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2016 ; 60
(2
): 155-80
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Re-Inventing Infectious Disease: Antibiotic Resistance and Drug Development at
the Bayer Company 1945-80
#MMPMID26971595
Gradmann C
Med Hist
2016[Apr]; 60
(2
): 155-80
PMID26971595
show ga
This paper analyses how research on antibiotic resistance has been a driving
force in the development of new antibiotics. Drug resistance, while being a
problem for physicians and patients, offers attractive perspectives for those who
research and develop new medicines. It imposes limits on the usability of older
medicines and simultaneously modifies pathologies in a way that opens markets for
new treatments. Studying resistance can thus be an important part of developing
and marketing antibiotics. The chosen example is that of the German
pharmaceutical company Bayer. Before World War Two, Bayer had pioneered the
development of anti-infective chemotherapy, sulpha drugs in particular, but had
missed the boat when it came to fungal antibiotics. Exacerbated by the effects of
war, Bayer's world market presence, which had been considerable prior to the war,
had plummeted. In this critical situation, the company opted for a development
strategy that tried to capitalise on the problems created by the use of
first-generation antibiotics. Part and parcel of this strategy was monitoring
what can be called the structural change of infectious disease. In practice, this
meant to focus on pathologies resulting from resistance and hospital infections.
In addition, Bayer also focused on lifestyle pathologies such as athlete's foot.
This paper will follow drug development and marketing at Bayer from 1945 to about
1980. In this period, Bayer managed to regain some of its previous standing in
markets but could not escape from the overall crisis of anti-infective drug
development from the 1970s on.
|*Drug Resistance, Microbial
[MESH]
|Anti-Bacterial Agents/history/therapeutic use
[MESH]
|Anti-Infective Agents/*history/therapeutic use
[MESH]