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Economic impact and health risks associated to a novel antibiotic developed resistance. I. Mantzourani1, S. Plessas1, A. Alexopoulos1, X. Voidarou2 and E. Bezirtzoglou1 (1) Democritus University of Thrace, Faculty of Agricultural Development, GR68200, Orestiada, Greece. (2) Technological Educational Institute of Epirus, GR47100, Arta, Greece Microbes are constantly mutating and some of the mutations happen to confer immunity to one drug or another. Exacerbating the problem, bacteria constantly exchange bits of DNA with each other spreading that resistance. Collaborative research should be actively promoted through the support of large scale clinical, epidemiological and health economic studies of the cost-effectiveness of antibiotics in the management of infected patients. In this vein, we welcome the opportunity to evaluate the antibiotic resistance profile of 182 clinical microbial isolates against the novel antibiotic Tigecycline. According to our results, MIC values ranged from 0.03 to 0.5 mg/l, while the most resistant stains were Pseudomonas sp. The problem of managing antibiotic effectiveness is an ongoing challenge and we have a long way to go before we really understand what policy responses will work and at what cost. Another aspect important to consider may be the health effects of antibiotic resistance of the employees and workers exposed constantly in a pharmaceutical industry producing antibiotics. Human health effects reflect a potential cost of production. The availability of highly-skilled biotech labor and innovations in the use of contained production system are catalyzing market expansion of the production. It is then conceivable that all antibiotics should be used judiciously in innovated equipped pharmaceutical plants. Prudence is especially important for new medicines of last resort as Tigecycline.