W hen antibiotics first appeared on the pharmaceutical market during the 1940s and 1950s, many health-care professionals cheered, believing that the bacterial enemy had been flung back and that, in the foreseeable future, infectious disease would be a thing of the unlamented past. This enemy, however, fought back gamely. The increasing development of microbial resistance to drugs is dealing humanity a major setback in combating infectious diseases and seems to be outpacing the treatments and patient management strategies available to the physician. Moreover, resistant bacteria are migrating beyond the hospital, sickroom, and farm setting and into water, soil, and the community at large.
JULI A N JOSEPHSONThe Microbial "RESISTOME" Staphylococcus aureus bacteria are becoming increasingly resistant to -lactam antibiotics such as methicillin. The bacteria secrete stickylooking substances called biofilms, which are woven between the bacteria to protect them from antibiotics.