Where did superbugs come from?

With all the media exposure superbugs have gotten in recent years, chances are you’ve heard the term. Superbugs are strains of infection-causing bacteria—including everything from staph to E. coli—that have become resistant to antibiotics. They’re an increasingly serious public health threat in the United States. and around the world. So, with all the advances of modern medicine, just how did this happen? 

There was a time when common ear infections could cause deafness and a simple scratch could lead to a fatal infection. Doctors had only a handful of drugs to choose from to relieve symptoms, but none were effective at fighting off common bacterial infections. A medical breakthrough came in the 1930s, however, when sulfonamides, today known as sulfa drugs, became the first antibiotics to gain widespread clinical use. 

Sulfa drugs may have been a major breakthrough, but penicillin was hailed as a miracle drug after it was mass-produced in the mid-1940s. Penicillin was a huge step for the medical field, capable of treating what were once severe diseases and saving thousands of lives in the process. This started an explosive period of antibiotic discovery and production.

A few years after penicillin was introduced, doctors began noting that some infections were not responding to penicillin. Stronger antibiotics, such as methicillin and vancomycin, were produced, but some bacteria developed resistance to them, too. A strain of staph known as MRSA (methicillin-resistant staphylococcus aureus) appeared two years after methicillin was introduced and continues to be a serious health problem today. 

The ability of bacteria to evolve and develop drug resistance has outpaced the production of new antibiotics. What’s more, the more frequently antibiotics are misused, the quicker bacteria gain resistance—a big reason why the overprescription and misuse of antibiotics is a major problem in healthcare. 

The Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO) have warned that we soon could be slipping into a post-antibiotic era, where common infections again become untreatable—and, in fact, for some infections, we’re already there. 

While alarming, the fight against superbugs isn’t hopeless. For one thing, awareness campaigns have made healthcare providers and patients more aware of antibiotic resistance over the years. Remember, if you have a viral infection: Antibiotics won’t do anything. They only work on bacteria.

On a larger scale, both the CDC and WHO have had initiatives aimed at stemming antibiotic resistance, and scientists around the world are working on new drugs to treat the dangerous infections. Years of research and testing are still needed, but these developments are a positive step toward combatting—and finally defeating—deadly superbugs.