. Have realistic expectatio­ns and understand that antibiotic­s are often not the answer. Some illnesses just take time and rest to get better. If your symptoms are not getting better or are getting worse, then ask your health care provider if antibiotic­s may be needed for a more complicate­d infection.

Seek out and support convention­al and organic food brands that discourage routine use of antibiotic­s in animals. This informatio­n is increasing­ly appearing on labels and can guide your decisions.

Stay up to date on recommende­d vaccines against respirator­y viruses like SARS-CoV-2 (the virus that causes COVID-19), RSV and the flu. Preventing these illnesses will also help prevent exposure to unnecessar­y antibiotic­s.

Remember that antibiotic­s are both a blessing and a societal responsibi­lity. By understand­ing their benefits, recognizin­g the threats of overuse, and adopting preventive strategies, we can collective­ly safeguard these invaluable tools for the benefit of our global community.

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 ?? Shuttersto­ck ?? Antibiotic­s are, no doubt, lifesaving, but they do not defend against viruses.
Shuttersto­ck Antibiotic­s are, no doubt, lifesaving, but they do not defend against viruses.

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