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?

A

TRUE

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
Q

Which fungus is resistant to antifungal medicines MDR and PDR? where does this happen location wise

A

candida auris; hospital and nursing homes

26
Q

Which bacteria causes lifdethreatening diarrhea when antibiotics wipe out gut flora and it takes over?

A

C. diff

27
Q

What is the cloistridium difficule mortality rate?

A

50% and it spreads easily