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Bacteria Rule OK - So Boost Your Immune System!
Bacteria were here before we came - and they will be here
after we're gone. They adapt rapidly to new circumstances, and
can live in the most inhospitable of climates. To help deal with them - we must keep our Immune System strong
to fight them off.
Deep Under The Sea For example, bacteria even
support a complete eco-system in the total absence of light! Thousands of feet under the sea - at such a
depth that no light can penetrate - bacteria make it possible for other micro-organisms and fish to
exist.
How do these bacteria live? They use the energy derived
from breaking down sulphur compounds, rather than by using oxygen. Sulphur would kill the rest of us, but
these bacteria thrive.
You Send Us Drugs - We'll Adapt! The cousins of
these adaptable bacteria find it fairly easy to live in another hostile environment; in the body of a human
being who has been given antibiotics. Our immune system has the job of fighting these bacteria off, and to
enable them to do this effectively we must keep the immune system strong.
We Think We Have Bacteria On The Run... In
1928, Scotsman Alexander Fleming discovered penicillin - the first antibiotic drug.
Some time later, in 1941, an easily useable form was
introduced (Fleming, and researchers Floey and Chain, received the Nobel Prize for Medicine in 1945). By 1944
penicillin was being used in the treatment of pneumonia and septicaemia, and was effective against all
Staphylococcus Aureus (SA) - an infective agent commonly responsible for infections of wounds and burns.
Round One to the humans!
...But They Have Beaten Us Roundly We cannot
possibly beat bacteria completely. They are too clever! We can try - by keeping the immune system strong -
but will this be enough?
By 1945 - one year after penicillin was introduced - the
first cases of penicillin-resistant Staphylococcus Aureus were reported. In other words, after a year, some
of the SA bacteria learned to adapt so they could live with the first strain of penicillin without being
harmed!
To counter this, chemists produced a second 'isomer'
(variety) of penicillin. Again, this worked for a while until the SA adapted. This process continued - with
the bacteria resisting each successive isomer of penicillin until they were all used up - nearly thirty of
them.
We were in trouble again - no isomers of penicillin left.
Round Two to the bacteria.
More Antibiotics A series of stronger
antibiotics were then developed, including streptomycin, tetracycline and erythromycin. Round Three to
humans.
By 1955, SA had developed strains which were immune to
all these drugs. Round Four - bacteria.
In 1960 methicillin was invented - again in the UK, by
Beechams. This was a 'wonder-drug' at the time - and killed the resistant strain of SA nicely. Round Five to
us.
Another One Year Reprieve Again after a
year - in 1961 - the first methicillin-resistant SA (MRSA) appeared, in Guildford, England. It was the same
as the previously resistant strain - except that it had grown an extra gene on the DNA.
Several epidemics followed, during which infection peaked
in number, then fell back again. Eventually MRSA is all over the world. Round Six - bacteria. Unfortunately,
it is getting harder and harder for the immune system to fight off these infections - which are getting
stronger and stronger.
Drug Of Last Resort When bacteria began to show
resistance to methicillin, scientists turned to an antibiotic which had been around for some time, but which
had been shelved - presumably because of its side-effects. This was vancomycin.
Vancomycin had to be administered intra-venously. If
injected into muscle, it killed the muscle tissue. But, for people who had MRSA (or its relative -
methicillin-resistant enterococcus) vancomycin was the last resort; so side-effects were considered worth
risking. So - humans win Round Seven. Though the bacteria are getting harder and harder for the immune system
to fight - without the intervention of anti-biotics.
Those Pesky Bacteria OK - you've guessed it. By
1995 vancomycin-resistant bacteria have emerged.
There really is nowhere to hide. Bacteria really do
rule.
[Next: What Can We Do?]
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