Finding alternatives to antibiotics
- Annuals of the New York Academy of Sciences 2014 v. no. pp. -
- antibiotic resistance, antibiotics, bacteria, bacteriocins, bacteriophages, disease prevention, feed additives, intestinal microorganisms, microbial communities, pathogens, therapeutics
- The spread of antibiotic-resistant pathogens requires new treatments. As the rate of development of new antibiotics has severely declined, alternatives to antibioticsmust be considered in both animal agriculture and humanmedicine. Products for disease prevention are different from those for disease treatment, and examples of both are discussed here. For example, modulating the gut microbial community, either through feed additives or fecal transplantation, could be a promising way to prevent certain diseases; for disease treatment, non-antibiotic approaches include phage therapy, phage lysins, bacteriocins, and predatory bacteria. Interestingly, several of these methods augment antibiotic efficacy by improving bacterial killing and decreasing antibiotic resistance selection. Because bacteria can ultimately evolve resistance to almost any therapeutic agent, it is important to continue to use both antibiotics and their alternatives judiciously.