Satish Kumar Sarankar,
Sushma Somkuwar,
- Professor, Faculty of Pharmacy, Mansarovar Global University, Sehore, M.P. -466111, India
- Associate Professor, School of Pharmacy, LNCT University, Bhopal, M.P. – 462042, India
Abstract
Overuse and inappropriate use of antibiotics in human medicine, agriculture, and environmental pollution. It is one of the biggest public health risks of the 21st century. The discovery of new antibiotics slowdown and the emergence of multidrug-resistant (MDR) microorganisms has highlighted the urgent need to Creative approaches to fighting opposition. This review explores the current challenges in antibiotic use, the factors driving resistance, and the strategies being implemented to address these issues. We examine the role of antibiotics in modern medicine, highlighting their indispensable role in treating infections but also acknowledging the increasing risks associated with their misuse. unusual trade international travel and the misuse of antibiotics in agriculture. It greatly facilitates the spread of drug-resistant bacteria.The economic and scientific challenges hindering the development of new antibiotics are also discussed, along with emerging approaches to incentivize research and development. Key strategies for combating AMR include improving stewardship practices, implementing regulatory measures, and developing alternative treatments such as vaccines, antimicrobial peptides (AMPs), and AI-driven drug discovery. We also review innovative interventions like the use of phage therapy and immune modulators. The article highlights the importance of a multifaceted approach, combining regulatory frameworks, scientific innovation, and global collaboration to mitigate the threat of AMR. Case studies such as Denmark’s successful ban on growth promoters and MIT’s AI-driven discovery of halicin provide valuable insights into potential solutions. Despite the challenges, promising advancements offer hope for overcoming the AMR crisis, but global cooperation and sustained investment in research are essential for long-term success in combating resistant infections.
Keywords: Antimicrobial resistance (AMR), Antibiotic misuse, Multidrug-resistant bacteria, Antibiotic stewardship, Alternative therapies, Antibiotic discovery, Global health
[This article belongs to International Journal of Antibiotics ]
Satish Kumar Sarankar, Sushma Somkuwar. Antibiotics in the Modern Era: Challenges, Misuse, and the Fight Against Resistance. International Journal of Antibiotics. 2024; 02(01):57-70.
Satish Kumar Sarankar, Sushma Somkuwar. Antibiotics in the Modern Era: Challenges, Misuse, and the Fight Against Resistance. International Journal of Antibiotics. 2024; 02(01):57-70. Available from: https://journals.stmjournals.com/ijab/article=2024/view=190175
References
- Adedeji WA. The treasure called antibiotics. Annals of Ibadan Postgraduate Medicine, 2016; 14(2):56–57.
- Terico AT, Gallagher JC. Beta-lactam hypersensitivity and cross-reactivity. 2014; 27(6):530–544.
- Bailey JK, Pinyon JL, Anantham S, Hall RM. Commensal Escherichia coli of healthy humans: A reservoir for antibiotic-resistance determinants. J 2010;59(11):1331–1339.
- Antimicrobial Resistance Collaborators. Global burden of bacterial antimicrobial resistance in 2019: A systematic analysis. The Lancet. 2022;399(10325):629–655.
- Llor C, BjerrumL. 2014Antimicrobial resistance: Risk associated with antibiotic overuse and initiatives to reduce the problem. Therapeutic Advances in Drug Safety. 2014;5(6):229–241.
- Allegretti JR, Mullish BH, Kelly C, Fischer M. The evolution of the use of faecal microbiota transplantation and emerging therapeutic indications. The Lancet. 2019;394(10196):420–431.
- Kinch MS, Patridge E, Plummer M, Hoyer D. An analysis of FDA-approved drugs for infectious disease: Antibacterial agents. Drug Discovery Today. 2014;19(9):1283–1287.
- National Collaborating Centre for Women’s and Children’s Health (UK).Surgical site infection: Prevention and treatment of surgical site infection. London: RCOG Press; 2023.
