Bug resistant to antibiotics enters UK

Health experts are warning that a new bug which is resistant to antibiotics has been brought into the UK by patients treated abroad.

The new strains of bacteria, called Enterobacteriaceae, have been identified in UK hospital patients, "a significant proportion of whom had received medical treatment abroad", according to the Health Protection Agency (HPA).

The HPA said that one strain - called NDM-1 (New Delhi Metallo-1) - is "swiftly emerging".

A total of 22 bacteria with the NDM-1 enzyme have been identified from 19 patients at 17 hospitals.

There has been one instance of possible transmission between two patients.

"Critically, at least nine out of 19 affected patients have had recent hospitalisation in India or Pakistan," the HPA said.

One patient received blood treatment in India while two had undergone cosmetic surgery in India.

Others had received renal or liver transplantation in Pakistan.

The HPA said NDM-1 had been repeatedly imported to the UK from the Indian subcontinent, "though there may now also be UK circulation since some affected patients have no immediately identifiable overseas links."

In a statement, it added: "The HPA has been warning for some time of the risk from infections which are more difficult to treat due to antibiotic resistance.

"The recent emergence of a new group of enzymes (carbapenemases) carried by some bacteria is of concern because these enzymes prevent carbapenem antibiotics from working effectively, making the bacteria resistant to treatment.

"This re-emphasises just how important it is that clinicians in hospitals are vigilant in monitoring the emergence of multi-resistant bacteria.

"Identifying possible resistance among infections is particularly important among patients who have been in hospitals in the Indian subcontinent and the Eastern Mediterranean including Greece, Turkey and Israel, where carbapenemases have been identified.

"Carbapenams are powerful antibiotics that are used to fight gram negative bacteria, particularly the multi-resistant ones.

"Other treatment options are available to fight infections caused by these carbapenemase-producing bacteria but they present major challenges for clinicians and will often demand combinations of antibiotics to be used.

"At present this type of antibiotic resistance is comparatively rare in the UK, with testing during 2008 and so far in 2009 having found 20 cases. However, careful monitoring of the situation is needed.

"Antibiotics are a precious resource in fighting infections and one that we must do everything possible to preserve.

"Multi-resistant gram-negative bacteria pose a notable public health risk and it remains important that the pharmaceutical industry continues to work towards developing new treatment options, in the same way they have done for gram-positive bacteria like MRSA."



Professor Brian Duerdan, the Government's inspector of microbiology and infection control, said: "We have been aware of this issue for several months and, after advice from the HPA, we alerted infection specialists in the NHS to the possibility of importation and potential spread of these bacteria.

"This will help us monitor the situation and respond appropriately.

"Maintaining proper infection control is one of our priorities and this, together with prudent antibiotic prescribing, will help us control these carbapenemase-producing bacteria.

"However, to help the NHS, we have commissioned authoritative professional guidance to identify whether further control measures need to be applied for this type of bacteria."

Sport
Alexis Sanchez has completed a £35m move to Arsenal, the club have confirmed
sportGunners complete £35m signing of Barcelona forward
Voices
Poor teachers should be fearful of not getting pay rises or losing their job if they fail to perform, Steve Fairclough, headteacher of Abbotsholme School, suggested
voicesChris Sloggett explains why it has become an impossible career path
Sport
world cup 2014
Sport
Ray Whelan was arrested earlier this week
PROMOTED VIDEO
Life and Style
ebookA wonderful selection of salads, starters and mains featuring venison, grouse and other game
Arts and Entertainment
In a minor key: Keira Knightley in the lightweight 'Begin Again'
film
Arts and Entertainment
Celebrated children’s author Allan Ahlberg, best known for Each Peach Pear Plum
books
News
peopleIndian actress known as the 'Grand Old Lady of Bollywood' was 102
News
Wayne’s estate faces a claim for alleged copyright breaches
newsJohn Wayne's heirs duke it out with university over use of the late film star's nickname
Life and Style
It beggars belief: the homeless and hungry are weary, tortured, ghosts of people – with bodies contorted by imperceptible pain
lifeRough sleepers exist in every city. Hear the stories of those whose luck has run out
News
Mick Jagger performing at Glastonbury
people
Life and Style
fashionJ Crew introduces triple zero size to meet the Asia market demand
Sport
Santi Cazorla, Mikel Arteta and Mathieu Flamini of Arsenal launch the new Puma Arsenal kits at the Puma Store on Carnaby Street
sportMassive deal worth £150m over the next five years
Arts and Entertainment
Welsh opera singer Katherine Jenkins
musicHolyrood MPs 'staggered' at lack of Scottish artists performing
Life and Style
beautyBelgian fan lands L'Oreal campaign after being spotted at World Cup
Arts and Entertainment
Currently there is nothing to prevent all-male or all-female couples from competing against mixed sex partners at any of the country’s ballroom dancing events
Potential ban on same-sex partners in ballroom dancing competitions amounts to 'illegal discrimination'
News
business
Independent
Travel Shop
the manor
Up to 70% off luxury travel
on city breaks Find out more
santorini
Up to 70% off luxury travel
on chic beach resorts Find out more
sardina foodie
Up to 70% off luxury travel
on country retreats Find out more
Have you tried new the Independent Digital Edition apps?

