History of Antibiotics


History of Antibiotics



from page 52 and 53 of the October 2005 issue of Wired.



The table below shows the timelines for three infectious diseases, the antibiotics that were developed to treat them, and the eventual evolution of resistant strains that rendered the antibiotics ineffective.



Staphylococcus aureus


S. aureus causes skin infections, toxic shock syndrome, and a host of other staph infections. More than half of all staph infections found in intensive care units are drug-resistant.


Streptococcus pneumoniae


S. pneumoniae causes a range of illnesses including strep throat, flesh-eating bacteria, and pneumonia that requires hospitalization.


Escherichia coli


Dangerous forms of E. coli cause GI distress to meningitis. In June 2005, the FDA approved tigecycline, a new type of antibiotic designed to fight resistant E. coli.


The following are three ways bacteria evolve to become resistant to antibiotics.



Camouflage


A bacteria's protein receptors morph so that the antibiotic cannot lock onto them and kill them. Staph evolved in this way to resist penicillin.


Roadblocks


The bacteria's cell membrane changes to keep the antibiotic out. Bacteria such as staph and strep evolved in this way to defeat tetracyclines.


Disarmament


A bacteria produces enzymes that turn off the active part of the antibiotic. Using this method, E. coli resisted cephalosporins.


Year Staphylococcus aureus Streptococcus pneumoniae Escherichia coli Antibiotic
1942 Penicillin
1944 Streptomycin
1947 Staph resists penicillin Chloramphenical
1948 Tetracycline
1952 Erythromycin
1955 Lincomycin
1959 E. coli resists chloramphenicol,
tetracycline, and
streptomycin
1960 Methicillin
1961 Staph resists methicillin Ampicilin
1963 Strep resists tetracycline and
lincomycin
1964 Cephalosporin and
Vancomycin
1965 Strep resists penicillin
1970 Strep resists chloramphenicol
1977 Trimethoprim-
sulfametho-
xazole
1978 Strep resists cephalosporin
1986 E. coli resists ampicillin Fluoroquinolone
1987 E. coli resists trimethoprim-
sulfametho-
xazole
Ciprofloxacin
1988 Strep resists erythromycin
1994 E. coli resists fluoroqui-
nolone
1996 Levofloxacin
1997 Staph resists vancomycin
1999 Strep resists ciprofloxacin E. coli resists cephalosporin
2000 Linezolid
2001 Staph resists linezolid
2002 Strep resists levofloxacin E. coli resists ciprofloxacin
2005 Tigecycline