April 26, 2021

When Antibiotics Stop Working, What’s Next?

How science is fighting superbugs

Person holding pills in one hand and a glass of water in the other

Antibiotics, designed to fight infections, have been one of the greatest medical advances of the past 100 years. But many health experts warn that we’re entering a postantibiotic era, where drug-resistant “superbugs” threaten our health and economy.

Advertisement

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

Each year in the United States, 35,000 people die from drug-resistant bacterial infections according to clinical coordinator of infectious disease, Andrea Pallotta, PharmD, BCIDP. And she says our behavior — how we use antibiotics and antibacterial products — may be part of the problem.

How superbugs survive

Genetic mutations randomly occur in nature. Bacterial genes mutate rapidly in millions of different combinations. Every so often, they get the right combination that helps them adapt to an environmental change — like the presence of an antibiotic. When that happens, only the cells containing the mutation will survive. With their competitors out of the picture, these antibiotic-resistant cells multiply quickly, becoming stronger and often deadlier.

This “survival of the fittest” process becomes accelerated when we overuse antibiotics as medication, in our food or even on our skin.

Unfortunately, many people take antibiotics to treat viral infections like the flu or common cold. And with the plethora of antibacterial products on the market right now, such as wipes and sanitizers, this doesn’t help matters.

Antibiotics have no effect on illnesses such as the common cold, but many Americans still believe antibiotics can help treat the common cold. This misconception is dangerous. Not only can overuse or misuse of antibiotics lead to drug resistance, it can lead to serious health consequences such as clostridioides difficile infection, also called c. diff. which causes severe diarrhea that can lead to colon damage and death.

Advertisement

“Before taking antibiotics for something that may not be bacterial in nature, ask your doctor if you really need them,” Pallotta says.

And if you know someone who frequently takes antibiotics for simple sneezes and sniffles, let them know they could be endangering themselves.

The concern is not just for antibiotics, either. According to the U.S. Food and Drug Administration (FDA), there isn’t enough data to support that antibacterial soaps are any better than plain soap and water at killing the germs that cause illnesses.

How do we stop superbugs?

Drug-resistant bacteria are especially prevalent — and dangerous — in hospitals, nursing homes and other healthcare facilities. A 2019 Centers for Disease Control (CDC) report shows that multi-drug-resistant bacteria called CRE (carbapenem-resistant enterobacterales) are rapidly rising. These superbugs are resistant to nearly all existing antibiotics, and they kill 50% of hospitalized people with CRE infections.

C. diff., the hospital-related pathogen mentioned above, is becoming more deadly due to drug resistance. The majority of C. diff-related deaths occur in patients 65 years and older. C. diff-related deaths have quadrupled in the last 10 years.

Advertisement

How do we fight this deadly trend? We just need to make more antibiotics, right?
It’s not that simple.

“The pipeline of new antibiotics has dried up considerably since the early 1990s, and the number of pharmaceutical companies investing in antibiotic research has dwindled,” says Pallotta.

However, some researchers are developing the next generation of antibiotics by studying and exploiting our natural defense mechanisms. Research is ongoing to develop new antibiotics, including those with unique mechanisms of activity, to combat C. diff, CRE, among others.

Superbugs are a major threat to global health, but with rigorous education and innovative research, we still have a chance to beat them.

Related Articles

Shoe storage shelf home, including purses and bike helmets
February 14, 2024
Wearing Shoes in the House: ‘OK’ or ‘No Way’?

Leaving footwear on invites germs, bacteria, toxins and other unwanted guests into your home

Male consults with pharmacist about herbal supplement
February 13, 2024
Herbal Supplements: Why To Check With a Healthcare Provider First

Besides questionable effectiveness, herbal supplements aren’t safe for everyone

Teacup of tea and plate of toast
February 2, 2024
What To Eat, Drink and Avoid When You Have the Stomach Flu

Start slowly with clear fluids, and then move to bland, easy-to-digest foods

Male with eyes closed sitting hunched over, pinching area between their eyes
January 29, 2024
Headache and Fatigue: 11 Possible Causes That Can Trigger Both

Many factors, like dehydration, a cold or even your medication, can result in these common symptoms

various New Year's resolutions written in date planner, with weights and chocolate in foreground
December 28, 2023
8 Common New Year’s Resolutions and How To Keep Them

Whether you’re trying to work out more, drink less or manage stress, we can help set you up for success

patient lying on imaging table about to enter machine
December 14, 2023
CT Scan vs. MRI: How They Work and What They Show

CTs and MRIs use different technologies to show different things — neither is necessarily ’better’ than the other

person sitting in chair soaking feet in warm tub of water
December 11, 2023
Foot Soaks: What To Know and Whether To Try One

Except in certain medical scenarios, foot health experts rarely recommend foot soaks

Castor bean pods, castor beans and a vial of castor oil
December 7, 2023
No, Castor Oil Won’t Solve All (or Any) of Your Health Problems

The oil some TikTokkers swear by can actually cause stomach and eye issues, as well as skin rashes

Trending Topics

glass of cherry juice with cherries on table
Sleepy Girl Mocktail: What’s in It and Does It Really Make You Sleep Better?

This social media sleep hack with tart cherry juice and magnesium could be worth a try

Exercise and diet over three months is hard to accomplish.
Everything You Need To Know About the 75 Hard Challenge

Following five critical rules daily for 75 days may not be sustainable

Person in foreground standing in front of many presents with person in background holding gift bags.
What Is Love Bombing?

This form of psychological and emotional abuse is often disguised as excessive flattery

Ad