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Nightmare Bacteria

  • 29 Sep 2025
  • 1 min read

Source: TOI

Drug-resistant nightmare bacteria infections are surging in the United States, with NDM-1 (New Delhi Metallo-beta-lactamase-1) cases rising fivefold from 2019–2023.

Nightmare Bacteria

  • About: Nightmare bacteria are Carbapenem-resistant Enterobacteriaceae (CRE) like Klebsiella pneumoniae and E. coli, resistant to last-resort carbapenem antibiotics. 
    • They are called “nightmares” because they spread resistance genes easily and cause severe, often fatal infections in the bloodstream, lungs, and urinary tract.
  • Global Spread: This is not US-specific; NDM-producing bacteria are widespread in South Asia, and international travel and trade make Antimicrobial Resistance (AMR) a global challenge.
    • AMR occurs when microorganisms (bacteria, viruses, fungi, parasites) develop resistance to antibiotics and antivirals, making infections harder to treat and easier to spread.

NDM-1 Gene

  • NDM-1 is a gene found in certain bacteria that enables them to produce an enzyme called New Delhi metallo-beta-lactamase
  • This enzyme makes the bacteria resistant to many powerful antibiotics, including some of the last-resort drugs

Read More: India’s AMR Crisis

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