- Rudd KE, Johnson SC, Agesa KM. Global, regional, and national sepsis incidence and mortality, 1990–2017: Analysis for the Global Burden of Disease Study. The Lancet. 2020;395(10219):200–211.
- Williams-Nguyen J, Sallach JB, Bartelt-Hunt S, Boxall AB, Durso LM, McLain JE, et al. Antibiotics and antibiotic resistance in agroecosystems: State of the science. J Environ Qua. 2016;45(2):394–406.
- Milić N, Milanovic M, Letić NG, Sekulić MT, Radonić J, Mihajlović I, et al. Occurrence of antibiotics as emerging contaminant substances in the aquatic environment. Int J Environ Health Res. 2013;23(4):296–310.
- Zhao L, Dong YH, Wang H. Residues of veterinary antibiotics in manures from feedlot livestock in eight provinces of China. Sci the Total Environ. 2010;408(5):1069–1075.
- Cong L, Ran FA, Cox D, Lin S, Barretto R, Habib N, et al. Multiplex genome engineering using CRISPR/Cas systems. 2013;339(6121):819–823.
- Liu YY, Wang Y, Walsh TR. Emergence of plasmid-mediated colistin resistance mechanism MCR-1 in animals and human beings in China: A microbiological and molecular biological study. The Lancet Infectious Dis. 2016;16(2):161–168.
- Brauner A, Fridman O, Gefen O. Balaban NQ. Distinguishing between resistance, tolerance, and persistence to antibiotic treatment. Nature Reviews Microbiol. 2016;14(5):320–330.
- Tzouvelekis LS, Markogiannakis A, Psichogiou M, Tassios PT, Daikos GL. Carbapenemases in Klebsiella pneumoniae and other Enterobacteriaceae: An evolving crisis of global dimensions. Clinic Microbiol Rev. 2012;25(4):682–707.
- Carrasco-Garrido P, Jiménez-García R, Barrera V, Gil de Miguel A. Predictive factors of self-medicated drug use among the Spanish adult population. Pharmacoepidemiology and Drug Safety. 2008;17(2):193–199.
- Borg M, Sciclunca E. Over-the-counter acquisition of antibiotics in the Maltese general population. Int J Antimicro Agents. 2002;20(3):253–257.
- Rasheed MU, Thajuddin N, Ahamed P, Teklemariam Z, Jamil K. Antimicrobial drug resistance in strains of Escherichia coli isolated from food sources. Revista do Instituto de Medicina Tropical de São Paulo. 2014;56(4):341–346.
- Murray CJ, Ikuta KS, Sharara F, Swetschinski L, Aguilar GR, Gray A, et al. Global burden of bacterial antimicrobial resistance in 2019: A systematic analysis. The Lancet. 2022;399(10325):629–655.
- Rolain JM, Parola P, Cornaglia G. New Delhi metallo-beta-lactamase (NDM-1): Towards a new pandemia? Clinic Microbiol Infect. 2010;16(12):1699–1701.
- Castanheira M, Deshpande LM, Mathai D, Bell JM, Jones RN, Mendes RE. Early dissemination of NDM-1- and OXA-181-producing Enterobacteriaceae in Indian hospitals: Report from the SENTRY Antimicrobial Surveillance Program, 2006–2007. Antimicro Agents and Chemothera. 2011;55(3):1274–1278.
- Costelloe C, Metcalfe C, Lovering A, Mant D, Hay A. Effect of antibiotic prescribing in primary care on antimicrobial resistance in individual patients: Systematic review and meta-analysis. 340, c2096.2010.
- Coenen S, Francis N, Kelly M, Hood K, Nuttall J, Little P. Are patient views about antibiotics related to clinician perceptions, management, and outcome? A multi-country study in outpatients with acute cough. PLoS ONE. 2013;8(10):e76691.
- Singh R, Yadav AS, Tripathi V, Singh RP.Antimicrobial resistance profile of Salmonella present in poultry and poultry environment in north India. Food Control. 2013;33(2):545–548.
