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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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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Springer Berlin Heidelberg
2016
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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. |
author_sort | Fullybright, R. |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-5366174 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
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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