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Our mission is to make the world a healthier place through syndromic infectious disease testing technology. But our technology is just the latest in a long line of innovations throughout history that fight infections and, more recently, curb antimicrobial resistance. This history stretches back thousands of years before the invention of the diagnostic tools, antimicrobial therapies, and healthcare systems we are accustomed to today.

From medieval leeches to multiplex PCR, keep reading to discover the fascinating history of infectious disease treatments around the world.


Historical Bloodletting

For over two thousand years, bloodletting was a standard treatment for almost any ailment, including infectious diseases. In an attempt to alleviate symptoms, bloodletting practitioners used various instruments to withdraw blood from patients, including syringes, lancets, and even leeches.1

For centuries, bloodletting was practiced in ancient Egypt and Greece; in Europe, the Middle East, and Asia during the medieval era; and as late as the nineteenth century in parts of the Western world.1 In its final years of mainstream use, bloodletting was carried out by barbers. In fact, the traditional red and white striped pole associated with barbershops comes from bloodletting—red represented blood and white represented bandages.2

Bloodletting has since been disavowed by modern medicine as it was eventually proven to be more harmful than helpful to patients.

Historical illustration showing bloodletting

Global Botanical Remedies

Chinese Botanical Herbs

In South America, a centuries-old herbal remedy called quinine was first used by indigenous populations to treat malaria by killing the microorganism responsible for the disease. Quinine was traditionally sourced from the bark of cinchona trees, which would be ground into a powder and mixed into water for the patient to drink. Today, while a synthetic form of the herb is still sometimes used to treat malaria, there are more effective treatments available.3

Honey, another common botanical remedy for infections, was used as early as 2000 B.C. by the ancient Sumerians. When applied to an infected area like a wound, honey acts as an antibiotic due to its high sugar content and acidity, which can make it deadly to bacteria.4

In Traditional Chinese Medicine, a wide variety of herbal remedies have long been used for the treatment of infections and other ailments. Typically, a practitioner would prescribe a combination of herbs tailored specifically to the patient’s symptoms, sometimes in a capsule or blended into an herbal tea. Traditional Chinese Medicine is still practiced today in Chinese medical facilities in combination with modern Western medicine.5


The World’s First Antibiotic Therapy

In 1928, Alexander Fleming, a professor of bacteriology at St. Mary’s Hospital in London, discovered the first antibiotic therapy—penicillin. This discovery was made by accident when a bacterial culture plate in Fleming’s laboratory became contaminated with a mold called Penicillium notatum. Upon close examination, Fleming noticed that the mold prevented the growth of the bacteria. Penicillium fungi were then developed into the antibiotic therapy we know as penicillin.6

Since its discovery nearly a century ago, penicillin has saved millions of lives and has become the most used antibiotic therapy in the world. Penicillin has revolutionized the treatment of deadly infectious diseases, including meningitis, pneumonia, and septicemia.

Sir Alexander Fleming, (6 August 1881 - 11 March 1955) was a Scottish biologist, pharmacologist and botanist who discovered Penicillin. (Photo by Universal History Archive/UIG via Getty Images)

Antibiotic Resistance and Superbugs

With the discovery and subsequent use of antibiotics quickly came the rise of antibiotic resistance. Antibiotic resistance occurs when disease-causing bacteria evolve to protect themselves against the treatments designed to kill them. Over time, as antibiotic resistance increases, standard-of-care antibiotic therapies become less effective at treating infections. The overuse and misuse of antibiotics especially contributes to the acceleration of antibiotic resistance.

When microorganisms eventually become resistant to most or all the antimicrobial therapies designed to target them, they are called superbugs. The spread of superbugs makes antimicrobial stewardship—the systemic efforts to combat antibiotic resistance by optimizing therapy— and the discovery of new and improved antibiotic therapies more important and urgent than ever.


Facing the Future with Syndromic Testing

Syndromic testing is a cutting-edge frontline solution in the fight against infectious disease and antibiotic resistance. The BIOFIRE® FILMARRAY® System uses multiplex PCR technology to target a comprehensive menu of causative pathogens and antimicrobial resistance genes with greater speed and accuracy than traditional testing methods.

By testing at the molecular level, syndromic testing from BIOFIRE can provide accurate, pathogen-specific results in about an hour. In combination with an institution’s antimicrobial stewardship plan, the BIOFIRE System can help healthcare providers avoid the unnecessary use or misuse of critical antibiotic therapies.

We continuously work to optimize existing panels and create brand-new products to help in the ever-changing fight against infectious diseases and antimicrobial resistance. For example, we updated the FDA-approved BIOFIRE® Respiratory 2.1 Panel to include fast, accurate SARS-CoV-2 detection.


Learn More About Syndromic Testing

  • Learn how each of the BIOFIRE Panels targets a broad grouping of probable pathogenic causes of infection in a single rapid test.
  • Get an inside look at how a syndromic BIOFIRE test uses multiplex PCR technology to identify pathogens with greater speed and accuracy. 
  • To learn how onboarding the BIOFIRE System could impact your institution’s antimicrobial stewardship program, contact our team.  

 


REFERENCES:

  1. Greenstone G, et al. BCMJ. Jan 2010. Retrieved from: https://bcmj.org/premise/history-bloodletting
  2. Chockattu S. Hekoten International. 2020. Retrieved from: https://hekint.org/2020/01/29/bloody-beginnings-of-hematology/
  3. Achan J, et al. Malar J. 2011. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3121651/
  4. Mandal M, et al. Asian Pac J Trop Biomed. 2011. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3609166/
  5. National Center for Complemetary and Integrative Health. 2019. Retrieved from: https://www.nccih.nih.gov/health/traditional-chinese-medicine-what-you-need-to-know
  6. American Chemical Society. 1999. Retrieved from: https://www.acs.org/content/acs/en/education/whatischemistry/landmarks/flemingpenicillin.html#:~:text=In%201928%2C%20at%20St.,number%20of%20deaths%20from%20infection.

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