Feature: the production of antibiotics Since the first pioneering efforts of Florey and Chain in 1939, the importance of medicine antibiotics has been a lot of research on the discovery and production. The production process involves screening of a wide range of microorganisms, testing and modification. Production is carried out using fermentation; A process that is important, under anaerobic conditions when there is no oxidative phosphorylation to maintain the production of adenosine triphosphate (ATP) by glycolysis. [Edit] Side effects Possible side effects are varied, depending on the antibiotic used, and the microbial targeted. Negative effects can range from fever and nausea to major allergic reactions including photodermatitis. [Edit] One of the most common side effects were diarrhea, sometimes caused by the anaerobic bacterium Clostridium, resulting from antibiotic upset the normal intestinal flora, [4] This proliferation of pathogenic bacteria can be alleviated by the ingestion of probiotics during a course of antibiotics. [Edit]. An antibiotic-induced perturbation of the population of bacteria normally present components of the normal vaginal flora may also occur and can lead to a proliferation of yeast species of the genus Candida in the vulvo-vaginal area. [5] Other side effects may result from interaction with other drugs, such as the high risk of tendon damage to the administration of a quinolone antibiotic with a corticosteroid. This is an affirmation that some antibiotics may interfere with the effectiveness of birth control pills. Although there are a few known cases of complication, the majority of antibiotics not to interfere with contraception, despite widespread misinformation to the contrary. [6] [Edit] Antibiotic abuse The forms of misuse of antibiotics including failure to take the full prescribed course of the antibiotic or lack of adequate rest to enable recovery authorization of the infecting organism. These practices can lead to the development of bacterial populations of antibiotic resistance. Inapproprié antibiotic treatment is another common form of misuse of antibiotics. A common example is the use of antibacterial antibiotics used to treat viral infections such as colds. [Edit] Animals It is estimated that over 50% of antibiotics used in the United States are given to food animals (eg, chickens, pigs and cattle), in the absence of disease. [7] antibiotics used in animal food production has been combined with the emergence of antibiotic-resistant strains of bacteria including salmonella. , Campylobacter spp. , Escherichia coli and Enterococcus spp. Proof of some American and European studies suggest that these resistant bacteria cause infections in people who do not respond to antibiotics commonly prescribed. In response to these practices and that the problems, a number of organizations (eg The l'American Society for Microbiology (ASM), American Public Health Association (APHA) and the American Medical Association (AMA)) called for restrictions on use of antibiotics in food animal production and the end of all non-therapeutic uses. [Edit] However, delays in the legislative and regulatory measures aimed at reducing the use of antibiotics are frequent, and may include resistance to these changes by industries to use or sell antibiotics, as well as time spent on seeking to establish a causal relationship between the use of antibiotics and Emergence bacterial diseases untreatable. Today, there are two federal laws (S.742 and H.R. 2562) aimed at eliminating non-therapeutic antibiotics in the US food animal production. The bills are approved by the public health and medical organizations, including the American Nurses Association (ANA), the American Academy of Pediatrics (AAP) and the American Public Health Association (APHA). [Edit] [Edit] Humans A study of respiratory tract infections found "physicians were more likely to prescribe antibiotics to patients who should in their view, but they correctly identified only about 1 in 4 of these patients." [8] multifactorial interventions aimed at both physicians and patients can reduce Inapproprié prescribing antibiotics. [9] Delay antibiotics for 48 hours in accordance with the spontaneous resolution of respiratory tract infections may reduce the use of antibiotics; However, this strategy can reduce patient satisfaction. [10] Excessive use of prophylactic antibiotics in the passenger may also be classified as misuse. [Edit] Antibiotic resistance Feature: Antibiotic resistance SEM depicting methicillin-resistant Staphylococcus aureus bacteria.Use or misuse of antibiotics can result in the development of antibiotic resistance by infecting organisms, similar to the development of resistance to pesticides in insects. The evolutionary theory of genetic selection that requires as close as possible to 100% of the infecting organisms to be killed to avoid the selection of resistance; If a small subset of the population survives treatment and allowed to multiply the average length of this new sensibility population in the complex will be well below that of the original population, because they have descended from those few organizations that have survived the original treatment. This survival often inherited from resistance to the concession, which was uncommon in the population of origin, but it is now much more prevalent in the descendants and chosen entirely on those rare initially resistant organisms. Antibiotic resistance