MRSA

Treating Antibiotic-Resistant Super-Bugs with Vitamin B3

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If you are like me, you unnecessarily worry about things completely out of your control like untreatable illness (amongst many other things – from radiation poisoning to earthquakes and of course the zombie apocalypse). As I hear about the increase in antibiotic-resistant diseases, I comfort myself with the fact that I do not use antibacterial products, have not taken an antibiotic in at least five years, and have a super strong immune system (I’ve been sick with the flu once in the last three years and have not had a head cold in the last four to five years). Still, I have an irrational fear of these super-bugs; specifically the flesh eating virus. That’s why I was delighted to read that a new study reveals a treatment that does not involve antibiotics; a treatment that can boost the immune system 1000x’s so the body can fight off these infections. This new study found that vitamin B3, or nicotinamide, taken in large doses was able to kill staphylococcus aureus in both mice and human blood samples. The vitamin B3 significantly boosts the number and effectiveness of neutrophils, or white blood cells that target infections. Various news reports noted that this treatment, unlike antibiotics, won’t kill the natural bacteria in our stomach that are necessary to our immune systems.

It is important to note that the doses used in this study are above the government recommended daily intake of vitamin B3 and should not be attempted through diet, over the counter supplementation or without the supervision of medical professionals.

Click here to read the full report in the Journal of Clinical Investigation

The article was originally published on Hormones Matter in September 2012.

Traveling Super Bacteria in Commercial Livestock

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With the trend in commercial livestock to raise large numbers of animals in small and confined spaces, fed a regular diet of antibiotic doused feed, it should be no surprise when those animals develop infections, even antibiotic resistant infections. According to the third annual report released by the FDA’s Center for Veterinary Medicine in 2012, antimicrobials sold or distributed for food-producing animals are increasing, rapidly, far and above human use, and despite recommendations to the contrary. In 2011:

  • 29.9 million pounds of antibiotics were sold in the US for meat and poultry production
  • 7.7 millions pounds of antibiotics were sold in the US for humans

Along with that increased usage comes an increased incidence of antibiotic resistant strains of bacteria found in the animals, the retail meats sold for human consumption and in the humans who raise these animals and consume these meats with overuse of fluoroquinolone antibiotics being one the main culprits.

More recently, researchers investigating the persistence of livestock associated antibiotic resistant staphylococcus aureus among the industrial hog workers in North Carolina, found that fully 86% of the workers (n=22) carried the livestock staph bacteria nasally over the course of the two week testing period that sometimes included 96 hours away from the hog farms. One worker carried methicillin resistant staphylococcus aureus (MRSA) persistently and 46% of the workers carried the more virulent strain of mutli-drug resistant staphylococcus aureus (MDRSA) at some point during the test period. The researchers observed that carriage of the bacteria continued even when the workers were away from the farms. Although it should be noted, most workers were at the farms over 50 hours per week and rarely had more than 24 hours off unless ill (in itself, a cause for concern).

Traveling Bacteria

As we learn more about the microbial environment, it becomes clear that organisms, human and animal, are walking bacterial ecosystems, with trillions of microbes upon and inside us. Which populations of bacteria predominate have as much to do with the host organism’s health and habits as with his/her exposures. Bacteria and other microbial pathogens are emerging as a flexible interface of sorts, between us and the environment.

From birth onward which bacteria thrive is moderated by the environment. A child born by cesarean in a hospital adopts the bacteria of the hospital setting, even the pathogenic ones, whereas a child born vaginally develops much of the mom’s microbial influence. More interestingly, a child born vaginally and at home, adopts the microbial patterns of her surrounds, even from that of the family pet. Indeed, across the lifespan, our bacterial exposures influence our microbiome. Living with pets, eating habits and environmental exposures change our microbial ecosystems, regularly and continuously, as we adapt to our surroundings – and these changes happen quickly.

Change the diet and the gut microbiome changes within days. Spend time in the hospital, your microbiome changes within hours. Buy a dog, enter a relationship, ditto. The totality your environment influences your microbiome. And so, it should be no surprise that the animals raised in deplorable conditions, would carry dangerous and deadly bacteria more frequently than animals raised on organic feed and in a more healthy environment. Similarly, it should no surprise that those who work with those animals carry those same deadly bacteria and that their health and the health of their families could be impacted by microbial environment in which they work, but it is.

Even though the importance of the microbiome has only recently come to light, common sense should tell us that the way we raise and grow our food is not healthy for the animals or for us. I suspect, our hunter-gatherer ancestors would not consume diseased animals, understanding the risk of illness to themselves, but we do, every day. Perhaps it is because we do not see the animals and the connection between their health and ours is lost; perhaps it is because some of these animals look healthy bolstered by growth hormones, antibiotics and other chemical toxicants; perhaps it is because we don’t want to see or to think about what we put in our mouths. Whatever the reason, commercial livestock practices are becoming increasingly dangerous to human health. Whether we recognize those dangers or not, we will bear the costs in the chronic illnesses that raising and eating those animals initiate.

From Humans to Pigs and Back Again: the Latest Strain of MRSA

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Responsible for over 250,000 hospitalizations annually in the US, methicillin-resistant staphylococcus aureus (MRSA) infections are quickly becoming the next great threat to modern medicine.

