Wednesday, April 04, 2018

"Nightmare" superbugs challenge hospital sanitation, and probably management of HIV



A variety of new “nightmare” superbugs are being described now, as increasingly found in hospitals and nursing homes.
  
They are resistant to all known antibiotics and can swap genes that increase resistance.  But they seem to live in the bodies of healthy people without symptoms (in nose and throat, in the gut, or even on skin) because healthy people, if not taking other medications, usually have harmless bacteria in their bodies that the dangerous bugs have to compete with.  Healthy people may become immune naturally (without antibiotics) to the bacteria, but in some cases be able to spread them.  (You tend to become immune to your own germs.)
  
NBC New has a typical story here

People with HIV would be susceptible to such bacteria -- yet I haven't heard much about this in conjunction with HIV.  We will probably hear more;  some of these bacteria are intracellular and behave somewhat like opportunistic infections. 
  
These would seem to require extraordinary sanitation in hospitals and nursing homes. 
  
In 2004, I had an unusual gum infection resulting in a granuloma and eventual loss of lower teeth.  There was extreme swelling, which resolved with clindamycin. The infection did not return because I would have become immune to the anaeronic germ. 

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