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Review on Antibiotics and their Positive and Negative Impact on Health

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Review on Antibiotics and their Positive and Negative Impact on Health

Intisar Obaid Alfatlawi1, Amal Saadoon Majeed2, Saher Mahmood Jawd3*, Anaam Jawad
Alabbasy4
1
Lecturer, Chemistry Field, Department of Altoosi University College, Iraq
2
Assistant Professor, Sub-Department of Basic Science, Faculty of Nursing, Kufa University, Iraq
3, 4
Professor, Department of Biology, College of Education, Kufa University, Iraq

ABSTRACT INTRODUCTION
Most of the antibiotics were discovered by
chance. Antibiotic production can be Antibiotic, are organic materials produced by
divided into three methods: natural microorganisms such as bacteria and fungi
fermentation, semi-synthetic, and synthetic during their growth and are able in low
methods. As bacteria carry on be concentration to destroy or inhibit the growth
impervious to antibiotics, investigation and of microorganisms other than the organisms
expansion of novel antibiotics endures to be that produced them [1-3]. Or they are
significant. Perfections in this part have substances produced by many microorganisms
gotten the capability to enhance antibiotics (bacteria, fungi) that disrupt the growth of
straight to entrenched strategies, banish other microorganisms and ultimately eliminate
antibiotics for straight distribution, besides them. Antibiotics can be classified as either
combination antibiotics through non- stopping the growth of germs, or fatal to them.
antibiotics to progress outcomes. The People expand the term to include synthetic
increase in disease-causing bacteria strains antibacterial such as sulfonamides and
that are resistant to antibiotics has quinolones. There are numerous appliances via
increased the urgency to fund research and which the bacteria struggle the antibiotic, like
development of antibiotics and the desire to the evacuation of enzymes that interrupt it,
produce new and better antibiotics., For besides this is what transpires in the
more than 2,500 years, people have treated circumstance of bacteria impervious to
some skin infections with moldy fungi, penicillin "G" that harvests the enzyme beta-
which are antibiotics. However, the modern lactamases that dislocate this antibiotic [4-6].
scientific study of these materials did not Antibiotics assumed to faunas for example
begin until the late nineteenth century AD. intimidates, conformist in addition roosters on
At that time, French chemist Louis Pasteur homesteads principal to the appearance of
discovered that bacteria spread infectious impervious draining of bacteria, besides that
diseases. Then the German bacteriologist these antibiotics influence human physiques
Robert Koch developed methods for once they plague their essence besides milk,
separating and preparing different types of then thus central to the appearance of
bacteria. Koch has also identified specific impervious draining of microorganisms[7-11]
bacteria that cause certain diseases. shown in Fig 1-3.

Keywords-- Antibiotic, Bacteria, Disease,


Effect, Microbial, disease, Penicillin

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Figure 1: Antibiotics as tables.

Figure 2: Antibiotics as injection.

Figure 3: Antibiotics as a cream.

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HISTORY OF ANTIBIOTICS purified form of penicillin was produced that


