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Is Antibiotic Abuse Murdering Our Future & Your Part to Playing Antibiotic Stewardship

Is Antibiotic Abuse Murdering Our Future & Your Part to Playing Antibiotic Stewardship

Modern medicine has given us antibiotics, our go-to-first line of defense. They are not for viruses like common cold or a flu but when you are down with something serious like pneumonia, bronchitis, etc, there is a need for something serious; something potent to kill of the bacteria and get well.

The problem is that bacteria have become increasingly resistant to antibiotics, making the antibiotics that you readily get from your doctor less effective. Antibiotic resistance occurs when targeted bacteria show resistance to an antibiotic, continuing to thrive and multiply, even in the presence of an antibiotic’s therapeutic levels.

What is selective pressure in antibiotic resistance?

Selective pressure is an antibiotic influence on natural selection where susceptible bacteria, or those having low chance of survival, are killed or inhibited by the antibiotic while the resistant strains of bacteria are allowed to survive. However, sometimes, the natural selection to promote resistance to antibiotics is influenced at a low level without human action – bacteria have the ability to produce and use antibiotics against other bacteria.

Nonetheless, today’s higher level of antibiotic resistance is solely due to antibiotic abuse or overuse. It’s common in some countries to purchase antibiotics over the counter or take unnecessary dosages to treat viral illnesses, such as the common cold.

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A matter of concern

Whether it is about protecting people from different classes of bacteria or saving countless number of lives since the first antibiotic (penicillin) was clinically used in the 1940s, antibiotics have a significant attribution in the human health history. However, their efficacy has become vulnerable, giving rise to drug-resistant bacteria.

Much of the effectiveness of antibiotics is threatened in the modern food animal industry by the use of low doses of antimicrobials for faster growth of livestock and poultry animals, and to compensate for unhygienic environments they are raised in. This encourages bacteria to resist drugs, and such drug-resistant bacteria come in contact with the general public, either through food, animal or human carriers.

1 death every 3 seconds all around the world

This is a dangerous statistic which will soon become a reality by 2050 if countries don’t take immediate action to control antibiotic resistance. ResistanceMap, a highly visual and interactive online platform, shows the current trends in antibiotic resistance around the globe, including the USA, Europe, and low & middle income countries (LMICs):

  • USA: 2 million serious illnesses, 23,000 deaths, $20 billion additional annual medical costs
  • Europe: 25,000 deaths, €1.5 billion direct and indirect annual costs (EMA and ECDC 2009)
  • India: 58,000 neonatal sepsis deaths (Laxminarayan et al. 2013)
  • Tanzania and Mozambique: Increasing deaths of neonates and children under 5 (Kayange et al. 2010; Roca et al. 2008)
  • Worldwide: 935,000 deaths of children under 5 due to pneumonia (2013)

The 2000-10 data of 71 countries reveals that global antibiotic consumption has grown from 50 billion to nearly 70 billion standard units, which is more than a 30% increase. Eighty percent of antibiotics are used in the community of most nations, whether prescribed by healthcare providers or not, and 20% are used in hospitals and other facilities (Kotwani and Holloway 2011).

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The Journal of the American Medical Association’s new report concludes that doctor’s offices, clinics and emergency rooms in the USA prescribe 30% unnecessary antibiotics.

Rare antibiotic resistant E. coli “superbug” detected for the first time

“The medicine cabinet is empty for some patients,” said Dr. Tom Frieden, director of Centers for Disease Control and Prevention (CDC). “It is the end of the road unless we act urgently.”

Frieden recently signaled a warning sign for the USA when rare mutant Colistin-resistent E. coli was found in a 49-year-old Pennsylvania woman at Walter Reed National Military Medical Center. Colistin is a last resort antibiotic most physicians use when all other antibiotics don’t work against a bacteria. A similar strain of the antibiotic resistant bacteria was found in a pig intestine by the U.S. Department of Agriculture (USDA).

There is the danger of a potentially unstoppable superbug being produced if Colistin-resistent E. coli interacts with other bacteria that only respond to Colistin.

