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A Timeline of Antibiotic
Resistance
See timeline above
Golden Era of Development
 Introduction of antibiotic agents with penicillin in the 1940s
produced a breakthrough health intervention, saving millions of
lives1
 The ‘golden era’ of antibiotic discovery in the 1940s-1960s1
 Streptomycin, tetracycline, vancomycin developed among many
others
 Commercial development of a huge number of drug classes1
 Global effort to find new antibiotics through screening of microbes1
 Many bacterial diseases receded1
Emergence of Resistance
 A parallel surge in strains of antibiotic resistant bacteria
appeared only years after development of the
antibiotic2
 As early as the 1940s isolates of Staphylococcus
aureus resistant to penicillin were identified2
 Although antibiotic agent discovery continued,
resistance has began to increase sharply2
 Loss of effectiveness becoming common for all
antibiotics after continued use1
Number of resistance causing enzymes
identified3
Increasing Development Gaps
and Growing Resistance
 Since the 1960s, development of antibiotics has been
declining4
 Larger gaps between development of new antibiotics4
 Only one new antibiotic agent in the last decade
 Development becoming more expensive for drug
companies4
 Many of the most effective antibacterials have now
been rendered ineffective – with many multidrug
resistant strains arising2
 Leaves an uncertain future concerning bacterial
diseases
References
1. Walsh C. Where will new antibiotics come from? Nature Reviews Microbiology.
2003;1(1):65-70.
2. Laxminarayan R, Duse A, Wattal C, Zaidi AK, Wertheim HF, Sumpradit N, et al.
Antibiotic resistance—the need for global solutions. The Lancet infectious diseases.
2013;13(12):1057-1098.
3. Davies J, Davies D. Origins and evolution of antibiotic resistance. Microbiology and
Molecular Biology Reviews. 2010;74(3):417-433. Figure 2 , Numbers of unique β-
lactamase enzymes identified since the introduction of the first β-lactam antibiotics; p.
421.
4. Cars O, Högberg LD, Murray M, Nordberg O, Sivaraman S, Lundborg CS, et al.
Meeting the challenge of antibiotic resistance. Bmj. 2008;337(sep18_3):a1438-a1438.
Timeline produced by Centre of Disease Control and Prevention USA, found at:
 https://thefern.org/2013/11/imagining-the-post-antibiotics-future/timeline-of-antibiotic-
resistance/

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Timeline

  • 1. A Timeline of Antibiotic Resistance See timeline above
  • 2. Golden Era of Development  Introduction of antibiotic agents with penicillin in the 1940s produced a breakthrough health intervention, saving millions of lives1  The ‘golden era’ of antibiotic discovery in the 1940s-1960s1  Streptomycin, tetracycline, vancomycin developed among many others  Commercial development of a huge number of drug classes1  Global effort to find new antibiotics through screening of microbes1  Many bacterial diseases receded1
  • 3. Emergence of Resistance  A parallel surge in strains of antibiotic resistant bacteria appeared only years after development of the antibiotic2  As early as the 1940s isolates of Staphylococcus aureus resistant to penicillin were identified2  Although antibiotic agent discovery continued, resistance has began to increase sharply2  Loss of effectiveness becoming common for all antibiotics after continued use1
  • 4. Number of resistance causing enzymes identified3
  • 5. Increasing Development Gaps and Growing Resistance  Since the 1960s, development of antibiotics has been declining4  Larger gaps between development of new antibiotics4  Only one new antibiotic agent in the last decade  Development becoming more expensive for drug companies4  Many of the most effective antibacterials have now been rendered ineffective – with many multidrug resistant strains arising2  Leaves an uncertain future concerning bacterial diseases
  • 6. References 1. Walsh C. Where will new antibiotics come from? Nature Reviews Microbiology. 2003;1(1):65-70. 2. Laxminarayan R, Duse A, Wattal C, Zaidi AK, Wertheim HF, Sumpradit N, et al. Antibiotic resistance—the need for global solutions. The Lancet infectious diseases. 2013;13(12):1057-1098. 3. Davies J, Davies D. Origins and evolution of antibiotic resistance. Microbiology and Molecular Biology Reviews. 2010;74(3):417-433. Figure 2 , Numbers of unique β- lactamase enzymes identified since the introduction of the first β-lactam antibiotics; p. 421. 4. Cars O, Högberg LD, Murray M, Nordberg O, Sivaraman S, Lundborg CS, et al. Meeting the challenge of antibiotic resistance. Bmj. 2008;337(sep18_3):a1438-a1438. Timeline produced by Centre of Disease Control and Prevention USA, found at:  https://thefern.org/2013/11/imagining-the-post-antibiotics-future/timeline-of-antibiotic- resistance/