showed anti-bacterial activity against a wide
Penicillin was the basis of treatment range of germs. With low toxicity to the host
for many infectious diseases before the as it can be ingested without harmful effects.
beginning of the twentieth century medical Moreover, unlike sulfonamides, its effects
literature. As a treatment for inflammation, it were not inhibited by biological agents such as
was mentioned in ancient Chinese medicine pus exudates. At the time, no one had
using plants that have powerful properties discovered a compound equivalent to this
such as antibiotics. It began to be used more activity [20-22]. The discovery of penicillin
than 2,500 years ago. And in many other led to a renewed interest in the search for
ancient cultures, including the ancient compounds of antibiotics with similar
Egyptians, Greeks and Arabs in the Middle capabilities. Because of the discovery of
Ages [12-15], mold was used. Eucalyptus bark penicillin, Ernst Chen, Howard Florey and
was an effective treatment for malaria on a Alexander Fleming shared the Nobel Prize in
large scale in the seventeenth century, disease Medicine in 1945. In 1939 Rene Dupus
caused by parasites of the genus Biomorphs isolated gramicidin, one of the first
and the use of scientific efforts to understand commercially made antibiotics used during
what causes these diseases, the development of World War II to prove highly effective in
chemotherapy for synthetic antibiotics, and the treating wounds and sores. Fleury credited
isolation imposed on natural antibiotics Dubos for reviving his research on penicillin
remarkable development in antibiotics. [23-25].
Vitality, The story of antibiotic chemotherapy
began as a science in Germany with Ehrlich, MECHANISM OF ACTION OF
the late nineteenth century [16-19]. Dr. Ehrlich ANTIBIOTICS IN THE BODY
noticed that certain pigments could enter and
stain human and animal cells and Evaluation of the effect of an
microorganisms, while others would not color antibiotic is crucial to the success of
them. Then he suggested the idea that it might antibacterial treatment. We recall here that
be possible to make some dyes or chemicals non-microbiological factors - such as host
that would act as a magic solution or a defense mechanisms, location of infection,
selective drug that could bind to the underlying disease, pharmacokinetic and
microorganisms and then kill them without pharmacokinetic properties of antibiotics -
harming the host's cells. After many interfere in determining treatment efficacy and
experiments and sorting hundreds of dyes success. Antibiotics are mainly classified as
against various organisms, he discovered a either bactericidal, meaning they have a fatal
useful medicinal drug, which is an antibiotic effect, or they are bacteriostatic, meaning they
discovered by humans The discovery of inhibit their growth. The effect of bactericidal
natural antibiotics produced by antibiotics is in the stage of bacterial growth
microorganisms stemmed from previous work and reproduction. In most cases, but not all,
in monitoring antibiotics between the action of many of these antibiotics depends
microorganisms. Pasteur noted that “if we on the activity of cells and their continuous
were able to intervene in the antagonism that division. ; But in practice, both of these types
exists between some types of are able to eliminate bacterial infection, In
microorganisms”, this might provide the vitro characterization of the action of the
greatest hope for a cure. The bacterial antibiotic to assess the measurement of the
antagonism shown by Penicillium was first activity of the minimum concentration and the
described by John Tyndall in England in 1875. minimum inhibitory concentration of the
However, his work has not received much bacterium having excellent antimicrobial and
attention from the circles. Scientific, until excellent indicators of antimicrobial potency
Alexander Fleming’s discovery of penicillin in [26-29]. However, in clinical practice, these
1928. Until then, the therapeutic potential of measurements alone are not sufficient to
penicillin had not been pursued, but more than predict clinical outcomes. By combining the
ten years later, Ernst Chen Howard Florey pharmacokinetics of the antibiotic and the
became interested in Fleming’s work. Thus, a antibacterial activity, several pharmacokinetic

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parameters appear to be significant markers of applied topically to the skin or mucous


drug efficacy. This activity may be from the membranes, as is the case with ointments or
concentration-dependent antibiotic and the eye or nose drops, Antibiotics that target
characteristic increase in bacterial activity. bacterial cell wall (penicillin, cephalosporin)
With gradually higher antibiotic or cell membranes (polymixin) or interfere
concentrations, it is vitally important that the with basic bacterial enzymes (quinolones
minimum inhibitory serum concentration is sulfonamides) are usually bactericidal in
maintained for a certain period of time. Oral nature. Those that target protein synthesis,
antibiotics simply mean to be swallowed such as aminoglycosides, macrolides and
orally; IV antibiotics are used in more severe tetracycline, are usually bacteriostatic [30, 31]
cases, and antibiotics may sometimes be shown in Fig. 4.

Figure 4: Mechanism of action of antibiotics in the body.

