Community Magazine

Combating Antibiotic Resistance

By Jean Campbell

antibioticsThe Federal Food and Drug Administration (FDA), in a recent consumer release, states that antibiotics resistance is a growing public health concern worldwide.

According to the FDA, when a person is infected with an antibiotic-resistant bacterium, not only is treatment of that patient more difficult, but the antibiotic-resistant bacterium may spread to other people.

For many years we have relied on antibiotics to keep us healthy, sometimes to the point of insisting that we have an antibiotic even when our doctor tell us it is not warranted.

The FDA describes antibiotics as drugs used for treating infections caused by bacteria. Misuse and overuse of these drugs, however, have contributed to a phenomenon known as antibiotic resistance.

This resistance develops when potentially harmful bacteria change in a way that reduces or eliminates the effectiveness of antibiotics.

When antibiotics don’t work, the result can be:

  • longer illnesses
  • more complicated illnesses
  • more doctor visits
  • the use of stronger and more expensive drugs
  • more deaths caused by bacterial infections

Examples of the types of bacteria that have become resistant to antibiotics include the species that cause skin infections, meningitis, sexually transmitted diseases and respiratory tract infections such as pneumonia.

In cooperation with other government agencies, the Food and Drug Administration (FDA) has launched several initiatives to address antibiotic resistance.

The agency has issued drug labeling regulations, emphasizing the prudent use of antibiotics. The regulations encourage health care professionals to prescribe antibiotics only when clinically necessary, and to counsel patients about the proper use of such drugs and the importance of taking them as directed. FDA has also encouraged the development of new drugs, vaccines, and improved tests for infectious diseases.

Antibiotics Fight Bacteria, Not Viruses

Antibiotics are meant to be used against bacterial infections. For example, they are used to treat strep throat, which is caused by streptococcal bacteria, and skin infections caused by staphylococcal bacteria.

Although antibiotics kill bacteria, they are not effective against viruses. Therefore, they will not be effective against viral infections such as colds, most coughs, many types of sore throat, and influenza (flu).

Using antibiotics against viral infections

  • will not cure the infection
  • will not keep other individuals from catching the virus
  • will not help a person feel better
  • may cause unnecessary, harmful side effects
  • may contribute to the development of antibiotic-resistant bacteria

So how do you know if you have a bad cold or a bacterial infection?

Joseph Toerner, M.D., MPH, a medical officer in FDA’s Center for Drug Evaluation and Research, says that the symptoms of a cold or flu generally lessen over the course of a week. But if you have a fever and other symptoms that persist and worsen with the passage of days, you may have a bacterial infection and should consult your health care provider.

Follow Directions for Proper Use

When you are prescribed an antibiotic to treat a bacterial infection, it’s important to take the medication exactly as directed. Here are more tips to promote proper use of antibiotics.

  • Complete the full course of the drug. It’s important to take all of the medication, even if you are feeling better. If treatment stops too soon, the drug may not kill all the bacteria. You may become sick again, and the remaining bacteria may become resistant to the antibiotic that you’ve taken.
  • Do not skip doses. Antibiotics are most effective when they are taken regularly.
  • Do not save antibiotics. You might think that you can save an antibiotic for the next time you get sick, but an antibiotic is meant for your particular infection at the time. Never take leftover medicine. Taking the wrong medicine can delay getting the appropriate treatment and may allow your condition to worsen.
  • Do not take antibiotics prescribed for someone else. These may not be appropriate for your illness, may delay correct treatment, and may allow your condition to worsen.
  • Talk with your health care professional. Ask questions, especially if you are uncertain about when an antibiotic is appropriate or how to take it.

It’s important that you let your health care professional know of any troublesome side effects. Consumers and health care professionals can also report adverse events to FDA’s MedWatch program at 800-FDA-1088 or online at MedWatch.


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