has become a serious problem in developed countries and underdeveloped countries. In 1984 half the people with active tuberculosis in the United States who had a strain resistant to at least one antibiotic. In some settings, such as hospitals and day-care places, the rate of antibiotic resistance is so high that the normal, low-cost antibiotics, which are virtually useless for the treatment of infections commonly seen. This leads to more frequent use of newer and more expensive compounds, which in turn inevitably leads to the increase of resistance to these drugs, and a race to discover new and different antibiotics follows, we just keep to lose ground in the fight against infection. The fear is that it will eventually fail to take into this race, and when people do not fear life-threatening bacterial infections will be just a memory of a golden age. Points of attack bacteria by antibioticsAnother example is the selection of the Staphylococcus aureus (golden staph '), which could be successfully treated with penicillin in the years 1940 and 1950. At present, almost all strains resistant to penicillin, and many are resistant to nafcillin, leaving only a narrow selection of drugs such as vancomycin for the treatment. The situation is aggravated by the fact that genes coding for resistance to antibiotics can be transferred via plasmids between bacteria, making it possible for bacteria never exposed to acquire an antibiotic resistance of those who have. The problem of antibiotic resistance is aggravated when antibiotics are used to treat disorders in which they have no effective as a cold or other viral complaints, and when they are widely used as prophylaxis rather than the treatment (as in, for example, animal feed), because it exposes more bacteria to select for resistance. [Edit] Modification of resistance Agents One solution to combat the resistance of current research is the development of pharmaceutical compounds that return multiple antibiotic resistance. These so-called resistance to the changing target and the agents can inhibit making mechanisms MDR bacteria to antibiotics likely they were previously resistant. These compounds target include, among others, Inhibition of efflux (Phe - Arg-β - naphthylamide) [11] Beta Lactamase inhibition Augmentin ® [12] [Edit] Beyond antibiotics The comparative ease of identifying compounds that security cure bacterial infections is more difficult to duplicate in the treatment of fungal and viral infections. Antibiotic research has led to significant advances in the knowledge of biochemistry, the establishment of major differences between the cellular and molecular physiology of the bacterial cell and mammalian cells. This explains the observation that many compounds which are toxic to bacteria are non-toxic to human cells. However, the basis biochemistries cells fungal and mammalian cells are much more similar. This limits the development and use of therapeutic compounds a fungus that attacks cells, without harming mammalian cells. Similar problems exist in antibiotic treatment of viral diseases. Human viral metabolic biochemistry is very closely similar to human biochemistry, and the potential targets for antiviral compounds are limited to very few elements which make up a virus from mammals. Bacteriophages for research on the use of antibiotics is currently underway. Several types of bacteriophage seems to exist that are specific for each taxonomic group of bacteria or other species. [Edit] research on bacteriophages for medical use is just beginning, but has led to the growth of the microscopic imaging. [13] Although bacteriophages provide a possible solution the problem of antibiotic resistance, there is no clinical evidence yet that they can be deployed as therapeutic agents to defeat the disease. Phage therapy has been used in the past on humans in the United States and Europe in the years 1920 and 1930, but these treatments had mixed results. With the discovery of penicillin in the years 1940, Europe and the United States has changed therapeutic strategies with antibiotics. However, in the former Soviet Union phage therapies continue to be explored. In the Republic of Georgia, the Eliava Institute of Bacteriophage, Microbiology and Virology continues to research the use of phage therapy. Various corporations and foundations in North America and Europe are currently researching phage therapy. [Edit] However, phages are alive and reproduction; Concerns about genetic engineering in distributed free virus currently limits certain aspects of phage therapy. Bactériocines are also increasingly alternative to the conventional small molecule antibiotics. Different kinds of bacteriocins have different potential as therapeutic agents. Small molecules bacteriocins (microcins, for example, and lantibiotics) can be similar to the conventional antibiotics; Colicin-as bacteriocins are more likely to be narrow spectrum, and to require new molecular diagnosis prior to the therapy, but also not to raise the specter of resistance to even degree. Probiotics are another alternative that goes beyond traditional antibiotics using a living culture that can arise as a symbiont, competitors, inhibiting or simply interfering with the colonization of pathogens. It can produce antibiotics or bacteriocins, mainly supply of drugs in vivo and in situ, potentially avoiding the side effects of systemic administration.
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