http://c-lab.co.uk/userdata/events/bacteria/PenicillinPSAedit.jpg
forrás http://en.wikipedia.org/wiki/File:Antibiotics_action.png
http://www.botany.utoronto.ca/ResearchLabs/MallochLab/Malloch/Moulds/Illustrations/Penicillium.jpg
1958 – vancomycin kifejlesztése
1970-s évek – vancomycin széleskörű használata
1988 VRE megjelenése (vanA gén)
1995 VRE USA-ban 15%
2000 VRE Európában
2004 VRE hazánkban
2005 VRE kórházunkban
( Maszárovics Zoltán nosocomiális infekciók Eger)
1958 – vancomycin kifejlesztése
1970-s évek – vancomycin széleskörű használata
1988 VRE megjelenése (vanA gén)
1995 VRE USA-ban 15%
2000 VRE Európában
2004 VRE hazánkban
2005 VRE kórházunkban
( Maszárovics Zoltán nosocomiális infekciók Eger)
ismej200731a.pdf
An ancillary goal of our research was to compare
resistant bacteria from soils at farms using antibiotics
with resistant bacteria from soils unaffected
by antibiotic use. Because many antibiotics are
natural compounds, numerous soil bacteria would
be expected to be resistant even if humans had not
been mass-producing various antibiotics since the
1940s (Davelos et al., 2004; Guardabassi and
Dalsgaard, 2004). It was somewhat surprising, therefore,
that the soil bacteria from the three DFs and
two of the farms using antibiotics at subtherapeutic
concentrations had similar quantities and types of
resistant bacteria compared to the soils that had not
been affected by agricultural activity. It is particularly
interesting that the bacteria isolated from
Quetico Provincial Park (that is, the site least
affected by human activity) were exclusively Streptomyces
spp., which naturally produce many antibiotics
and are equipped with various defense
mechanisms.
Although we agree that antibiotic use is the
most pertinent factor in the global spread of
resistance, our research demonstrates that the proliferation
of antibiotic resistance is not intrinsically
linked to antibiotic use and that the other three
factors can also be critically important. We recommend,
therefore, substantially more stringent control
of fecal waste (both of animal and of human
origin) as a viable approach to slow the proliferation
of antibiotic-resistant bacteria.
In conclusion, our results suggest that the subtherapeutic
use of antibiotics can lead to the
proliferation of antibiotic resistance among soil
bacteria if an excessive quantity of manure is
applied to an insufficient surface area of land.
Additional research is needed, however, to confirm
or refute this conclusion. In contrast, our results
revealed no increase in the quantity of resistant
bacteria when animal manure was applied at
agronomically acceptable rates. Of particular importance
is that the proliferation of antibiotic
resistance appears to be associated with specific
genes that confer antibiotic resistance. Because
these genes were detected among numerous different
bacterial populations, lateral genetic exchange
appears to be a pertinent mechanism by which
resistance develops among soil bacteria.