Antimicrobial resistance Flashcards

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1
Q

List the 6 main causes for antibiotic resistance

A
  1. Over prescribing of antibiotics
  2. Patients not finishing their treatment
  3. Over use of antibiotics in live stock and fish faming
  4. Poor infection control in hospitals and clinics
  5. Lack of hygiene and poor sanitation
  6. Lack of new antibiotics being developed
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2
Q

Name some mechanisms of antibiotic resistance

A
  1. Antibiotic target
  2. Efflux pump
  3. Enzymatic degradation
  4. Impermeability
  5. Inactivation
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3
Q

Describe how bacteria become resistant to antibiotics through the mechanism of antibiotic target

A
  1. Bacteria may lack a target for the antibiotic
  2. The antibiotic target may be inaccessibly
  3. The antibiotic target may be modified to prevent the action of the drug
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4
Q

How does an efflux pump help bacteria become resistant to antibiotics?

A

They actively pump the antibiotic out of the bacteria through these pumps

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5
Q

Describe how bacteria become resistant to antibiotics through the mechanism of Enzymatic degradation

A

Bacteria produce enzymes that are capable too chemically modifying or destroying the antibiotic

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6
Q

Describe how bacteria become resistant to antibiotics through the mechanism of impermeability

A

The bacteria has modified cell wall proteins which stop antibiotics getting in

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7
Q

Describe how bacteria become resistant to antibiotics through the mechanism of inactivation

A

The bacteria adds a phosphate group on the antibiotic which will reduce its ability to bind to the bacterial ribosomes

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8
Q

Which type of gene transforms does the dissmenination of antimicrobial resistance occur from

A

Horizontal gene transfer

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9
Q

What is the dissemination of antimicrobial resistance

A

Bacteria passing on its resistance chromatin to other bacteria

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10
Q

what is horizontal gene transmission

A

It is the transfer of genes from one bacteria to another similar or dissimilar bacteria

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11
Q

What is vertical gene transmission

A

Transfer of genes from parent cells to daughter cells

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12
Q

Name the different types of horizontal gene transfers

A
  1. Transformation
  2. Gene transfer agent
  3. Transduction
  4. Conjugation
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13
Q

Describe conjugation gene transfer

A

This type of gene transfer requires cell to cell contact via cell surface pilli (almost the bacterial version of sex)

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14
Q

Describe tranformation gene transfer

A

Defined as the uptake, integration and functional expression of extra cellular DNA (DNA found outside the bacteria)

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15
Q

Where does the extracellular DNA in transformation gene transfer come from ?

A

Cell death

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16
Q

Describe transduction gene transfer

A

Gene transfer happens via bacteriophages but only when the genes are beneficial to the host bacteria

17
Q

What are bacteriophages

A

Viruses that infect bacteria

18
Q

Describe Gene transfer agents gene transfer

A

Bacteriophages can carry random parts of reproducing cell genomes and can pass to host bacteria

19
Q

Name the antibiotics most commonly prescribed in dentistry

A
  1. Amoxicillin
  2. Phenoxymethyl penicillin
  3. Metronidazole
20
Q

Dentists are responsible for what percentage of all community antibiotic prescriptions in the uK?

A

7%

21
Q

GPs are responsible for what percentage of all community antibiotic prescriptions in the uK?

A

80%

22
Q

Name some bacteria that are beginning to show antibiotic resistance in dentistry

A
  1. Veillonella spp
  2. Prevotella denticola
  3. Oral streptococci producing beta lactamasea
  4. Eikenella corrodens
  5. Aggregatibacter actinomycetemcomitans
23
Q

What are veillonella spp becoming resistant to?

A

Amoxicillin

24
Q

What is prevotella denticola becoming resistant to?

A

Amoxicillin

25
Q

What is Eikenella corrodens becoming resistant to?

A

Slow emergence of resistance to metronidazole

26
Q

What is Aggregatibacter actinomycetemcomitans becoming resistant to

A

Slow emergence of resistance to metronidazole