ANTIBIOTIC RESISTANCE and erythromycin that used to be one of the


miracle cures has been associated with
The emergence of antibiotic resistance resistance emerging since the 1950s. The
is an evolutionary process that relies on therapeutic use of antibiotics in hospitals may
selecting organisms that enhanced their ability be seen to be associated with increased
to survive with doses of antibiotics that were resistance of bacteria to multiple antibiotics.
previously lethal. The antibiotics like Common types of antibiotic misuse include
penicillin and erythromycin that used to be not taking the patient's weight and history of
miracle cures are now less effective because antibiotic use into account before, as both can
the bacteria are becoming more resistant. severely affect the effectiveness of antibiotic
Antibiotics themselves act as a selective prescribing, and not fully taking the prescribed
pressure that allows bacterial resistance to antibiotic.
grow within the population and inhibit Antibiotic resistance occurs when
susceptible germs. The selection of antibiotics microorganisms develop the mechanisms that
for resistance within bacterial populations protect them from the effect of antibiotics.
appeared in the 1943 year of the Luria - Resistant microorganisms are more difficult to
Delbrück experiment. Often the survival of the treat, require higher doses, or need alternative
bacteria results from the inheritance of treatments that may be more toxic, as well as
resistance, the risk of antibiotic resistance may more expensive. Microorganisms that are
impose a biological cost and the spread of resistant to many antibiotics are called multi-
antibiotic resistance has been hampered by the resistant. All kinds of microorganisms can
low efficacy associated with resistance, which develop this resistance ability Fungi develop
proves the inadequate survival of the bacteria resistance to antifungals, viruses develop
when antibiotics were not present. However, resistance to antivirals, protozoa develop
additional mutations may offset these costs resistance to antivirals, and likewise bacteria
and efficiency and help these bacteria survive. develop resistance to antibiotics. Resistance
The overuse of antibiotics such as penicillin arises either naturally through genetic

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mutations or through the transmission of antibiotic. Thus, this method can confirm that
resistance from one sex that has acquired it to the desired genes to be translated are
another sex that has not acquired it yet. It may transmitted through cells when they are
also appear momentarily as a result of genetic proliferated. The antibiotics used in the field
mutations, but the use of antibiotics for long of genetic engineering are old and are no
periods seems to stimulate the emergence of longer used to treat patients, such as:
mutations in the genes that cause resistance to Ampicillin, Kanamycin, Tetracycline,
In particular. Accordingly, reducing the Chloramphenicol. The antibiotic resistance
misuse of antibiotics by not using them except method is not preferred in the industry, One of
when they are really needed is an urgent the methods of combating antibiotic resistance
matter. As for patients who take these drugs at is the development of compounds capable of
home without consulting a doctor, educating inhibiting the mechanisms that allow germs to
them about the correct way to use them is of resist the antibiotic. The most famous example
utmost importance. Antibiotic resistance is of this is the addition of clavulanic acid to the
used as a useful tool in the field of genetic compound amoxicillin and the production of
engineering. For example, a plasmid is made the world-famous compound amoxicillin /
that contains the antibiotic resistance gene in clavulanic acid called Augmentin. This
addition to the genes desired to be translated, addition allowed to inhibit the enzyme beta-
in this way the researcher can make sure that lactamase, which was produced by some
when the bacterial cells proliferate, only the bacteria and was able to completely suppress
bacteria carrying the plasmid can survive the action of amoxicillin [30-32] shown in Fig.
while the others die due to the effect of the 5.

Figure 5: Antibiotic Resistance.

SIDE EFFECTS OF ANTIBIOTICS antibiotics can, in some cases, reduce the


chances of infection with antibiotic-resistant
Although antibiotics are generally bacteria. One study showed that the use of
considered safe, they have been associated fluoroquinolone is clearly linked to
with a wide range of adverse effects. Side Clostridium difficile infections, which are the
effects are many and varied and can be very main cause of hospitalized diarrhea in the
dangerous depending on the antibiotic use and United States of America and the serious cause
the target microorganism. The safety features of death in the world.
of newer drugs may not be recognized as those Vaccines do not have problems with
drugs that have been in use for many years. Its regard to resistance because the vaccine
harmful effects can range from fever and increases the natural immunity of the body
nausea to major allergies such as while the antibiotic works independently of
photodermatitis. Avoiding the use of this immunity. However, new bacterial strains

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evolve to escape the immunity resulting from Medical Journal. 24(6), 571-578.
the vaccine. The first years of the discovery of Available at:
antibiotics, they were produced naturally and https://www.hkmj.org/system/files/hkmj1
were produced by fungi, such as penicillin,
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Alsabri (2020). Public Health in
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prescribed amount, which led to the Intisar O Alfatlawi .,Ahmed Adnan
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