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Updated: Aug 21, 2026

Isolation and Identification of Waterborne Antibiotic-Resistant Bacteria and Molecular Characterization of their Antibiotic Resistance Genes
Published on: March 3, 2023
Microbiology and drug resistance mechanisms of fully resistant pathogens
Fiona M Walsh1, Sebastian G B Amyes
1Medical Microbiology, School of Biomedical and Clinical laboratory Sciences, Medical School, University of Edinburgh, Teviot Place, Edinburgh EH8 9AG, Scotland, UK.
Abstract:
The acquisition of vancomycin resistance by Gram-positive bacteria and carbapenem resistance by Gram-negative bacteria has rendered some hospital-acquired pathogens impossible to treat. The resistance mechanisms employed are sophisticated and very difficult to overcome. Unless alternative treatment regimes are initiated soon, our inability to treat totally resistant bacteria will halt other developments in medicine. In the community, Gram-positive bacteria responsible for pneumonia could become totally resistant leading to increased mortality from this common infection, which would have a more immediate impact on our current lifestyles.
Insights
Antimicrobial resistance is a growing threat, with vancomycin-resistant Gram-positive and carbapenem-resistant Gram-negative bacteria becoming untreatable. Urgent development of new treatments is crucial to prevent widespread untreatable infections and their severe consequences.
Area of Science:
- Microbiology
- Infectious Diseases
- Pharmacology
Background:
- Hospital-acquired infections are increasingly difficult to treat due to emerging antibiotic resistance.
- Vancomycin resistance in Gram-positive bacteria and carbapenem resistance in Gram-negative bacteria pose significant clinical challenges.
- Current treatment options are becoming ineffective against multidrug-resistant pathogens.
Purpose of the Study:
- To highlight the critical threat of untreatable bacterial infections.
- To emphasize the urgent need for novel therapeutic strategies.
- To underscore the potential impact of antimicrobial resistance on public health and medical advancements.
Main Methods:
- This study is a review and analysis of current literature on antimicrobial resistance.
- It synthesizes data on resistance mechanisms and their clinical implications.
- It discusses the projected impact of untreatable infections.
Main Results:
- Certain Gram-positive and Gram-negative bacteria have acquired resistance to key antibiotics like vancomycin and carbapenems.
- These resistant strains present sophisticated and difficult-to-overcome resistance mechanisms.
- The inability to treat these infections could halt medical progress and increase mortality from common infections like pneumonia.
Conclusions:
- Urgent development and implementation of alternative treatment regimens are essential.
- Failure to address antimicrobial resistance will have severe consequences for healthcare and society.
- Proactive strategies are needed to combat the rising tide of untreatable bacterial pathogens.
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