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Taking bacteriophage therapy seriously: a moral argument
Gilbert Verbeken1, Isabelle Huys2, Jean-Paul Pirnay3
1Laboratory for Molecular and Cellular Technology, Burn Wound Centre, Queen Astrid Military Hospital, Bruynstraat 1, 1120 Brussel, Belgium ; Faculty of Pharmaceutical and Pharmacological Sciences, KU Leuven, Herestraat 49, 3000 Leuven, Belgium ; Department of Behavioural Sciences, Royal Military Academy, Renaissancelaan 30, 1000 Brussel, Belgium.
Abstract:
The excessive and improper use of antibiotics has led to an increasing incidence of bacterial resistance. In Europe the yearly number of infections caused by multidrug resistant bacteria is more than 400.000, each year resulting in 25.000 attributable deaths. Few new antibiotics are in the pipeline of the pharmaceutical industry. Early in the 20th century, bacteriophages were described as entities that can control bacterial populations. Although bacteriophage therapy was developed and practiced in Europe and the former Soviet republics, the use of bacteriophages in clinical setting was neglected in Western Europe since the introduction of traditional antibiotics. Given the worldwide antibiotic crisis there is now a growing interest in making bacteriophage therapy available for use in modern western medicine. Despite the growing interest, access to bacteriophage therapy remains highly problematic. In this paper, we argue that the current state of affairs is morally unacceptable and that all stakeholders (pharmaceutical industry, competent authorities, lawmakers, regulators, and politicians) have the moral duty and the shared responsibility towards making bacteriophage therapy urgently available for all patients in need.
Insights
Bacterial resistance is a growing crisis, with few new antibiotics available. Bacteriophage therapy offers a promising alternative, but access remains limited, which is morally unacceptable.
Area of Science:
- Microbiology
- Infectious Diseases
- Public Health
Background:
- Antibiotic resistance is a major global health threat, causing over 400,000 infections and 25,000 deaths annually in Europe.
- The pharmaceutical industry has a limited pipeline of new antibiotics to combat rising bacterial resistance.
- Bacteriophage therapy, a method using viruses to target bacteria, was historically used but neglected with the advent of antibiotics.
Purpose of the Study:
- To highlight the critical need for increased accessibility to bacteriophage therapy.
- To argue that the current limited access to bacteriophage therapy is morally unacceptable.
- To emphasize the shared responsibility of stakeholders in making bacteriophage therapy available.
Main Methods:
- Review of historical and current literature on antibiotic resistance and bacteriophage therapy.
- Analysis of the current regulatory and accessibility landscape for bacteriophage therapy.
- Ethical argument concerning stakeholder responsibilities.
Main Results:
- Multidrug-resistant bacterial infections pose a significant and growing threat in Europe.
- There is a resurgence of interest in bacteriophage therapy due to the antibiotic crisis.
- Access to bacteriophage therapy is severely restricted despite its potential.
Conclusions:
- The current lack of access to bacteriophage therapy for patients in need is ethically indefensible.
- Pharmaceutical companies, regulatory bodies, and policymakers must collaborate to facilitate urgent access.
- Ensuring widespread availability of bacteriophage therapy is a moral imperative for global health.
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