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Experts offer perspective on antibiotic resistance threat

Robert Roos News Editor

Aug 20, 2010 (CIDRAP News) – The recently reported factor that can make gram-negative bacteria resistant to nearly all antibiotics is a serious concern but does not necessarily top the list of resistance worries for healthcare in the United States, say two antimicrobial resistance experts who discussed the threat this week.

Neil Fishman, MD, president of the Society for Healthcare Epidemiology of America, said bacteria that produce the resistance enzyme NDM-1 are worrisome but asserted that another resistance enzyme, Klebsiella pneumoniae carbapenemase, or KPC, is a much bigger concern right now. KPC, like NDM-1, renders bacteria resistant to carbapenem and most other antibiotics, he said.

Brandi Limbago, PhD, of the Centers for Disease Control and Prevention (CDC) said NDM-1 bacteria bear close watching but should be controllable with careful use of antibiotics and proper infection prevention measures.

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