micro- antimicrobial resistance Flashcards

1
Q

what are some causes for antibiotic resistance

A
over prescription 
not finishing tx
over use of antibiotics in livestock 
poor infection control
lack of hygiene and sanitation
lack of new antibiotics being developed
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2
Q

what have microbes done

A

they have evolved and are able to resist their own substances and resist antibiotics

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3
Q

what is the mechanism for antibiotic resistance

A

bacteria may lack a target for the antibiotic
the antibiotic target may be inaccessible
the antibiotic target may be modified

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4
Q

how are some ways microbes can reduce the effect of antibiotics

A

efflux pump
enzymatic degredation
inactivation- addition of a phosphate group
modified drug target

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5
Q

what is an efflux pump

A

where the microbe effectively pumps out the antibiotic

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6
Q

describe enzymatic degradation

A

chemical modification or destruction through degradation of the antibiotic

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7
Q

give examples of enzymatic degradation

A

chloramphenicol acetyltransfereases

beta lactamases- work against penicillin

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8
Q

where are antibiotic resistance genes found

A

on plasmids or on trans prosomes

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9
Q

what are trans prosomes

A

short sequences of DNA which can change their position on the genome

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10
Q

describe horizontal gene transfer

A

transfer of DNA sequence as it from a bacterial species to a similar species or a different species via DNA

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11
Q

what are the four types of horizontal gene transfer

A

conjugation
transformation
transduction
gene transfer agents

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12
Q

describe conjugation

A

cell to cell contact via the pill or adhesins and the DNA is transferred

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13
Q

describe transformation

A

uptake integration and functional expression of naked fragments from cell death

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14
Q

which bacteria can undergo transformation

A

haemophilus influenzae

N gonorrhoea

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15
Q

describe gene transfer agents

A

bacteriophages can carry random producing cell genomes and the bacteriophages are released by cell lysis

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16
Q

which antibiotics are commonly prescribed by the GDP

A

amoxicillin
phenocymethyl penicillin
metronidazole

17
Q

where has resistance to amoxicillin been reported

A

veillonella spp

prevotella denticola

18
Q

which antimicrobial resistance group has been seen in the oral cavity

A

beta lactam transfer

19
Q

which bacterias are now showing a slow resistance to metronidazole

A

eikonella corrodens

Aggrebacteur acitomycetacomitans