People severely ill with suspected sepsis should be given antibiotics, Nice says

National Institute for Health and Care Excellence says national early warning score should be used to assess severity of illness

People who are severely ill with suspected sepsis should promptly be given life-saving access to antibiotics to prevent unnecessary deaths, according to updated guidance from a health watchdog.

The National Institute for Health and Care Excellence (Nice) has said that the national early warning score should be used to assess people with suspected sepsis aged 16 and over, who are not and have not recently been pregnant, and are in an acute hospital setting or ambulance.

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Australia’s overuse of antibiotics found to be driving rate of drug-resistant infections

Report finds more than one-third of population had at least one antimicrobial prescription subsidised by Australian government in 2022

Australia’s continued overuse of antibiotics is driving common and potentially dangerous infections to become increasingly resistant to drugs, including last resort treatments.

A major government report on antimicrobial use, published on Wednesday, found more than one-third (36.6%) of the population had at least one antimicrobial prescription subsidised by the Australian government in 2022, up from 32.9% in 2021.

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Antibiotic-resistant infections rise in England but still below pre-Covid levels

Number of antibiotic prescriptions also up and officials warn against giving leftovers to friends and family

Giving leftover antibiotics to friends and family risks fuelling a surge in infections resistant to the drugs, officials have warned, as data shows a rise in related cases in England – with people of Asian heritage at greater risk than those who are white.

While severe antibiotic-resistant infections – such as bloodstream infections, UTIs, surgical site infections and respiratory infections – remained below 2018 levels last year, the latest estimates suggest there was a 4% rise between 2021 and 2022, from 55,792 to 58,224. The uptick follows a notable decline during the height of the Covid pandemic.

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‘Alarming’ rates of babies with antibiotic-resistant bugs in Asia-Pacific, Australian study finds

Study urges Australia to research new drugs as it warns rate of mutated infections ‘much worse than anticipated’

“Alarming” rates of babies with infections resistant to common antibiotics in the Asia-Pacific region should prompt urgent investment into new drugs for treating childhood diseases, findings from a new study suggest.

The misuse and overuse of antibiotics is driving bugs to mutate so that common drugs are no longer effective to kill them, known as antimicrobial resistance. Dr Phoebe Williams, an infectious diseases paediatrician and antimicrobial resistance researcher with the University of Sydney, said she regularly travelled to work in hospitals in the south-east Asia and Pacific region where she found “entire wards of babies that have multi-drug resistant infections, and there is nothing left to treat them with”.

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Use of antibiotics in farming ‘endangering human immune system’

Study suggests antimicrobial used to promote livestock growth breeds bacteria more resistant to our natural defences

The blanket use of antibiotics in farming has led to the emergence of bacteria that are more resistant to the human immune system, scientists have warned.

The research suggests that the antimicrobial colistin, which was used for decades as a growth promoter on pig and chicken farms in China, resulted in the emergence of E coli strains that are more likely to evade our immune system’s first line of defence.

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Plant toxin hailed as ‘new weapon’ in antibiotic war against bacteria

Scientists say albicidin has allowed them to take a giant step forward to creating a powerful new range of antibacterial drugs

Scientists have discovered a plant toxin whose unique method of dispatching bacteria could be used to create a powerful new range of antibiotics. The prospect of developing new antibacterial drugs this way has been hailed by doctors, who have been warning for many years that the steady rise of multidrug-resistant pathogens such as E coli now presents a dangerous threat to healthcare across the planet.

The new antibiotic – albicidin – attacks bacteria in a completely different way to existing drugs, a group of British, German and Polish scientists have revealed in a paper recently published in the journal Nature Catalysis. This suggests a new route could be exploited to tackle bacterial disease, they say.

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Common antibiotics scarce as medicine shortage in Australia worsens

Pharmacists are having to convert tablets into liquid alternatives needed for small children

Australian medical groups and pharmacists have warned that a national shortage of medicines including common antibiotics is getting worse, with some pharmacists having to convert tablets into liquid alternatives for children.