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The CDC reports a minimum 2 million cases of infection from other antibiotic resistant bacteria each year and 23,000 consequent deaths to say the least. World Health Organization (WHO) warns about one of the biggest threats to global health due to antibiotic resistance.

10 superbugs which can cause 10 million deaths each year

  1. Gonorrhea  350,000 cases in the USA in 2014, shows resistance to 5 common antibiotics. The sexually transmitted disease now shows resistance to the only two antibiotics left to treat it, i.e. azithromycin and ceftriaxone, according to CDC. There is an overall increase in sexually transmitted diseases in the USA according to a report.
  2. Enterococcus: An ESKAPE pathogen which resists vancomycin antibiotic.
  3. Staphylococcus Aureus: Multidrug resistant Staphylococcus aureus (MRSA) causes 64% more deaths than its non-resistant form.
  4. Klebsiella: A high level of Carbapenem-resistant bacteria.
  5. Acinetobacter: Commonly infects patients in intensive care unit (ICU) and other healthcare settings.
  6. Pseudomonas: Responsible for around 51,000 healthcare associated infections (HAIs) in the USA each year.
  7. E. coli: Now shows resistance to fluoroquinolones, common oral antimicrobial drugs for urinary tract infections (UTIs).
  8. Mycobacterium Tuberculosis (TB): India reported total resistance to all TB drugs. 480,000 MDR-TB (multidrug resistant) cases worldwide and XDR-TB (extensively-drug resistant) cases in 100 nations in 2014.
  9. Influenza: Type A and B influenza cause 250,000 to 500,000 deaths and 3 to 5 million cases of serious illness each year.
  10. Typhoid Fever: Affects 21 million worldwide population and causes 222,000 deaths (mostly children) each year.

Your part to playing antibiotic stewardship to avoid antibiotic resistance

Did you know? Antibiotics are prescribed by 95% of doctors in clinics without being absolutely sure if they are really required. Does that blame only the clinicians? Or do you also shoulder some responsibility as an antibiotic consumer? Well, a surveys says antibiotics are misunderstood as effective viral infection treatment by 36% of Americans while another reveals the U.S. as 46% of worldwide antibiotic market.

Take no shortcuts to heal

Right from our ancestors to doctors, they all think “rest” is the best remedy to speed up the healing process or stay fit. But we never take the time to see ourselves out of sickness, which is actually the ideal way. Most of us rely on antibiotics to clear up faster. However, the deal is: pay now in time or later with chronic problems.

Be your own advocate at doctor’s office

1 in 10 doctors would definitely prescribe you an antibiotic. At least of 10% of physicians don’t think it’s a big deal to give antibiotics even if they’re not required. With such scary numbers to tell, you ought to be your own health advocate these days! Ask if your illness is really bacterial, tell them you don’t preferably demand antibiotics, and choose a hospital which practices antibiotic stewardship.

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Use antibacterial cleaning products at minimum

“For routine day in and day out use, at my house I use a nice soap that smells like flowers. That’s fine. You don’t need anything special,” said deputy director Dr. Michael Bell from CDC.

Don’t become obsessed with antibacterial products! Most regular soaps or alcohol-based sanitizers are natural antibiotics and suffice the need to keep you safe from bacteria.

Check the meat you shop at grocery stores

The bacteria on raw meat can be life-threatening. CDC reports approximately 48 million Americans food poisoned every year. Protect yourself and the community by choosing only “antibiotic-free” meats. Avoid cross-contamination of other foods when handling or cooking meat by washing your hands thoroughly during and after preparing food.

Stick to alternatives whenever possible

Sometimes, even chronic or acute infections can be dealt with natural remedies instead of antibiotics, provided you are observed by a skilled herbalist or integrative MD. Viral and bacterial infections also respond to diet change and natural supplements.

Get on Get Smart

It’s a great resource made available by CDC to avoid unnecessary doctor visits or premature consulting, and eventually taking unnecessary antibiotics.

