Recently I attended a speech of a fellow student about antimicrobial resistance (AMR) and its emerging problem. The speech made me realize that if no action is taken, common diseases such as a cold can become fatal, if that doesn’t sound frightening! Now how does this antimicrobial resistance occur and how do we fight against it?
AMR occurs via a wide range of mechanisms. Target genes of antibiotics evolve under the antimicrobial selection pressure there is. When mutations appear in the genome of the micro-organism, these mutations can cause changes in the micro-organism, making it resistant to its designed antibiotic. This may happen through efflux of the antibiotic, hydrolysis or degradation of the antibiotic, changing the components of certain proteins, etc.
But how it occurs isn’t the issue since this is just nature doing its job. The real problem is the consequences it brings along. AMR increases health-care costs, length of stay in hospitals, morbidity and mortality in both developed and developing countries and so on. According to a recent report 10 million deaths will be attributed to AMR by the year of 2050, which is a staggering number, isn’t it? Certainly in developing countries this can become a serious issue for national wellbeing and health, since there are often suboptimal hygiene conditions, lack of prevention and control measures and unsafe water.
Despite the clear evidence that AMR poses a threat, there is little information on how to deal with this emerging issue. Like my colleague-student mentioned, it will be important to heighten awareness of policy-makers, health care workers and the general public about the risks associated with AMR. Furthermore it’s for the best if antibiotic consumption is limited down to the cases where it is absolutely necessary to administer medication for survival. Finally funding in research to create new antibiotics and find other solutions is a step in the right direction to keep the situation under control. This will be the way to win the battle against antimicrobial resistance if you ask me, or even better, to nip it in the butt before this biological war has the chance to actually start!
Sources:
Presentation Ricky Colman