Antibiotic use falling but resistant infections rising

From The BBC

31 October 2019

There has been a 17% drop in the number of prescriptions for antibiotics written by GPs in England over the past five years, latest figures show. But antibiotic-resistant infections are still rising - up 9% between 2017 and 2018, to nearly 61,000. Public Health England is urging the public to take antibiotics only when necessary. And it urges people to listen to their doctor or pharmacist's advice on when to use them. Antibiotics are essential for treating serious bacterial infections, such as sepsis, pneumonia and meningitis. But they should not be used to treat coughs, earache and sore throats, which usually clear up without drugs. If antibiotics are taken inappropriately, harmful bacteria living inside the body can become resistant to the antibiotics, which means the medicines may not work when really needed.

PHE's annual report on antimicrobial resistance for 2018-19 found that the most potentially serious infections (antibiotic-resistant bloodstream infections) rose by a third between 2014 and 2018. Dr Susan Hopkins, from Public Health England, said it was "worrying" that more infections were becoming resistant to life-saving antibiotics. But there is good news too - total antibiotic consumption in England has been coming down since 2014, when it hit a 20-year peak. "We have seen positive steps taken to reduce antibiotic use without affecting people's recovery when they are unwell and GPs should be congratulated in their ongoing work to reduce unnecessary antibiotic use," Dr Hopkins said. "We want the public to join us in tackling antibiotic resistance by listening to your GP, pharmacist or nurse's advice and only taking antibiotics when necessary," she added. "Taking antibiotics when you don't need them is not a harmless act - it can have grave consequences for you and your family's health, now and in the future." The report found no evidence that GPs prescribing fewer antibiotics had led to more people being admitted to hospital with serious infections.

Antibiotic prescriptions dispensed in the community went down by 16.7% (from 750 to 624 per 1,000 inhabitants per year) between 2014 and 2018. There were reductions in all age groups, but particularly in the under-65s. Dental antibiotic prescriptions dispensed in the community have gone down by more than 25% in the last five years. Last year, E. coli was the commonest cause of bloodstream infection in England. Prof Chris Whitty, England's chief medical officer, said: "The decrease in consumption of antibiotics is good news but the rise in resistant infections shows the threat is increasing and so there is more to be done. Antibiotic resistance is not just a matter for clinicians - the public also have a crucial role to play in helping to preserve these vital medicines."

[I’ve probably experienced too many end-of-the-world scenarios in either book or movie format to be comfortable with the idea of growing antibiotic resistance. It’s easy enough to imagine a future global pandemic that just blasts through what little medical defences we have with Black Death-like consequences. Personally I like to avoid anti-biotics whenever I can. I’ve been prescribed them more than once for a minor infection only to throw it in the bin knowing/suspecting that I’ll be over it in a little while anyway. I’ve just gotten over a cold (not a particularly bad one) and have developed an annoying cough. Rather than even thinking about anti-biotics (which the Dr shouldn’t really give me anyway unless I have an identified URT infection – that mostly clears up on their own) I simply increase my garlic intake which usually does the trick. Not sure if the little buggers can adapt to garlic. I’d like to see them try… I’d just increase the dose….. [lol]]