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Antibiotic Dereplication Using the Antibiotic Resistance Platform
Published on: October 17, 2019
Antibiotics--past, present, and future
1Department of Internal Medicine, Southern Illinois University School of Medicine, PO Box 19636, Springfield, IL 62794-9636, USA. nkhardori@siumed.edu
Abstract:
The drug therapy for diseases other than those caused by microbial agents involves treating the host. In infectious diseases therapy, the goal is to rid the host of the pathogen. Hence, drug therapy is aimed at the pathogen. Because a second living agent is involved in the triangle, drug therapy is affected by the pathogen's nature, its tissue specificity, and, most importantly, the changes it undergoes to survive. The history of antimicrobial therapy has clearly demonstrated that the drugs that are used to treat infections are also responsible for making them more difficult to treat in future. The only way to keep antimicrobial agents useful is to use them appropriately and judiciously.
Insights
Antimicrobial drug therapy targets pathogens, but pathogen evolution complicates treatment. Judicious use of antimicrobials is essential to preserve their future effectiveness against infectious diseases.
Area of Science:
- Microbiology
- Pharmacology
- Infectious Diseases
Background:
- Drug therapy for non-infectious diseases focuses on the host.
- Infectious disease treatment aims to eliminate the pathogen from the host.
- Antimicrobial therapy involves a complex interaction between host, pathogen, and drug.
Purpose of the Study:
- To highlight the critical role of pathogen characteristics in antimicrobial therapy.
- To discuss the impact of pathogen evolution on antimicrobial resistance.
- To emphasize the importance of appropriate antimicrobial use.
Main Methods:
- Review of historical antimicrobial therapy data.
- Analysis of pathogen-drug interactions.
- Discussion of evolutionary principles in antimicrobial resistance.
Main Results:
- Antimicrobial drugs are directly targeted at the pathogen.
- Pathogen adaptability and evolution significantly influence treatment outcomes.
- Historical use of antimicrobials has contributed to increased treatment difficulty.
Conclusions:
- Antimicrobial therapy effectiveness is intrinsically linked to pathogen biology.
- The evolution of pathogens poses a significant challenge to antimicrobial efficacy.
- Appropriate and judicious use of antimicrobial agents is paramount for their continued utility.
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