lecture 14 - antimicrobial resistance Flashcards
What are the 2 key ways that bacteria restrict access to antimicrobial targets via antimicrobial resistance?
Decreased permeability to drugs, increased efflux/pumping out of drugs from inside bacteria
How are Beta-lactamases involved in antimicrobial resistance?
They are enzymes produced by resistant bacteria that hydrolyse beta-lactam antibiotics, meaning they are ineffective in preventing peptidoglycan synthesis. Thus, the bacterial cell wall remains intact.
What is the difference between intrinsic and acquired antimicrobial resistance?
Intrinsic: Bacteria normally resistant to the antimicrobial
Acquired: bacteria normally susceptible to antimicrobial, but acquire resistance genes or mutate to become resistant
What are the 2 key processes that can allow a bacteria to mutate to become antimicrobial resistant?
Antimicrobial mediated selection for resistance traits, horizontal gene transfer from resistance bacteria.
What are some of the antibiotic resistance mechanisms employed by bacteria?
altered cell wall, degrading enzymes, efflux pumps