- Food Safety and Standards Authority of India. Fixation of maximum residue levels for pesticides, veterinary drugs, and antibiotics in foods prepared from animals, poultry, fish, and processed foods. FSSAI Workshop;
- Mellon M, Benbrook C, Benbrook KL. Hogging it: Estimates of antibiotic abuse in livestock. UCS Publications; 2001.
- Brauner A, Fridman O, Gefen O, Balaban NQ. Distinguishing between resistance, tolerance, and persistence to antibiotic treatment. Nat Rev Microbiol. 2016;14(5):320–330.
- Ayukekbong JA, Ntemgwa M, Atabe AN. The threat of antimicrobial resistance in developing countries: Causes and control strategies. Antimicrobial Resistance & Infection Control. 2017;6:47.
- Mölstad S, Erntell M, Hanberger H, Melander E, Norman C, Skoog G. Sustained reduction of antibiotic use and low bacterial resistance: 10-year follow-up of the Swedish Strama programme. The Lancet Infect Dis. 2008;8(2):125–132.
- Stålsby Lundborg C,Tamhankar AJ. Understanding and changing human behaviour: Antibiotic mainstreaming as an approach to facilitate modification of provider and consumer behaviour. Upsala J Med Sci. 2014;119(2):125–133.
- Hanberger H, Skoog G, Ternhag A, Giske CG. Antibiotic consumption and antibiotic stewardship in Swedish hospitals. Upsala J Med Sci. 2014;119(2):154–161.
- Bhushan C, Khurana A, Sinha, Nagaraju M. Antibiotic resistance in poultry environment: Spread of resistance from poultry farm to agricultural field. Centre for Sciand Environ. 2017.
- World Health Organization. The Global Antimicrobial Resistance Surveillance System;
- So AD, Shah TA. New business models for antibiotic innovation. Upsala J Med Sci. 2014;119(2):176–180.
- Nadimpalli M, Delarocque-Astagneau E, Love DC, Price LB, Huynh BT, Collard JM. Combating global antibiotic resistance: Emerging One Health concerns in lower- and middle-income countries. Clin Infecti Di. 2018;66(6):963–969.
- Klugman KP, Black S. Impact of existing vaccines in reducing antibiotic resistance: Primary and secondary effects. Proce the Nat Aca Sci of the United States of America. 2018; 115(51):12896–12901.
- World Health Organization. Global action plan on antimicrobial resistance;
- Chanishvili N. Phage therapy: History from Twort and d’Herelle through Soviet experience to current approaches. Advance Virus Res. 2012;83:3–40.
- Yoshikawa TT. Antimicrobial resistance and aging: Beginning of the end of the antibiotic era? J the Am Geria Soc. 2002;50(Suppl):S226–S229.
- Ng V, Kuehne SA, Chan WC. Rational design and synthesis of modified teixobactin analogues: In vitro antibacterial activity against Staphylococcus aureus, Propionibacterium acnes, and Pseudomonas aeruginosa. Chemistry – A European Journal. 2018;24(36):9136–9147.
- Motlagh AM, Bhattacharjee AS, Goel R. Biofilm control with natural and genetically modified phages. World J Microbioand Biotechnol. 2016;32(67).
- Rodrigues M, Mc Bride S, Hullahalli K, Palmer K, Duerkop BA. Conjugative delivery of CRISPR-Cas9 for the selective depletion of antibiotic-resistant Enterococci. Antimicrobial Agents and Chemother. 2019;63(11):e01454–19.
- Zhong C, Zhu N, ZhuY, Liu T, Gou S, Xie J. Antimicrobial peptides conjugated with fatty acids on the side chain of D-amino acid promises antimicrobial potency against multidrug-resistant bacteria. Euro J Pharmaceuti Sci. 2020;141:
- Wong F, Zheng EJ, Valeri JA. Discovery of a structural class of antibiotics with explainable deep learning. 2023.

International Journal of Antibiotics
| Volume | 02 |
| Issue | 01 |
| Received | 30/11/2024 |
| Accepted | 14/12/2024 |
| Published | 18/12/2024 |
| Publication Time | 18 Days |
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