Natural Born Killers

by Mike Scollon

If the Czech Republic had a collective immune system, it might be a country at risk.

According to the World Health Organization, the Czech Republic is a world leader in a deadly trend of antimicrobial resistance that is leaving patients helpless against powerful infectious diseases. In a WHO report titled "Overcoming Microbial Resistance," released in June, the Czech Republic was second only to South Korea in the percentage of Streptococcus pneumoniae, or pneumococcus, infections in hospitals that are penicillin resistant.

That means common infectious illnesses, like pneumonia, tuberculosis, bacterial influenza, meningitis, otitis media and many venereal diseases can work up the same lethal power they possessed before the discovery of penicillin in 1928. Frequently referred to as the "Super Bug" phenomenon, antimocrobial resistance is a situation in which bacterial strains gain resistance to antibiotics.

The Czech Republic's National Center for the Surveillance of Resistance to Antibiotics, a division of the National Institute of Public Health set up to monitor resistance claims the WHO report is flawed and cites a much more moderate pace of resistance. Nonetheless, the figures remain alarming.

According to the report, pneumococcus bacterium, the leading cause of pneumonia, is now mutating into strains that defy first-choice antibiotic treatment in more than 50% of the cases, a staggering rate. In a 1997 WHO report, the Czech Republic was singled out for its impressively low three percent resistance rate.

"It is true that in the Czech Republic there has been an increase of resistance to antimicrobial substances, but it is not such a dramatic change that could lead the Czech Republic to second worse in the world," said Health Ministry press spokesman Otakar Cerny.

The national surveillance center, which collects data from 39 laboratories in the country, including 11 in Prague, stands by a pneumococcus resistance rate near the 5 percent mark.

Regardless of exact rates, the Czech Republic stands near the front line of the war against bugs, with neighbouring Hungary and Slovakia considered global hot spots of rsistance, most notably to the insidious S. pneumoniae bacterium.

Source: The Prague Post online or http://www.praguepost.cz/news071900a.html