In February of this year, the threat escalated when scientists and medical epidemiologists identified a new strain of MRSA that originated in humans (first as a methicillin susceptible strain), then infected nearby livestock (pigs). With the heavy prophylatic use of antibiotics in commercial livestock farming, the ST398 strain of MRSA quickly became resistant to not only methicillian but also a host of other antibiotics including at least dozen beta-lactam antibiotics and tetracycline.  It then jumped back to humans in a more deadly form.

The ST398 strain of MRSA has also been found in milk from commercial dairy farms in Europe and in animals from 19 countries and four continents.

The presence of MRSA on commercial livestock is growing. One recent study in Belgium found MRSA in 26 of 30 farms tested and the prevalence of MRSA in pig farmers was 760 times greater than in the general population.

A study comparing organic pig farms to non-organic commercial livestock operations in the Netherlands found the presence of MRSA in only 17% organic facilities and 3% of the pigs themselves. This is compared to a larger study a couple years earlier where 71% of non-organic commercial facilities tested positive for MRSA, with 38% of all pigs testing positive. In the US, MRSA ladden pork products can be found in at least 6% of retail meats and methicillin susceptible staph bacteria was identified in 64% of retail meats tested.

Experts warn that commercial livestock farming is becoming a public health threat that should not be ignored any longer.

Quick News: Oral Contraceptives and Staphylococcus Infections

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A reader asked us if there was a connection between oral contraceptives, recurrent yeast infections and/or the rate of general illness. At the time, we were unable to find any research on these topics. Indeed, the only studies we could find on oral contraceptives and yeast infections were either conducted 40 years ago or on rodents.

However, just this week we found a study published last month showing that women taking oral contraceptives were almost twice as likely to be persistent carriers of nasal staphylococcus aureus than women who were oral contraceptive free or men. Staphylococcus or staph, is the bacteria that causes a host of infections including the MRSA or methicillin resistant staphylococcus aureus strain that is resistant to antibiotics. The two most common locations for this pathogen to reside are in the nose and on the skin.

Carrier Status and Infection

Approximately 20% of the population are persistent carriers of s. aureus, increasing their risk for infection especially with surgical procedures or when combined with impaired immune function. About 30% of the population are intermittent carriers and  50% of the population are non-carriers.

The increased rate of persistent carrier status in women who use oral contraceptives is notable especially considering the rise in MRSA infections observed in athletes and emanating from locker rooms. Oral contraceptive use is common among female athletes. A recent study indicated a significantly higher prevalence of MRSA bacteria on the surfaces of women’s locker rooms, compared to men’s locker rooms.

Our reader’s observation that while on the pill she seemed more susceptible to illness might very well be correct. Whether oral contraceptives are linked to recurring yeast infections remains unclear. What is clear, however, is that much more research must be done on the interaction between oral contraceptives and immune function.

 

 

 

Over-Prescribing Antibiotics

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As the school year begins and cold and flu season approach, it is important to remember that antibiotics do not work for cold and flu or other viral infections. New research shows that our over-reliance on antibiotics is linked to a marked increase in the number of serious, long-term side effects experienced by patients and deadly infections that are resistant to most, and sometimes all, antibiotics.

Antibiotics are used to treat bacterial infections, but the excessive use and misuse of antibiotics, particularly fluoroquinolones (Cipro, Levaquin, Avelox), is linked to serious side effects, such as retinal detachment and acute kidney failure, according to a recent report published in the Journal of the American Medical Association.  The fluoroqinolones are also associated with tendon rupture, prompting the FDA to issue black box warnings and spawning thousands of lawsuits.

Researchers speculate that because doctors are eager to provide a solution and patients expect prescription medications for most illnesses, antibiotics are often prescribed when they are not needed or are misprescribed- a newer, more potent antibiotic is selected when an older, safer antibiotic would suffice.

Over the last two years, the number of reported adverse events for a certain class of antibiotics-the fluoroquinolones has increased drastically.  The adverse events for Levaquin,  a potent antibiotic, meant for the most serious and often life-threatening bacterial infections, has increased significantly along with its increase in use.  A steadier increase in reported adverse events can be seen for ciprofloxacin (Cipro), another fluoroquinolone, on AdverseEvents.com, suggesting an increase in the use of Cipro since 2008.

In addition to having a negative impact on the patient’s health, the overuse of antibiotics is thought to be responsible for bacterial strains that have become resistant to many antibiotics. Methicillin-Resistant Staphylococcus Aureus, or MRSA, is one strain of staph bacteria that has become resistant to the antibiotics commonly used to treat it.

MRSA infections are becoming more frequent in hospitals, nursing homes, prisons and even in school locker rooms where large groups of people reside or congregate and individuals with weakened immune systems are present. Just one look at MRSA makes the risks of antibiotic over-use  apparent. Here’s another picture.

Next time you have the cold or flu, remember antibiotics don’t work on viral infections. If you do have a bacterial infection, work with your physician to find the most effective antibiotic or treatment.  There may be alternative options. The point is, before you request antibiotics for the cold or flu or other conditions, ask if there are alternatives, ask if the medication is linked to any adverse effects and if there are other safer antibiotics than the one being prescribed.

Read more about the adverse effects tied to fluoroquinolones at the New York Times.