Some doctors are now urging the federal government to invest in the development of domestic manufacturing as a long-term solution to overcome global supply chain challenges.

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Tasmanian salmon farms used more than a tonne of antibiotics in 2022 disease outbreaks

Tassal and Huon Aquaculture did not announce use of antibiotics, which may contribute to growth of antibiotic-resistant superbugs

More than a tonne of antibiotics was used to control a potentially deadly fish disease at two salmon farms in southern Tasmania earlier this year, but the companies and government made no public announcements at the time.

Reports submitted to the Environment Protection Agency by Tassal and Huon Aquaculture revealed wild fish had scavenged antibiotic-laced pellets below the salmon cages. One sample of three flathead caught off Coningham beach, 2km from the boundary of Tassal’s Sheppards lease, revealed antibiotics in the flesh of the fish above the reportable threshold. The monitoring reports were not made public until months after the disease outbreak.

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How cannabis-fed chickens may help cut Thai farmers’ antibiotic use

Scientists observed fewer cases of avian bronchitis and superior meat after chickens given cannabis

It all began when Ong-ard Panyachatiraksa, a farm owner in the north of Thailand who is licensed to grow medicinal cannabis, was wondering what to do with the many excess leaves he had amassed. He asked: could his brood of chickens benefit from the leftovers?

Academics at Chiang Mai University were also curious. Since last January they have studied 1,000 chickens at Ong-ard’s Pethlanna organic farm, in Lampang, to see how the animals responded when cannabis was mixed into their feed or water.

The results are promising and suggest that cannabis could help reduce farmers’ dependence on antibiotics, according to Chompunut Lumsangkul, an assistant professor at Chiang Mai University’s department of animal and aquatic sciences, who led the study.

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Pigs can pass deadly superbugs to people, study reveals

Research into C difficile found antibiotic resistance is growing as a result of overuse on farm stock

Scientists have uncovered evidence that dangerous versions of superbugs can spread from pigs to humans. The discovery underlines fears that intensive use of antibiotics on farms is leading to the spread of microbes resistant to them.

The discovery of the link has been made by Semeh Bejaoui and Dorte Frees of Copenhagen University and Soren Persson at Denmark’s Statens Serum Institute and focuses on the superbug Clostridioides difficile, which is considered one of the world’s major antibiotic resistance threats.

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Drugs have dangerously polluted the world’s rivers, scientists warn

Pharmaceutical pollution poses ‘global threat to human and environmental health’, major study finds

Humanity’s drugs have polluted rivers across the entire world and pose “a global threat to environmental and human health”, according to the most comprehensive study to date.

Pharmaceuticals and other biologically active compounds used by humans are known to harm wildlife and antibiotics in the environment drive up the risk of resistance to the drugs, one of the greatest threats to humanity.

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Warning on tackling HIV as WHO finds rise in resistance to antiretroviral drugs

Nearly half of newly diagnosed infants in 10 countries have drug-resistant HIV, study finds, underlining need for new alternatives

HIV drug resistance is on the rise, according to a new report, which found that the number of people with the virus being treated with antiretrovirals had risen to 27.5 million – an annual increase of 2 million.

Four out of five countries with high rates had seen success in suppressing the virus with antiretroviral treatments, according to the World Health Organization’s HIV drug-resistance report.

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Cranberry juice won’t cut it: UTIs and the potential for repurposing drugs

The winning essay in the Max Perutz science writing award 2021, published below, was written by Vicky Bennett from the department of biology and biochemistry at Bath University

In May, PhD students who are funded by the Medical Research Council (MRC) were invited to enter the Max Perutz science writing award 2021 and write a compelling piece about their research for the non-scientific reader.

From the many entries received, the 10 that made the shortlist covered diverse topics, including dementia, childhood adversity, the role of genes in schizophrenia and the use of hypnosis to treat psychosis.

