All three confirmed U.S. cases — one in
There, several kinds of bacteria are spreading that carry a gene called NDM-1, which makes a carbapenem-destroying enzyme. Carbapenems are key antibiotic weapons against these “”Gram-negative”” bacteria, which are already challenging to treat.
Infectious disease experts have described the situation as a potential nightmare scenario in which other bacteria acquire the gene, rendering an entire class of antibiotics useless against them.
The
The three U.S. cases involved three different bacteria that remain susceptible to the antibiotics colistin, polymixin and tigecycline, said
But “”one of the problems is that use of these antibiotics can also eventually result in resistance,”” said Bush, who spoke about resistant bacteria Monday at the
There are no drugs in Phase 3 clinical trials that work against the NDM-1 mechanism, said Bush. But, she said, there are some promising compounds in earlier stages of development.
Medical epidemiologist Dr.
“”That is not to downplay this,”” he said. “”It is important, but this particular mechanism is just one of many that can cause this kind of pattern.””