Why new antibiotics are not obviously useful now

Int J Antimicrob Agents. 2017 May;49(5):549-553. doi: 10.1016/j.ijantimicag.2016.11.015. Epub 2017 Jan 16.

Abstract

For several years, the threat of antibiotic resistance and its health cost has dramatically risen and various alarming figures have been proposed to illustrate the mortality due to antibiotic resistance. However, predictions concerning different living beings are doomed to failure, as theorised in Alice's 'living croquet' theory. Actors of antibiotic resistance are the doctors, the patient and the bacteria. Considering that animals and the environment are involved, future disasters are unpredictable. Here we evaluate in a rational manner the reliability of scientific sources showing increasing resistance to antibiotics or increasing mortality related to antibiotic resistance, and we finally consider antibiotic resources to face the situation.

Keywords: Antibiotic resistance; Mortality; Rescue antibiotics.

Publication types

  • Review

MeSH terms

  • Acinetobacter baumannii / drug effects
  • Anti-Bacterial Agents / therapeutic use*
  • Bacterial Infections / drug therapy*
  • Bacterial Infections / microbiology
  • Bacterial Infections / mortality*
  • Drug Resistance, Multiple, Bacterial*
  • Escherichia coli / drug effects
  • Humans
  • Klebsiella pneumoniae / drug effects
  • Methicillin-Resistant Staphylococcus aureus / drug effects
  • Pseudomonas aeruginosa / drug effects
  • Vancomycin-Resistant Enterococci / drug effects

Substances

  • Anti-Bacterial Agents