Lecture 19- Drug resistance Flashcards

1
Q

The host evolves to identify and combat a parasite and parasites evolve to avoid/overcome host in what theory?

A

Red queen hypothesis

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2
Q

What becomes antibiotic resistant in drug resistance?

A

Bactera become antibiotic resistant

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3
Q

MDR class means

A

resistant to 3 or more drug classes

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4
Q

XDR class means that

A

resistant to extensively most drugs and potent drugs

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5
Q

PDR means that youre resistant to

A

all classes

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6
Q

FUndamental mechanisms of antimicroobial resistance

A

drug is destroyed, can’t get into cell, or don’t inibit the target

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7
Q

How are resistance mechansms introduced ?

A

plasmids or mutations

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8
Q

Humans and animals have plasmids, T/F?

A

FALSE

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9
Q

Plasmids have what type of genes? They allow acquisition of

A

Drug resistant genes; a whole new trait instead of mutating one already here

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10
Q

Why is plasmid made resistance worrisome?

A

Because it is transferable between species

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11
Q

The method using a pillus is using what type of plasmid transfer?

A

Bacterial sex aka plasmid conjugation

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12
Q

Viral piggybacking is accidental T/F? Another name for this mechanism is __

A

TRUE; plasmid transduction

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13
Q

Free DNA in the environment coming from a degraded species etc is called__

A

naked DNA; transformation

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14
Q

Rank mutational resistance from most to least: viroids, lower and higher eykarya, dsDNA vrus, RNA virus, bacteria, ssDNA

A

viroids, RNA virus, ssDNA virus, dsDNA, bacteria, lower eukaryotes, higher eukaryotes

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15
Q

The rate of mutational resistance depends on:

A

the drug, organism, and infection load

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16
Q

Reistance to two or more agents is the produc of the risks f develpoing resistance to each seraparately.. this is called

A

combintion therapy

17
Q

Drugs select for __

A

cells with mutations or resistance genes

18
Q

Drugs cause resistance T/F?

A

FALSE, drugs SELECT for resistant genes

19
Q

Plasmids are transferred by

A

horizontal or vertical transmision

20
Q

Selection of resistance in a paitent arises how

A

Noncompliance or overuse of drugs, improper prescription, hospital transmission, agricultural antibiotic overuise

21
Q

Name human behaviors selcting for resistance microbes

A

patient, medical, agricultual

22
Q

Reducing catheter use can help prevent infections true or false?

23
Q

Name an example of drug resistance

A

Typhoid fever is resistant to multiple drugs XDR

24
Q

Which bacteria rapidly spreads carbapenemase resistance gene to other microbes?

A

Acinetobacter

25
Which fungus is resistant to antifungal medicines MDR and PDR? where does this happen location wise
candida auris; hospital and nursing homes
26
Which bacteria causes lifdethreatening diarrhea when antibiotics wipe out gut flora and it takes over?
C. diff
27
What is the cloistridium difficule mortality rate?
50% and it spreads easily