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Probably our restrictive antibiotic policy now save the lives of many korona-patients.

The type the author of the acclaimed book “War against bacteria”, Erik Martiniussen.

In an article in Aftenposten he runs loose on what he thinks can be a main reason why Italy has the record number who dies with the Covid-19: Antibiotic.

But what relation is there between koronaviruset and resistant bacteria?

The bacterial infections come in addition when the body’s immune system already is impaired by a virus. And there may be an explanation for why so many die in Italy.

Erik Martiniussen is to the ordinary journalist in Teknisk Ukeblad. He has written the newly released book “War against bacteria”.

Photo: Sigurd Fandango / Press forlag When antibiotics did not help

When the body is attacked by a virus, and your immune system is low, other bacteria more easily attack the body.

Many who are treated for Covid-19, and receive treatment in a respirator at the hospital, therefore, also antibiotics.

But on the Italian hospitals abound the of resistant bacteria, figures from The european smittevernbyrået (ECDC).

the Reason is the extreme use of antibiotics. This causes the bacteria to become resistant.

In the primærmedisinen in Italy is awarded almost twice as much antibiotics as in Norway.

Even worse is it in the meat production. Tons of antibiotics go right into the 10 million pigs in the country annually. Here is the 70 per cent of E. coli-the bacteria resistant.

Italy is the country in Europe where the majority, almost 11.000, dying of resistant bacteria annually. The corresponding numbers for Norway is 69.

Italy struggles tremendously with resistant bacteria in its hospitals. These may attack the patients who is treatment in a respirator for korona, and so increase the death toll, says Martiniussen.

We are safer in Norway

Norway has far less problems with resistance and intensivpasienter here will thus not have the same challenges.

“Here at home we should now be very grateful that we have a health care saving antibiotics until we really need it, and farmers hardly use antibiotics on the animals their at all,” writes kronikkforfatteren.

Dag Berild is a professor at the University of Oslo has conducted research on antibiotic in the last 30 years.

Photo: Hans Erik Lindbom / NRK

He will have the support of professor Dag Berild, which is the country’s leading researcher on antibiotic.

– Yes, we are safer in the Uk when it comes to complicating bacterial infections, because we have little antibiotic.

Berild would have written an article about the same, had he had time, he says to NRK.

the Bacteria is the nail in the coffin

Berild explains that influenza viruses can destroy the surface of the respiratory tract. Such bacteria more easily into the lungs. Sometimes they go into the blood and produces severe blood poisoning.

the Patients in the respirator no longer hosterefleks. This makes the lungs more easily infected by bacteria.

Bacteria attack also the stem cells that were arranged to build up again infected with lung tissue. This means that the lungs do not get repaired after the virus infection, ” Martiniussen.

In a study published in the prestigious The Lancet, scientists found that over half of the patients who died of the virus in Wuhan in China, had incurred a secondary bacterial infection before they died.

Berild points out that the research doesn’t specify whether the bacteria was resistant. Nevertheless, he believes it is obvious that the resistant bacteria contribute to increased mortality in the koronaepidemien.

Need more research

Sigurd is High, the manager of the Antibiotikasenteret for primærmedisin think it is too early to state that the resistant bacteria is the explanation of the high mortality in Italy.

– It is certainly a possibility, and it is worth finding out more about this. But it is important to remember that it is very difficult to get any sense out of dødelighetstallene for different countries.

The so far best explains the differences testrutinene, believes the researcher.

– Countries that tests many, many infected, and this reduces the mortality rate. Countries that only tests the sickest, find get infected, and this gives an artificial high dødelighetsrate.

High think koronaviruset going to lead to increased use of antibiotics.

– It is unfortunate, but here one must weigh the pros and cons. There is important research to investigate the effect of antibiotics in severe covid-19-the disease, says.

Martiniussen clarifies that korona is dangerous enough in itself, but believes at the same time is essential to prevent resistant microbes get spread under the koronaepidemien.

– Health agencies must now identify how many of the deaths in Lombardy and rest of Italy due to korona and how many caused by resistant bacteria.

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