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Serum Institute: We are nearing the end of the antibiotic era

Christian Wenande
May 31st, 2016


This article is more than 8 years old.

Alarm bells ringing following mcr-1 gene find in the US

The discovery of an antibiotic-resistant super-bacteria in the US spells the end of the antibiotic era, according to the State Serum Institute (SSI).

SSI is particularly concerned about the carbapenem-resistant bacteria as it is not affected at all by typical types of antibiotics – aside from colistin.

“We are very worried about them because carbapenems are some of our most used antibiotics for seriously-ill people,” Ute Wolff Sönksen, a doctor at the SSI reference lab for antibiotic resistance, told Ingeniøren newspaper.

“If the bacteria infect each other and become resistant to carbapenems and colistin, then we can say we are nearing the end of the antibiotic era.”

The dire outlook comes in the wake of a 49-year-old woman in Pennsylvania being infected with an E-coli bacteria that contained the mcr-1 gene, which means it is not only resistant to the ‘last option’ antibiotics, colistin, but it could also ‘infect’ other bacteria so they would have the same capability.

This is possible because its capability is connected to a so-called plasmid and not the chromosomes of the bacteria.

READ MORE: MRSA found in maternity ward at Danish hospital

A global problem
In the case of the woman in the US, the bacteria succumbed to other types of bacteria, but researchers and doctors fear that mcr-1’s ability to spread to other bacteria will quickly exacerbate the problem.

The mrc-1 gene was found in a Danish patient last year and has also been seen in China, Vietnam, Canada, the Netherlands, Sweden, Thailand, Laos, the UK, Germany and Switzerland.

“We are doing a lot to avoid resistance here in Denmark by co-operating with the agriculture sector about not using the same antibiotics humans use for their animals, but we can’t do it alone,” said Sönksen.

“We are talking about a global problem because the bacteria spread across borders. In that way, one could say that the silver lining of the US case is that the problem is getting so much attention.”

Last week, the British government released a comprehensive report (here in English) on the problem and which steps should be taken to curb it.


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A survey carried out by Megafon for TV2 has found that 71 percent of parents have handed over children to daycare in spite of them being sick.

Moreover, 21 percent of those surveyed admitted to medicating their kids with paracetamol, such as Panodil, before sending them to school.

The FOLA parents’ organisation is shocked by the findings.

“I think it is absolutely crazy. It simply cannot be that a child goes to school sick and plays with lots of other children. Then we are faced with the fact that they will infect the whole institution,” said FOLA chair Signe Nielsen.

Pill pushers
At the Børnehuset daycare institution in Silkeborg a meeting was called where parents were implored not to bring their sick children to school.

At Børnehuset there are fears that parents prefer to pack their kids off with a pill without informing teachers.

“We occasionally have children who that they have had a pill for breakfast,” said headteacher Susanne Bødker. “You might think that it is a Panodil more than a vitamin pill, if it is a child who has just been sick, for example.”

Parents sick and tired
Parents, when confronted, often cite pressure at work as a reason for not being able to stay at home with their children.

Many declare that they simply cannot take another day off, as they are afraid of being fired.

Allan Randrup Thomsen, a professor of virology at KU, has heavily criticised the parents’ actions, describing the current situation as a “vicious circle”.

“It promotes the spread of viruses, and it adds momentum to a cycle where parents are pressured by high levels of sick-leave. If they then choose to send the children to daycare while they are still recovering, they keep the epidemic going in daycares, and this in turn puts a greater burden on the parents.”