‘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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Pesticides and antibiotics polluting streams across Europe

Wildlife and human health are threatened say scientists as Syngenta accepts ‘undeniable demand’ for change

Pesticides and antibiotics are polluting streams across Europe, a study has found. Scientists say the contamination is dangerous for wildlife and may increase the development of drug-resistant microbes.

More than 100 pesticides and 21 drugs were detected in the 29 waterways analysed in 10 European nations, including the UK. A quarter of the chemicals identified are banned, while half of the streams analysed had at least one pesticide above permitted levels.

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New antibiotics could be developed using fish slime, scientists say

Mucus that protects fish contains substances that could help tackle MRSA and E coli

Fish slime could be key to the development of new antibiotics, researchers say.

Antibiotic resistance is a growing danger, with experts warning of a return to a situation where everyday infections could become life-threatening. The NHS is aiming to cut antibiotic use by 15% by 2024 in a bid to tackle the problem – which has been called a danger to humanity – while the government has also announced it is looking into offering incentives to drug companies to come up with new antibiotics.

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The drugs don’t work: what happens after antibiotics?

Antibiotic resistance is growing so fast that routine surgery could soon become impossible. But scientists are fighting back in the battle against infection

The first antibiotic that didn’t work for Debbi Forsyth was trimethoprim. In March 2016, Forsyth, a genial primary care counsellor from Morpeth, Northumberland, contracted a urinary tract infection. UTIs are common: more than 150 million people worldwide contract one every year. So when Forsyth saw her GP, they prescribed the usual treatment: a three-day course of antibiotics. When, a few weeks later, she fainted and started passing blood, she saw her GP again, who again prescribed trimethoprim.

Three days after that, Forsyth’s husband Pete came home to find his wife lying on the sofa, shaking, unable to call for help. He rushed her to A&E. She was put on a second antibiotic, gentamicin, and treated for sepsis, a complication of the infection that can be fatal if not treated quickly. The gentamicin didn’t work either. Doctors sent Forsyth’s blood for testing, but such tests can take days: bacteria must be grown in cultures, then tested against multiple antibiotics to find a suitable treatment. Five days after she was admitted to hospital, Forsyth was diagnosed with an infection of multi-drug-resistant E coli, and given ertapenem, one of the so-called “last resort” antibiotics.

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Fake drugs kill more than 250,000 children a year, doctors warn

Printer ink, paint and arsenic found in some drugs sold to treat life-threatening illnesses

Doctors have called for an urgent international effort to combat a “pandemic of bad drugs” that is thought to kill hundreds of thousands of people globally every year.

A surge in counterfeit and poor quality medicines means that 250,000 children a year are thought to die after receiving shoddy or outright fake drugs intended to treat malaria and pneumonia alone, the doctors warned.

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Genes linked to antibiotic-resistant superbugs found in Arctic

Discovery of genes, possibly carried by birds or humans, shows rapid spread of crisis

Genes associated with antibiotic-resistant superbugs have been discovered in the high Arctic, one of the most remote places on earth, showing the rapid spread and global nature of the resistance problem.

The genes were first identified in a hospital patient in India in 2007-8, then in surface waters in Delhi in 2010, probably carried there by sewage, and are now confirmed in soil samples from Svalbard in the Arctic circle, in a paper in the journal Environment International. They may have been carried by migrating birds or human visitors, but human impact on the area is minimal.

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