Abx Resistance Flashcards
What are the 2 ways of bacterial gene transfere
Vertical and Horizontal
What happens in vertical gene transfer (VGT)
Transfer of genetic material from parent to offspring during reproduction
Occurs via: binary fussion
What happens in Hortizonal gene transfer (HGT)
Transfere of genetic material from bacteria to bacteria
Occurs via:
• conjugation
• transduction
• transformation
Key in abx resistance
What are the 4 mechanism of resistance?
• efflux of abx
• unable to penetrate target site within microbe
(gram negatives contain LPS in their cell membrane - protection)
• change in target site (genetic changes)
• enzymatic destruction of drug (beta lactams are enzymes found in the bacteria that breaks down beta lactam rings in beta lactam abx)
What is the example for vancomycin resistance enterococci
Noramlly: in vancomycin susceptible enterococci
• vancomycin binds to d-ala-d-ala with high affinity and inhibits cell wall synthesis
In vancomycin resistant enterococci, bacteria modify its target and vancomycin now has low affinity
What are alternative to abx
• vaccines
• monoclonal antibodies
• probiotics