Adapted from Microbiol Mol Biol Rev, 68:669–85, 2004.
We need new antibiotics. It's as simple as that. We can reduce the need for them by deploying sophisticated surveillance systems and implementing public health policies that reduce the spread of infectious disease. We can prolong the active life of existing antibacterial agents by enforcing their prudent use and devising clever ways to manage resistance. But we will still need new drugs.
Bacteria are responsible for 25% of deaths worldwide; one-third of the world's population has tuberculosis; and in the United States, 98,000 cases of septicemia are reported each year with a 31% mortality rate, thereby killing as many people annually as acute myocardial infarctions. Hospitals have become treacherous breeding grounds for opportunistic pathogens, inducing two million hospital- acquired infections per year.1 As our world becomes more populous and transportation continues to blur intercontinental boundaries, making the words "indigenous" and "endemic" anachronistic, ...