Ask an expert: How do antibiotics work?
September 21, 2000
Web posted at: 1:15 PM EDT (1715 GMT)
By B. Brett Finlay
Question: What are some methods of treatment for a person who has a bacterial
infection? How do antibiotics work?
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Dr. B. Brett Finlay is an expert on salmonella and E. coli bacteria
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Answer: Antibiotics are chemicals that kill bacteria but not human cells. They
work by interfering with metabolic pathways that are unique to bacteria or
different enough from humans that they are not toxic. They kill bacteria
indiscriminately and thus will kill both pathogens and the normal flora.
Antibiotics do not work against viruses, as they do not share the same
pathways as bacteria. Although wonderful when they work, antibiotics have
been extensively abused by society, and bacteria may have developed
resistance against their mechanisms. Many diseases, which previously
were easily treated with antibiotics, such as gonorrhea, are much more
difficult to treat due to resistance. For example, the "superbugs" are bacteria that are resistant to all or nearly all antibiotics.
Another effective method to prevent disease are vaccinations. We all get
vaccinated in our childhood, and by preparing our body in advance, when an
invading pathogen comes along, we are primed to destroy it. For example,
the DPT vaccine immunizes us against diphtheria, whooping cough and
tetanus. These are wonderful agents that can eliminate diseases such as smallpox.
Dr. B. Brett Finlay, a Howard Hughes Medical Institute research
scholar, received his undergraduate degree and doctorate in the mechanisms of bacterial conjugation from the University of Alberta, studying under the world-renown microbiologist Stan Falkow. He then moved to Vancouver, British Columbia, and began his own laboratory, where he focuses on salmonella and E. coli bacteria. About his chosen profession, Finlay says, "It's an awesome life. You get to find things that no one else has seen before. I mean, what a concept, to live in a world where you don't know what's going to happen each day."
Finlay has two lectures, "The Microbes Strike Back" and "Outwitting Bacteria's Wily Ways," available on the Howard Hughes Medical Institute Web site (below).
RELATED SITES:
B. Brett Finlay's Laboratory
Howard Hughes Medical Institute lectures
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