From left to right: NSU Students Gabriela Diaz Tang, Estefania Marin Meneses Credit: Nova Southeastern University |
Antibiotic resistant bacteria pose one of the greatest threats to global public health. In 2019, deaths due to antibiotic resistant bacteria outpaced deaths due to HIV and malaria. Given the lack of innovation in the discovery of new antibiotics, it is critical to determine the mechanisms by which bacteria tolerate existing antibiotics so that we can improve their effectiveness.
One way that bacteria can tolerate antibiotics is through the inoculum effect. Essentially, the higher the density of bacteria in an infection, the more antibiotics are required to treat the infection. While the inoculum effect has been observed for nearly all known antibiotics, and has been documented since the 1960s, a common mechanism to explain inoculum effect for multiple antibiotics has not been found.
Scientists recently discovered that interactions between how fast bacteria grow and the amount of energy (or metabolism) bacteria have can explain the inoculum effect for multiple antibiotics and bacteria species. This new research also shows that providing different nutrients to the bacteria that change growth rate and energy levels can eliminate the inoculum effect.