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The slippery difficulty of ever containing drug resistance with current practices

It has previously been shown that the rate of drug resistance emergence in medicine is exponential, while we have been producing drugs at a much lower rate. Our ability to successfully contain resistance at any one time is function of how many drugs we have at our disposal to counter new resistances...

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Autor principal: Fullybright, R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5366174/
https://www.ncbi.nlm.nih.gov/pubmed/27896497
http://dx.doi.org/10.1007/s10096-016-2855-x
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author Fullybright, R.
author_facet Fullybright, R.
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description It has previously been shown that the rate of drug resistance emergence in medicine is exponential, while we have been producing drugs at a much lower rate. Our ability to successfully contain resistance at any one time is function of how many drugs we have at our disposal to counter new resistances from pathogens. Here, we assess our level of preparedness through a mathematical comparison of the drug manufacture rate by the pharmaceutical industry with the resistance emergence rate in pathogens. To that effect, changes in the rates of growth of the drugs production and resistance emergence processes are computed over multiple time segments and compared. It is found that new resistance emergence rate in infectious diseases medicine remains mathematically and permanently ahead of the drugs production rate by the pharmaceutical industry. Consequently, we are not in a position to ever contain current or future strengths of resistance from pathogens. A review of current practices is called for.
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spelling pubmed-53661742017-04-10 The slippery difficulty of ever containing drug resistance with current practices Fullybright, R. Eur J Clin Microbiol Infect Dis Review It has previously been shown that the rate of drug resistance emergence in medicine is exponential, while we have been producing drugs at a much lower rate. Our ability to successfully contain resistance at any one time is function of how many drugs we have at our disposal to counter new resistances from pathogens. Here, we assess our level of preparedness through a mathematical comparison of the drug manufacture rate by the pharmaceutical industry with the resistance emergence rate in pathogens. To that effect, changes in the rates of growth of the drugs production and resistance emergence processes are computed over multiple time segments and compared. It is found that new resistance emergence rate in infectious diseases medicine remains mathematically and permanently ahead of the drugs production rate by the pharmaceutical industry. Consequently, we are not in a position to ever contain current or future strengths of resistance from pathogens. A review of current practices is called for. Springer Berlin Heidelberg 2016-11-28 2017 /pmc/articles/PMC5366174/ /pubmed/27896497 http://dx.doi.org/10.1007/s10096-016-2855-x Text en © The Author(s) 2016 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Review
Fullybright, R.
The slippery difficulty of ever containing drug resistance with current practices
title The slippery difficulty of ever containing drug resistance with current practices
title_full The slippery difficulty of ever containing drug resistance with current practices
title_fullStr The slippery difficulty of ever containing drug resistance with current practices
title_full_unstemmed The slippery difficulty of ever containing drug resistance with current practices
title_short The slippery difficulty of ever containing drug resistance with current practices
title_sort slippery difficulty of ever containing drug resistance with current practices
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5366174/
https://www.ncbi.nlm.nih.gov/pubmed/27896497
http://dx.doi.org/10.1007/s10096-016-2855-x
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