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So I recently wrote a newsletter about COVID and resistant bacterial infections in India there was a really instructive and quite frankly worrisome report that was done by the Indian Health Service on what they saw last fall during the first wave of COVID in India and about how much of it was resistant bacterial infections and the question I got was Isn't COVID a virus? What does it have to do with bacteria and what's going on with the ventilators? Finished the video? Read the newsletter! 🔗 Highly Resistant Bacterial Infections In Hospitalized COVID-19 Patients: A Report From India ► https://amr.solutions/2021/05/24/high... COVID is a virus, no question about that. When COVID makes you sick enough that you need to be in the hospital and when you when your breathing becomes difficult enough that you need support, we put you in what's called a ventilator and basically you put a tube down the throat into the lungs and the machine breathes for you through that tube. Well the problem with that tube is it creates while it's letting you get the oxygen in your lungs, it also creates an open pathway for things down into your lung you're not breathing correctly obviously so the kind of thing that you and I do all the time when we're walking around, we're coughing, we're clearing the bacteria, any bacteria that fall into my lungs right now, I cough them back up! But when you're on a ventilator, you don't do that correctly. And so we do a lot of things to try to prevent it but at least some frequency if you get put on a ventilator for long enough, there's a risk of getting a second infection, a secondary bacterial infection. So start off with a virus but you need the ventilator and now you got this other infection and you have to have an antibiotic for that and so if even if it started off as antibiotic susceptible it could become antibiotic resistant or you're in the hospital and you acquire antibiotic resistance so that's what's going on is that, yeah, COVID virus set it off but it puts you at risk for the bacterial infection, you need the antibiotics we need to be using the antibodies and the issue then is the resistance either develops or you acquire a resistant bacterial infection. If you want more on this, go take a look at the newsletter but basically this is something we can't completely avoid. If I’m going to take care of you in the hospital you're at risk for bacterial infections and if resistant bacteria are around, we can need to use one of the high-end antibiotics and if the resistance is bad enough, you can be in serious trouble not so much from the COVID as from the secondary bacterial infection. Subscribe ► https://www.youtube.com/channel/UC99m... Do you have a question about antibiotics or antimicrobial resistance? Leave a comment below or tweet Dr. John using #FireExtinguishersOfMedicine! Twitter ► / johnrex_newabx Website ► https://amr.solutions Supported by the Wellcome Trust ► https://wellcome.org John H. Rex, MD | Chief Medical Officer, F2G Ltd. | Operating Partner, Advent Life Sciences. All opinions are my own. #Antibiotics #AMR #AntibioticResistance #Antimicrobial #AntimicrobialResistance #AntibioticResearch #AntibioticStewardship #Superbugs