ES Rentals

    Independent Dating
    and  

    By clicking 'Search' you
    are agreeing to our
    Terms of Use.

    iJobs Job Widget
    iJobs General

    Business Analyst Consultant (Financial Services)

    £60000 - £75000 per annum: Harrington Starr: Business Analyst Consultant (Fina...

    Systems Administrator - Linux / Unix / Windows / TCP/IP / SAN

    £60000 per annum: Harrington Starr: A leading provider in investment managemen...

    AVS, JVS Openlink Endur Developer

    £600 - £700 per day: Harrington Starr: AVS, JVS Openlink Endur Developer JVS, ...

    E-Commerce Developer

    £45000 - £60000 per annum + competitive: Progressive Recruitment: Exciting opp...

    Day In a Page

    A History of the First World War in 100 Moments: Peace without magnanimity - the summit in a railway siding that ended the fighting

    A History of the First World War in 100 Moments

    Peace without magnanimity - the summit in a railway siding that ended the fighting
    Scottish independence: How the Commonwealth Games could swing the vote

    Scottish independence: How the Commonwealth Games could swing the vote

    In the final part of our series, Chris Green arrives in Glasgow - a host city struggling to keep the politics out of its celebration of sport
    Out in the cold: A writer spends a night on the streets and hears the stories of the homeless

    A writer spends a night on the streets

    Rough sleepers - the homeless, the destitute and the drunk - exist in every city. Will Nicoll meets those whose luck has run out
    Striking new stations, high-speed links and (whisper it) better services - the UK's railways are entering a new golden age

    UK's railways are entering a new golden age

    New stations are opening across the country and our railways appear to be entering an era not seen in Britain since the early 1950s
    Conchita Wurst becomes a 'bride' on the Paris catwalk - and proves there is life after Eurovision

    Conchita becomes a 'bride' on Paris catwalk

    Alexander Fury salutes the Eurovision Song Contest winner's latest triumph
    Pétanque World Championship in Marseilles hit by

    Pétanque 'world cup' hit by death threats

    This year's most acrimonious sporting event took place in France, not Brazil. How did pétanque get so passionate?
    Whelks are healthy, versatile and sustainable - so why did we stop eating them in the UK?

    Why did we stop eating whelks?

    Whelks were the Victorian equivalent of the donor kebab and our stocks are abundant. So why do we now export them all to the Far East?
    10 best women's sunglasses

    In the shade: 10 best women's sunglasses

    From luxury bespoke eyewear to fun festival sunnies, we round up the shades to be seen in this summer
    Germany vs Argentina World Cup 2014: Lionel Messi? Javier Mascherano is key for Argentina...

    World Cup final: Messi? Mascherano is key for Argentina...

    No 10 is always centre of attention but Barça team-mate is just as crucial to finalists’ hopes
    Siobhan-Marie O’Connor: Swimmer knows she needs Glasgow joy on road to Rio

    Siobhan-Marie O’Connor: Swimmer needs Glasgow joy on road to Rio

    18-year-old says this month’s Commonwealth Games are a key staging post in her career before time slips away
    The true Gaza back-story that the Israelis aren’t telling this week

    The true Gaza back-story that the Israelis aren’t telling this week

    A future Palestine state will have no borders and be an enclave within Israel, surrounded on all sides by Israeli-held territory, says Robert Fisk
    A History of the First World War in 100 Moments: The German people demand an end to the fighting

    A History of the First World War in 100 Moments

    The German people demand an end to the fighting
    New play by Oscar Wilde's grandson reveals what the Irish wit said at his trials

    New play reveals what Oscar Wilde said at trials

    For a century, what Wilde actually said at his trials was a mystery. But the recent discovery of shorthand notes changed that. Now his grandson Merlin Holland has turned them into a play
    Can scientists save the world's sea life from

    Can scientists save our sea life?

    By the end of the century, the only living things left in our oceans could be plankton and jellyfish. Alex Renton meets the scientists who are trying to turn the tide
    Richard III, Trafalgar Studios, review: Martin Freeman gives highly intelligent performance

    Richard III review

    Martin Freeman’s psychotic monarch is big on mockery but wanting in malice