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To: tnsaf who wrote (37)12/7/1999 2:30:00 PM
From: aknahow  Respond to of 7143
 
Link for patent news. Better than IBM site. Updated each Tuesday usually before 3 p.m. est.

uspto.gov



To: tnsaf who wrote (37)12/8/1999 1:06:00 AM
From: aknahow  Respond to of 7143
 
Large segment from company site on antibiotic resistance. The part that deals with what the company is doing is not included.

Antibiotic Resistance in Microbes

The advent of powerful antibiotics over half a century ago dramatically changed the balance of power
between humans and microbes. For several decades after the introduction of penicillin in the 1940s, the total
conquest of infectious disease appeared imminent. However, the widespread use of antibiotics has
conspired with the astonishing evolutionary flexibility of microbes to snatch away that victory.

An increasing number of bacteria, fungi and other microbes are developing resistance to antibiotics.
Especially in hospitals (and among patients whose immune systems are compromised by AIDS,
chemotherapy, or immunosuppressive drugs), multiple drug resistant (MDR) infections are emerging. This
process is now proceeding at a rate faster than the introduction of new antibiotics.

How did this happen and what can be done about it?

Microbes have been living on this planet many hundreds of millions of years longer than we have. Bacteria
in particular have adapted to an extraordinary range of conditions and developed defenses against all sorts of
environmental threats. From the bacterial point of view, the human body is just another host to colonize,
and antibiotics are just another toxic environmental threat to resist. For organisms with populations that
have already adapted to such extreme environments as boiling sulfur springs, learning to live with
antibiotics was inevitable.

Emerging Resistance

Overuse of antibiotics has contributed to the problem. In newly-industrialized nations, indiscriminate use of
antibiotics has contributed to the emergence of MDR strains of bacteria such as Pseudomonas,
Streptococcus and Staphylococcus. Some countries, including the United States, are also seeing strains
of tuberculosis (TB), that are resistant to all available TB drugs. These resistant strains have evolved in
large part because many TB patients fail to complete the required lengthy course of antibiotic treatment.
Recent increases in resistant bacterial ear and sinus infections in children may have been exacerbated by
inappropriate use of antibiotics to treat viral infections. More disturbing is the trend to prescribe second-line
and last-resort antibiotics in place of first-line antibiotics, even when there is no reason to suspect resistance
to the older drugs. In certain cases, like recurrent lung infections in cystic fibrosis patients, physicians have
no choice but to escalate antibiotic treatment, until the infecting bacteria become resistant to all available
antibiotics.

With the emergence of antibiotic-resistant
organisms, the medical community has
lost ground in achieving a permanent
conquest of microbial infection. But much
has been learned in the process. Using a
deeper understanding of microbes and
their mechanisms of resistance, the
biomedical community continues to
mount a broad array of defenses against
them. Such defenses include renewed
attention to medical basics, such as public
health measures, for example, in
HIV-infected populations that have
become breeding grounds for resistant
microbes.

In hospitals, where the most resistant
microbes can infect the most vulnerable
patients, there is a resurgence of interest in revitalizing and improving basic techniques (like hand-washing)
for preventing the spread of infection. Physicians, nurse practitioners and pharmacists are also becoming
more aware of the importance of more careful prescription practice.

Pharmaceutical Industry Response

Pharmaceutical and biotechnology companies are developing novel products to overcome resistance. Better
understanding of the microbiology and molecular genetics of microbial resistance is leading to the
development of a new generation of anti-microbials that use different mechanisms of action to kill bacteria
or fungi. New weapons in the fight against microbial infections also include antibiotic adjuvants, drugs
combined in antibiotics to enhance or renew their power.

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While the above is not that new IMO it is an interesting summary of the problem. There was more information but it was company specific, not general news.



To: tnsaf who wrote (37)12/11/1999 5:18:00 PM
From: aknahow  Read Replies (1) | Respond to of 7143
 
Think this is news. First publication of this finding was on Dec. 6. No company is mentioned and I am not mentioning the company involved in the production of the drug. That has already been done on the proper thread. BTW I did not find the article, another poster deserves the credit.

Possible explanation for some neo-natal problems.

pediatrics.org