By using this site, you agree to the Privacy Policy and Terms of Use.
Accept
Health Works CollectiveHealth Works CollectiveHealth Works Collective
  • Health
    • Mental Health
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
  • Medical Innovations
  • News
  • Wellness
  • Tech
Search
© 2023 HealthWorks Collective. All Rights Reserved.
Reading: Are We Returning to a Life Before Penicillin?
Share
Notification Show More
Font ResizerAa
Health Works CollectiveHealth Works Collective
Font ResizerAa
Search
Follow US
  • About
  • Contact
  • Privacy
© 2023 HealthWorks Collective. All Rights Reserved.
Health Works Collective > Policy & Law > Public Health > Are We Returning to a Life Before Penicillin?
Public Health

Are We Returning to a Life Before Penicillin?

lisasams
lisasams
Share
6 Min Read
bacteria
SHARE

Life before antibiotics is a scary thought, but a clarion call for behavior change has come from the Center for Disease Control (CDC). We are on the verge of an era without antibiotics to cure infection. Dr. Srinivasan calls this a “post antibiotic era”.

To appreciate the staggering implications of this message, imagine the outcome of the following two scenarios without effective antibiotics.

Life before antibiotics is a scary thought, but a clarion call for behavior change has come from the Center for Disease Control (CDC). We are on the verge of an era without antibiotics to cure infection. Dr. Srinivasan calls this a “post antibiotic era”.

To appreciate the staggering implications of this message, imagine the outcome of the following two scenarios without effective antibiotics.

More Read

health insurance across state lines
Selling Insurance Across State Lines
Medicare’s Data Release Places More Power in Hands of Informed Medical Consumers
HPV Tops Talk of Cervical Health Awareness Month
Medicare Trustees Release Annual Report
Is Your Name One of the Top Ten Baby Names?, and Other Links

Your 8 year-old daughter is playing with the cat and suddenly the cat bites and scratches her. Despite carefully cleaning the wound and making a quick trip to the urgent care for antibiotic coverage the arm continues to swell and she begins to run a fever.

Your dad is 85 years old and continues to volunteer at the high school where he coached football. While helping the trainer with a player who had a profuse nosebleed after being tackled, he was exposed to MRSA. Your dad’s arm had several deep scratches from the rose bushes he carefully tends in the garden. Two days later he is febrile, chilling and becoming confused.

bacteriaThese two accidents are examples of common problems that rely on antibiotics in the treatment plan. Yet, if untreated, mortality from bacteremia caused by Staphylococcus aureus exceeds 80%. Without an antibiotic that is effective against MRSA this gentleman in his 80s has a very poor prognosis.

We are approaching the point in time when we will be unable to fight bacterial infections with antibiotics. As the CDC points out this is already happening with carbapenem-resistant Enterobacteriaceae (CRE). It is resistant to ALL first line antibiotics, and there are some strains of this bug that will not respond to ANY antibiotic. Fully half of the people who contract this will die.

A Message from 1945

If only we had taken care to heed the words of the man who discovered penicillin, we might not be so close to returning to the time when there was nothing clinicians could do other than supportive care and prayer. Alexander Fleming warned doctors they were abusing the drug by using it with patients that did not require antibiotics.

“In such cases, the thoughtless person playing with penicillin is morally responsible for the death of the man who finally succumbs to infection with the penicillin-resistant organism. I hope this can be averted.”

I was unaware that Fleming had issued this dire message so long ago until I read the recent Medscape reports on antibiotics overuse. I was also reminded of a principle from pharmacology that has fallen off the radar screen; these drugs are able to pass on their loss of effectiveness to others in the class.

The series of reports in Medscape are well worth your time as a reminder. The survey of patients and clinicians perceptions on antibiotic use is particularly interesting. Here we see the problem of overuse is not the result of knowledge deficits. In fact, public information has made an impact on patients that were surveyed for this report. 93% stated they understood that it is more difficult to treat some bacterial infections because of resistance to antibiotics. Yet 23% ask for an antibiotic.

Clinician responses to the questions are also enlightening, particularly when paired with consumer responses. When asked about how often they prescribe an antibiotic when not absolutely certain it is necessary, 21% say it happens between 25-49% of the time. 12% of the clinician group does so more than half the time.

Uncertainty seems to be a big driver in prescribing. Although both groups are aware of the problems of overuse, patients and clinicians alike want to see recovery…quickly. If uncertain about its cause, a “just in case” approach seems to appease both. Uncertainty, and the anxiety it causes, is a much more difficult change in the culture of care around antibiotic use than a knowledge deficit.

As Fleming told the clinical world long ago, every individual’s use of antibiotics affects its degree of effectiveness for everyone else.

It is clear both patients and clinicians know overuse is a problem but fear becomes a major driver to prescription use. It is the “just in case” approach that makes both feel safer.

bacteria / shutterstock

TAGGED:antibiotics
Share This Article
Facebook Copy Link Print
Share

Stay Connected

1.5kFollowersLike
4.5kFollowersFollow
2.8kFollowersPin
136kSubscribersSubscribe

Latest News

contamination
Batch Failures And The Hidden Costs Of Contamination
Health Infographics
October 21, 2025
Medication Management For Seniors
Simplifying Medication Management For Seniors
Infographics Senior Care
October 21, 2025
Guide To Pursuing a Career in Nursing as a Foreigner in the USA
Collaboration Is the Prescription for Better Patient Care
Health
October 20, 2025
Epidemiological Health Benefits
Personal and Epidemiological Health Benefits of Blood Pressure Management
Health
October 13, 2025

You Might also Like

Great Recession Triggers Increase in Searches for Stress-Related Illnesses

January 14, 2014
healthcare expert
Health ReformNewsPolicy & LawPublic Health

Health Wonk Review: The Week’s Healthcare News

March 15, 2013

30 Years Ago All These Baby Boomers Would Have Been in Wheel Chairs

April 21, 2011

The PCMH and Home Care Data: An Interview with Melissa McCormack

December 19, 2013
Subscribe
Subscribe to our newsletter to get our newest articles instantly!
Follow US
© 2008-2025 HealthWorks Collective. All Rights Reserved.
  • About
  • Contact
  • Privacy
Welcome Back!

Sign in to your account

Username or Email Address
Password

Lost your password?