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How biodiversity loss is jeopardising the drugs of the future

From willow bark to mosquitoes, nature has been a source of vital medications for centuries. But species die-off caused by human activity is putting this at risk

What will biodiversity loss mean for drug discovery?
Traditionally used as a painkiller for headaches, snowdrops are now known to slow the onset of dementia. In the 1950s, a natural alkaloid called galantamine was extracted from the bulbs. Today, a synthesised version of this is used to treat Alzheimer’s disease and scientists are investigating further to see if snowdrops might also be effective in the treatment of HIV.

However, over-harvesting has resulted in many snowdrop species becoming threatened. The snowdrop isn’t alone – plants are an abundant source of potential new medicines, often providing us with chemical templates for the design of novel drugs. Yet scientists across the globe say unsustainable use of wild medicinal plants is contributing to biodiversity loss and could limit opportunities to source medicines from nature in the future.

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‘I can’t give up on my leg’: the Gaza protesters resisting amputation at all costs

Despite chronic pain and deadly infections, Palestinians wounded in protests three years ago still hope to recover without surgery

Sitting on his hospital bed, with external fixators screwed into his right leg, Mohammed al-Mughari has been in pain and on medication since he was shot in the leg more than three years ago.

He lives with a chronic bone infection – from bacteria now resistant to most antibiotics. Doctors, including in Jordan and Egypt where he sought treatment previously, have all recommended that an amputation could end his long-term suffering, but he has steadfastly refused.

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Phages: the tiny viruses that could help beat superbugs

Bacteriophages were superseded by modern antibiotics, but scientists believe they could be key to conquering antimicrobial resistance

It is, say enthusiasts, the cure that the world forgot. An old therapy that could take on the new superbugs.

Discovered in 1917 by French Canadian biologist Félix d’Hérelle, phages – or bacteriophages – are tiny viruses that are natural predators of bacteria. In many countries they were supplanted during the second world war by antibiotics but continued to be used for decades in eastern Europe.

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‘I feel constant pain’: drug resistance adds to misery of Gaza gun victims

The suffering of people wounded in conflict zones is being compounded by what doctors say are ‘horrifying levels’ of antibiotic resistance

When Jihad Nasser arrived at al-Awda trauma clinic in Gaza, he was hoping doctors could finally stop his pain. A gunshot wound in his right leg had not been not healing properly. The news, however, was bad.

The complex bone fracture he had suffered was badly infected with MRSA. Doctors told him it would not respond to treatment and they would need to amputate.

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World’s rivers ‘awash with dangerous levels of antibiotics’

Largest global study finds the drugs in two-thirds of test sites in 72 countries

Hundreds of rivers around the world from the Thames to the Tigris are awash with dangerously high levels of antibiotics, the largest global study on the subject has found.

Antibiotic pollution is one of the key routes by which bacteria are able develop resistance to the life-saving medicines, rendering them ineffective for human use. “A lot of the resistance genes we see in human pathogens originated from environmental bacteria,” said Prof William Gaze, a microbial ecologist at the University of Exeter who studies antimicrobial resistance but was not involved in the study.

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‘Hygiene is the first priority’: Nepal looks to clean up its act on sepsis

In a country where dirty water and poor sanitation jeopardise the lives of millions, moves are afoot to improve health facilities

It was midnight when Kalpana and Rohit Agri had to take their three-day-old daughter, Kritima, to Bardiya hospital in western Nepal. She was listless and, despite the antibiotics she’d been prescribed, had developed a high fever. Hearing her struggling to breathe, they woke a neighbour to take them.

Kritima was admitted with life-threatening neonatal sepsis, probably an infection she had picked up in the hospital where she was born.

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Teenager recovers from near death in world-first GM virus treatment

Bacteria-killing viruses known as phages offer hope of solution to antibiotic resistance

A British teenager has made a remarkable recovery after being the first patient in the world to be given a genetically engineered virus to treat a drug-resistant infection.

Isabelle Holdaway, 17, nearly died after a lung transplant left her with an intractable infection that could not be cleared with antibiotics. After a nine-month stay at Great Ormond Street hospital, she returned to her home in Kent for palliative care, but recovered after her consultant teamed up with a US laboratory to develop the experimental therapy.

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