The History of Antibiotics

At sometime or another, almost every physicianproject, and over the next few days he noticed
has prescribed an antibiotic. Their uses range fromthat tiny droplets of fluid began to form on the
treatments of lacerations to infections tomold. Could this be the chemical that was killing
pneumonia. The controversy over their usageoff the germs?
possibly ensures that they may not be usedFleming drew off a sample of the liquid and tried it
much longer. But what could possibly replaceon a sample of more germs in a test tube, where
them?it had the same germ-vanquishing effect. The
The story of antibiotics starts more than threename of the mold colony was Penicillium notratum,
thousand years ago, when ancient peopleso called the liquid penicillin! Later, other scientists
stumbled over the discovery that some moldstested the newly found microbial weapon on
could be used as a cure. No one is sure if it wasinfections in mice and rabbits. It was indeed an
the Egyptians, the Chinese, or Indians of Centralexcellent cure, and yet it did not harm the animals
America who first used molds to treat infectedin any way.
wounds. At that time they did not understandSoon after penicillin came the next milestone in
microorganisms or the war of cells that was goingfighting infections, the invention of the sulfa drug.
on in the body. The then-current commonIt comes from Prontosil, which was a substance
wisdom held that the benefits were anythingused as a dye. When put into the body, Prontosil
from driving away evil spirits to curing thechanges into the active germ-killing drug called
imbalance of humours in the body.sulfonilamide. It was eventually found that this
As time went on, people began to gain somedrug could cure blood poisoning, scarlet fever, and
insight into the nature of disease. In the 1860's,pneumonia. Soon other laboratories started
Louis Pasture was the first to show that manymaking other drugs in the same family, which
diseases were caused by bacteria. Later hebecame known as sulfa drugs. But drugs had
discovered that we may be able to fight germssome serious drawbacks: if not enough of the
using other microbes. The first to make andrug was given, the disease would return and get
effective medication from microbes was twoworse; but giving too much of the drug would
German doctors, name of Rudolf Emmerich andupset the body's natural defense system. So
Oscar Low, who conducted their experiments inscientists continued their search for other
the 1890's. They proved that, simply put, theantibiotics.
germs that would cause one disease may be theThe next breakthrough was by Selman
cure for another.Waksman, who discovered a drug called
What the men did was to take germ samplesstreptomycin. It originated from microbes found
from a specimen of infected bandages and thennaturally in soil and it proved to be a cure for
grow the germ colony in a test tube. They wouldmany intestinal diseases. Now we had penicillin and
then isolate a particular germ that causes, forsteptomycin; each relatively affective against
instance, a kind of infection in open wounds. Thecertain diseases, but there was still no
first lucky microbe was a bacteria called Bacillusbroad-spectrum drug. The search was on for a
pyocyaneus. Then they put this into another testnew panacea - one antibiotic to rule them all. By
tube containing other types of bacteria, and1949, various laboratories had discovered a series
witnessed the Bacillus pycyoneus wiping out theof antibiotics which had wider and wider
other disease germs. The germs that it killedimplications. This time period gave rise to
were those that caused cholera, typhoid, anthrax,Aureomycin, Chloromycin, and Terramycin, all of
and diphtheria.which had broader ranges of bacterias they could
From this sample, the team created a medicationkill off. The age of the antibiotics had officially
that they named "pyocyanase", which becamebegun.
the first antibiotic to be used in hospitals.Today, the importance of antibiotics to medicine
Unfortunately, it did not work consistently on allhas led to much research towards producing
patients; some were cured, some only becamethem. The process of production typically involves
sicker, so the new miracle drug was abandoned.screening wide ranges of microorganisms, then
Going forward to 1928, a research scientist byisolating them for testing and modification, and
the name of Alexander Fleming made the nextusing a fermentation process to carry out
real milestone in antibiotics. At the time, Flemingproduction.
was on the staff of a hospital in London. He wasThe problem stems from the matter of each
studying a germ called "staphylococcus aureus",antibiotic only killing off a certain percentage of
growing colonies of the germ in a petri dish.the targeted bacteria, which is a long-term
One day Fleming found a spot of green growingformula for disaster. The surviving germs breed
on the gel that was among the germs in one petriantibiotic-resistant offspring, and then the antibiotic
dish. On examination, he noticed a clear,has to be discarded because it is no longer
germ-free ring of gelatin around the mold. Thiseffective. Eventually, given the finite bounds of
meant that the mold had killed the germ colonythe universe, we will run out of new antibiotics...
that was there. As Fleming watched, the moreand if we still have germs then, that leaves us
the molds spread, the more of the germ thatbehind the 8-ball!
was liked off. Fleming made this a new full time