Reduced Risk from Appendix, Bowel or BirthApril 02, 2003The risk of life threatening infection after a burst appendix, childbirth or bowel surgery has just been reduced, according to medical researchers who have discovered how a particularly dangerous bacterium fools our body's defences. The findings are presented today, Tuesday 8 April 2003, by Dr Sheila Patrick at the Society for General Microbiology's Spring Meeting in Edinburgh. "Up to a third of the people who got these infections used to die in the days before we had effective antibiotics," says Dr Sheila Patrick from Queen's University, Belfast. "The culprit, called Bacteroides fragilis, lives in huge numbers in normal healthy human intestines. Up to half of our faeces are made up of these bacteria. But if they escape into other parts of the body they will cause serious infections." At present doctors can use one very effective antibiotic to fight these infections, but some resistant bacteria have now appeared, and they fear that resistance may spread as it has in other types of bacteria. "In a collaboration between Queen's University of Belfast, the University of Edinburgh and the Wellcome Trust Sanger Institute, we have discovered one of the genetic mechanisms that allows this bacterium to make an amazing variety of components on its cell surfaces, which help it fool our defences. Only one other known bacterium, a type of Salmonella, uses a similar mechanism," says Dr Patrick. "We have also found out where all the genes are on the B. fragilis chromosome, and discovered what many of them do, through the genome sequencing project at the Wellcome Trust Sanger Institute, funded by the Wellcome Trust." These two vital bits of information should allow the researchers to develop new effective antibiotics in the future, if the bacteria become more resistant to the ones in use at the moment. "It is vital that we can continue with operations such as hysterectomy and gastro-intestinal surgery, and can treat peritonitis after a burst appendix or uterine infections after childbirth," says Dr Patrick. "We are in a race with the bacteria. If we do not come up with a winning strategy before resistance spreads, we could return to the pre-antibiotic levels of deaths from infection." Society for General Microbiology |
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