PERSONAL GENOMICS

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Antibiotics

BIOL 101 at UMGC

July 30, 2020

Purpose

Aunt Jeanie hasn’t been feeling well. She has had a fever and a sore throat for a few days. After finally convincing her to go to the doctor’s, she has been prescribed antibiotics to clear up an infection in her throat. Aunt Jeanie prefers natural methods of healing and doesn’t want to take the antibiotics.

I am researching antibiotics in order to advise Aunt Jeanie on the wisdom of taking the medicine.

This Photo by Unknown Author is licensed under CC BY-NC-ND

This Photo by Unknown Author is licensed under CC BY-SA-NC

Background

The word “Antibiotic” means “against life”

Antibiotics were first discovered in the 1920’s

Antibiotics are drugs that kill bacteria

Before then, many people died from bacterial infections such as Strep Throat

This Photo by Unknown Author is licensed under CC BY

How Do Antibiotics Work?

Almost all organs in the body can be infected by bacteria

Bacteria are single celled organisms made from prokaryotic cells

Some bacteria can be harmful to the body by secreting toxins that damage tissues

Some bacteria invade tissues and their population growth damages the tissue

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How Do Antibiotics Work?

Penicillin

“Penicillins block the protein struts that link the peptidoglycans together. This prevents the bacterium from closing the holes that develop in its cell walls after cell division.” (Medical News Today, 2018)

Tetracycline

“Tetracycline works by binding specifically to the 30S ribosome of the bacteria, preventing attachment of the tRNA to the RNA-ribosome complex and inhibiting protein synthesis.” (Bristol University School of Chemistry, 2001)

Chloramphenicol

“Chloramphenicol binds to the 50S ribosome, inhibiting peptidyl transferase which prevents amino acid adding to protein chains in protein synthesis.” (University of Minnesota, 2018)

This Photo by Unknown Author is licensed under CC BY-SA

This Photo by Unknown Author is licensed under CC BY-SA-NC

Some Diseases that Antibiotics Help With

Ear infections

Sinus infections

Skin infections

Meningitis

Strep Throat

Bladder and Kidney Infections

Bacterial Pneumonias

Whooping Cough

How Antibiotics Have Impacted Disease Over the Last 100 Years

Molds and plant extracts were used to treat infections though people didn’t realize the infections were caused by bacteria

Ancient Egyptians applied moldy bread to wounds!

Alexander Fleming accidentally discovered penicillin in 1928 when he noticed fungus growing on a plate with Staphylococcus. There were bacteria free zones where the fungus ended up!

90% of children with bacterial meningitis died before antibiotics and strep throat could be fatal

Life expectancy has risen to 78.8 years old

13% of the US Population is now older compared to 4%

Infectious diseases are concerns with elderly, those with cancer, surgical patients, people who are immunosuppressed – rarely in young and healthy population

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Reasons Why People Worry About Antibiotics

Antibiotics do not work on viruses such as those that cause the flu and colds

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Why People Worry About Antibiotics

Antibiotics can cause side effects when they kill helpful gut bacteria

Vomiting

Nausea

Diarrhea

Bloating or indigestion

Abdominal pain

Hives, itchy skin

Wheezing

Coughing

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Why People Worry About Antibiotics

If antibiotics are taken when they aren’t needed or if the course of antibiotic is not completed, antibiotic resistant bacteria can grow

Bacteria that are less susceptible to antibiotics remain in the body

They are then able to divide and cause an infection

The offspring of these bacteria contain genes that are less susceptible to antibiotics

Over time, antibiotic resistant bacteria are bred

MRSA Methyllin Resistant Staphyloccos aureus

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Conclusion

Antibiotics are usually fast acting and target the bacteria causing infection

Side effects are short lived and can be treated

Bacterial infections left untreated can lead to fatal infections

According to the Journal of American Medical Association in 2002, doctors prescribed 40% fewer antibiotics compared to the 1990s to decrease antibiotic resistance

Take the antibiotics as prescribed and the is little chance of the infection returning!

This Photo by Unknown Author is licensed under CC BY

References

Web MD July 1, 2020 https://www.webmd.com/a-to-z-guides/what-are-antibiotics#2

NHS National Health Services UK May 23, 2019 https://www.nhs.uk/conditions/antibiotics/

Medical News Today, How Do Penicillins Work? July 30, 2018 https://www.medicalnewstoday.com/articles/216798#takeaway

Microbiology Society, The History of Antibiotics 2020 https://microbiologysociety.org/members-outreach-resources/outreach-resources/antibiotics-unearthed/antibiotics-and-antibiotic-resistance/the-history-of-antibiotics.html

Healthy Children, November 15, 2019 https://www.healthychildren.org/English/health-issues/conditions/treatments/Pages/The-History-of-Antibiotics.aspx

Tetracycline, Molecule of the Month, Bristol University School of Chemistry, Rafal Klagn, October 2001 http://www.chm.bris.ac.uk/motm/tetracycline/tetracycline.htm

US National Library of Medicine, National Institute of Health, The Treasure Called Antibiotics, WA Adedeji, Dec. 14, 2016 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5354621/