Why Is Colistin a Last Resort Antibiotic?

By Robert Palmer

Colistin is a type of antibiotic that has been in use for over 50 years. It is considered a last resort antibiotic because it is used to treat infections caused by bacteria that are resistant to other types of antibiotics. The reason for its use as a last resort antibiotic is due to the fact that it can have serious side effects and can also lead to the development of resistance.

What is Colistin?

Colistin is a type of antibiotic that was first discovered in 1949. It is derived from the bacterium Bacillus polymyxa and belongs to the class of antibiotics called polymyxins. Colistin works by disrupting the outer membrane of bacterial cells, causing them to leak and eventually die.

When Is Colistin Used?

Colistin is only used when other antibiotics have failed or are not effective against certain types of bacteria. This makes it a last resort option for treating infections caused by bacteria such as Pseudomonas aeruginosa, Acinetobacter baumannii, and Klebsiella pneumoniae.

Why Is Colistin a Last Resort Antibiotic?

The main reason why colistin is considered a last resort antibiotic is due to its potential side effects. These include kidney damage, nerve damage, and muscle weakness. Additionally, colistin can also lead to the development of resistance in bacteria.

Potential Side Effects

One of the most serious side effects associated with colistin use is kidney damage. This can occur due to the fact that colistin can accumulate in the kidneys and cause inflammation and damage over time. Other potential side effects include nerve damage and muscle weakness.

Development of Resistance

Another reason why colistin should be used sparingly is because it can lead to the development of resistance in bacteria. This is due to the fact that colistin works by disrupting the outer membrane of bacterial cells, and bacteria can develop mechanisms to protect themselves against this.

Conclusion

In conclusion, colistin is a last resort antibiotic that is only used when other antibiotics have failed or are not effective. Its use is limited due to its potential side effects and the risk of developing resistance in bacteria. As such, it is important to use colistin sparingly and only when absolutely necessary.