Featured photo credit: Mkcassidy75 via flickr.com

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Last Updated on October 23, 2018

Science Says Knitting Makes Humans Warmer And Happier, Mentally

Science Says Knitting Makes Humans Warmer And Happier, Mentally

My mother was a great knitter and produced some wonderful garments such as Aran sweaters which were extremely fashionable when I was young. She also knitted while my father drove, which caused great amusement. I often wondered why she did that but I think I know the answer now.

Knitting is good for your mental health, according to some research studies. The Washington Post mentions a 2013 survey of about 3,500 knitters who were asked how they felt after a knitting session. Over 80% of them said they definitely felt happier. It is not a totally female occupation as more and more men take it up to get the same benefits. Harry Styles (One Direction) enjoys knitting. So does Russell Crowe although he does it to help him with anger management!

The Neural Knitwork Project

In Australia, Neural Knitworks was started to encourage people to knit and also become aware of neuroscience and mental health issues. Knit-ins were organized but garments were not the only things created. The knitters produced handmade neurons (1,665 of them!) to make a giant brain. The 2015 project will make more neural knitted networks (neural knitworks) and they will be visible online. You can see some more examples of woolly neurons on the Neural Knitworks Facebook page.

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While people knitted, crocheted and crafted yarn, they listened to experts talking about mental health issues such as addiction, dementia, depression, and how neurons work.

The knitting and neural connection

The human brain has about 80 billion neurons. Learning new skills, social interaction, and physical activity all help to forge neural connections which keep the brain healthy and active. They are creating networks to control movement and make memories. The knitters learn that as they create the woollen neurons, their own neurons are forming new pathways in their brains. Their creations are mimicking the processes in their brains to a certain extent. At the same time, their brains are registering new and interesting information as they learn interesting facts about the brain and how it works. I love the knitworks and networks pun. What a brilliant idea!

More mental health benefits from knitting

Betsan Corkhill is a physiotherapist and has published some results of completed studies on her website, appropriately named Stitchlinks. She conducted some experiments herself and found that knitting was really helpful in reducing panic and anxiety attacks.

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“You are using up an awful lot of brain capacity to perform a coordinated series of movements. The more capacity you take up by being involved in a complex task, the less capacity you have for bad thoughts.”- Betsan Corkhill

Knitters feel happier and in a better mood

Ann Futterman-Collier, Well Being Lab at Northern Arizona University, is very interested in how textile therapy (sewing, knitting, weaving and lace-making) can play an important role in mood repair and in lifting depressive states.

She researched 60 women and divided them into three different groups to do some writing, meditating and work with textiles. She monitored their heartbeat, blood pressure and saliva production. The women in the textiles group had the best results when their mood was assessed afterwards. They were in a better mood and had managed to reduce their negative thoughts better than those in the writing and meditation groups.

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“People who were given the task to make something actually had less of an inflammatory response in the face of a ‘stressor’.” – Dr. Futterman Collier

The dopamine effect on our happiness

Our brains produce a chemical called dopamine. This helps us to feel happy, more motivated, and assists also with focus and concentration. We get a boost of dopamine after sex, food, exercise, sleep, and creative activities.

There are medications to increase dopamine but there are lots of ways we can do it naturally. Textile therapy and crafting are the easiest and cheapest. We can create something and then admire it. In addition, this allows for a little bit of praise and congratulations. Although this is likely not your goal, all these can boost our dopamine and we just feel happier and more fulfilled. These are essential in facing new challenges and coping with disappointment in life.

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“Sometimes, people come up to me when I am knitting and they say things like, “Oh, I wish I could knit, but I’m just not the kind of person who can sit and waste time like that.” How can knitting be wasting time? First, I never just knit; I knit and think, knit and listen, knit and watch. Second, you aren’t wasting time if you get a useful or beautiful object at the end of it.” – Stephanie Pearl-McPhee, At Knit’s End: Meditations for Women Who Knit Too Much.

If you thought knitting and textiles were for old ladies, think again!

Featured photo credit: DSC_0012/Mary-Frances Main via flickr.com

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