Synergy Between Antibiotics and Nonantibiotic Drugs

Antibiotic resistance is an ever-growing clinical problem. Four years ago, a study found that antibiotics are overprescribed for sinus infections. Compounding the issue is the fact that as bacteria are learning to tolerate and even circumvent existing classes of antibiotics, not enough work is being done to discover new ones. Combinations or cocktails of antibiotics are often used to broaden the antimicrobial spectrum of each and to achieve synergistic effects; this approach has successfully been applied to combat tuberculosis, leprosy, malaria, and famously, HIV. Yet the discovery of effective combinations has usually been almost fortuitous, most often resulting from trial and error rather than a systematic analysis.

Antibiotic cocktail

In the current study, researchers systematically examined combinations of 1,057 compounds previously approved as drugs to find those that exhibited synergy with the antibiotic minocycline. Their work is reported in the April 24, 2011 issue of the journal Nature Chemical Biology [1]. The compounds were chosen because they have already been approved as drugs, they are known to have activity in vivo and are known to be relatively safe. Many approved drugs are known to have utility for clinical indications other than those for which they initially received approval. Moreover, using pre-approved compounds also reduces the time and cost associated with developing new compounds for therapeutic use.

The Best Way to Stay Healthy and Avoid Getting Sick

The best way to stay healthy and avoid getting sick is to wash your hands. Some of the most recent scientific evidence comes from a study of hospital-acquired methicillin-resistant Staphylococcus aureus infection. Methicillin-resistant Staphylococcus aureus (MRSA or “staph”) is a bacteria that can enter the body through breaks in the skin and cause severe infections and even death, especially in people who are already sick. MRSA represents a major control problem in hospitals as it has developed a resistance to all penicillins, including methicillin and other narrow-spectrum beta-lactamase-resistant penicillin antibiotics [1]. Researchers concluded at the end of the study that hospitals could greatly limit the spread of MRSA through the use of increased barrier protection (gloves) by workers and more frequent hand washing [2].