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Overuse of Antibiotics and Widespread
Resistance Threatens Modern Medicine
Overuse of antibiotics in Europe is building widespread resistance
and threatening to halt vital medical treatments such as hip replacements,
intensive care for premature babies and cancer therapies, health
experts say.
Dominique Monnet of the European Center for Disease Prevention
and Control's (ECDC) scientific advice unit said the "whole
span of modern medicine" is under threat because bugs are
become resistant to antibiotics, rendering the drugs useless.
"If this wave of antibiotic resistance gets over us, we
will not be able to do organ transplants, hip replacements, cancer
chemotherapy, intensive care and neonatal care for premature babies,"
he told reporters at a briefing.
Antibiotics are needed in all these treatments to prevent bacterial
infection. But drug-resistant bacteria are a growing problem in
hospitals worldwide, marked by the rise of superbugs such as methicillin-resistant
Staphyloccus aureus (MRSA).
Such infections kill about 25,000 people a year in Europe and
around 19,000 in the United States
On top of the risks to future treatments, Monnet said the costs
of antibiotic resistance were already hurting -- and may hit healthcare
budgets across the European Union yet harder if the problem is
not addressed.
The six most common multi-drug-resistant bacteria -- often referred
to as superbugs -- cause around 400,000 infections a year in Europe,
killing around 25,000 people and using 2.5 million hospital days
a year.
The ECDC, which monitors and advises on disease in EU, calculates
that with a hospital day costing an average of 366 euros ($548),
superbug infections are already sucking up 900 million euros a
year in extra hospital costs, and a further 600 million euros
a year in lost productivity.
"Across the European Union the number of patients infected
by resistant bacteria is increasing and that antibiotic resistance
is a major threat to public health," the ECDC said.
Britain's government was criticized by a parliamentary committee
on Tuesday for failing to tackle the majority of hospital-acquired
infections by narrowing its focus to two high profile ones --
MRSA and Clostridium difficult.
The ECDC is planning an "antibiotic awareness" campaign
on November 18 to urge doctors to stop overprescribing antibiotics.
Patients demanding antibiotics for viral infections often are
not aware that they will not work, it said, but doctors are and
should stop giving in to pressure.
Sarah Earnshaw of the ECDC's communications unit, pointed to
a 2002 survey that showed 60 percent of patients do not know that
antibiotics do not work against viruses like flu and colds.
"Patients often demand antibiotics," she said. And
doctors often think, she said, that giving in is a quicker way
to deal with a demanding patients than persuading them otherwise.
Reference
Source 89
November 12, 2009
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