Module 4- Disease Flashcards

1
Q

Define communicable disease

A

Diseases that can be passed between animal and plant individuals

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2
Q

What are communicable diseases caused by?

A

Harmful microorganisms- pathogens

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3
Q

What do pathogenic microorganisms include?

A

Bacteria, viruses, protoctista, fungi

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4
Q

Describe direct transmission

A

-Physical contact is made between an infected animal or plant spreading the pathogen between individuals
-can take place through bodily fluids such as saliva or blood
-inoculation through a break in the skin
-ingestion-taking in contaminated foods or drinks

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5
Q

Describe indirect transmission

A

-pathogens are not spread through physical contact but instead by animal vectors, sir or waterborne transmission (cough droplets or fungal spores), fomites which are objects in which the pathogen sheds (door handle, human movements (footwear or clothing)

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6
Q

Risk factors for disease are …

A

-a weak immune system makes it harder to fight off disease e.g babies, elderly those with chronic underlying conditions
-living in crowded conditions are more likely to spread pathogens e.g in hospitals, prisons or homes less shelters
-having poor access to healthcare could mean disease are not treated early enough and their progression is more serious

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7
Q

Describe TB, its treatments, how its spread

A

-infectious disease of the lungs caused by bacteria
-without treatment it can be fatal
-can be treated using antibiotics or vaccinations such as the BCG vaccine are available for some strains of TB
-is spread when infected droplets from the lungs are coughed into the air and breathed in by others
-transmission can be prevented by using tissues when coughing/sneezing and having a good handwashing practice

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8
Q

Describe bacterial meningitus, its treatment, causes

A

-Results in the inflammation of the membranes surrounding the brain and spinal cord
-without treatment it can result in sepsis and death
-can be caused by many different pathogenic bacteria
-treatment is antibiotics
-transmission is via direct contact
-vaccinations are available to help prevent infection and spread of disease
-mainly affects very young children and teenagers between 15-19
-about 10% infected will die

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9
Q

Describe ring rot, causes, effects and treatment

A

-bacterial disease affecting potatoes and tomatoes in cool regions of northern and Eastern Europe
-devastating effects on agriculture
-in tomatoes it is sometimes known as birdseye
-transmission is through planting infected material and indirect contact with contaminated equipment
-control can be improved by rigorous cleaning of agricultural equipment
-some insect vectors can also spread the bacteria causing ring rot

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10
Q

Describe HIV/AIDS, treatment, causes

A

-can’t be treated with antibiotics as the virus uses the cells of the host for replication
-human immunodeficiency virus attacks CD-4 cells of the human immune system so that infections become increasingly more difficult to fight (targets T helper cells)
-without treatment HIV sufferers may develop acquired immunodeficiency syndrome (AIDS) which is a life threatening condition
-antiretroviral drugs are used to prevent the multiplication of the virus inside the body
-there’s no cure
-transmission of HIV is via direct contact with infected bodily fluids e.g blood and semen
-no vaccine currently available
-prevention relies on promoting awareness of risks, using condoms during sex, not sharing needles, identifying infection early

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11
Q

Describe influenza, treatments, causes

A

-Viral disease caused by different strains of virus which vary in symptom severity but can cause serious outbreaks of flu each year
-caused by influenza viruses which mutate frequently, giving rise to strains that are difficult for the immune system to recognise and produce vaccinations against. Kills ciliates epithelial cells in the gas exchange system
-this means that viruses that previously only infected animals can jump species barrier to humans becoming zoonotic
-can be spread through both direct and indirect contact
-in humans good hygiene and hand washing practices can stop the spread of flu
-in agriculture restricting the movement of farm animals can prevent transmission from wild animals outside
-treatment is with antiviral drugs
-annual vaccination programmes are carried out for humans most at risk of contact with strains judged to most likely cause outbreak in the year
-every so often there is a major change in the surface of antigens and this causes a flu epidemic as there are no antibodies available

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12
Q

Describe tobacco mosaic virus, treatment, causes

A

-viral disease affecting tobacco plants and tomatoes
-tobacco mosaic disease is caused by TMV
-first virus to be discovered
-can survive 50 years in infected material, making treatment for disease difficult
-there is currently no known fully effective chemical control
-transmission happens directly between infected plants as well as indirectly through contaminated soil, equipment and people
-the virus can contaminate seed coats, also leading to infection of the developing plant
-control of tmv is through removing and burning infected plants as well material and discarding infected soil
-through washing and bleaching equipment helps reduce cross contamination
-inoculating young plants with less serious strains helps prevent infection later on

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13
Q

Describe malaria, treatment, causes

A

-disease caused by protoctista
-results in cyclical symptoms of fever, chills and death if untreated
-parasite can use birds, bats and other animals as hosts
-is caused by several species of the plasmodium genus
-the parasite grows and multiplies in erythrocytes causing them to burst every 2-3 days, releasing plasmodium in the bloodstream
-is treated using antimalrial medication such as doxycycline and mefloquine
-a preventative course of this medication should be taken before travel to high risk regions- this can reduce the risk of malaria by up to 90%
-different anti malarial meds can be used to treat disease if the preventative course doesn’t work
-is transmitted by insect vectors specifically the female anopheles mosquito when they bite you
-most common in Africa, Asia and South Americas because the climate is suitably warm for the mosquito to live in and the probability of biting an infected person is higher
-removing the insect vectors is 100% effective in preventing transmission however this isn’t always practical on a large scale
-sleeping under mosquito nets, applying insect repellent and covering exposed skin help reduce the risk of being bitten in the first place
-the disease recurs making people weak and vulnerable to other infections

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14
Q

Describe late blight, treatment, causes

A

-disease caused by protoctista that affects potatoes and tomatoes
-is what caused the Irish Potato Famine in 1845
-the protoctista causes spores to develop on leaves of infected plants and germ tubes to grow through the leaf epidermis
-wounds, eyes and lenticels on tubers also allow infection
-fungicides are most commonly used although resistance to some fungicides has developed
-individual plants are unlikely to survive once they are infected, some dying within a week
-spores can be airborne or waterborne infecting soil and plants
-spores can encyst if the conditions are too cold and develop only when temperatures are above 15 degrees C
-developing blight resistant cultivars helps to reduce susceptibility of plants to the pathogen and control its spread
-forecasting when weather conditions may promote transmission means that fungicides can be sprayed at optimum times

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15
Q

Describe black Sigatoka, treatment, causes

A

-fungal disease affecting the leaves of banana plants attacking and destroying them
-can cause yield losses of over 50%
-caused by the black Sigatoka fungus
-is spread through both direct and indirect contact
-transmission is more likely in conditions of high humidity and rainfall
-infective spores are airborne while infective conidia are waterborne
-hyphae penetrate and digest the cells turning the leaves black
-removal of affected leaves acts as a control as well as maintaining a space between plants and adequate drainage

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16
Q

Describe ring worm, treatments, causes

A

-fungal infection that is most commonly used although in cattle but can affect all mammals and is zoonotic
-treatment is with at least 2 applications of anti fungal cream 3-5 days apart
-the crust of the skin must be removed to allow the cream to reach the fungus
-the crust then must be burnt to prevent transmission by indirect contact
-direct contact with infected skin areas is usually how it spreads but can also be transmitted indirectly because the fungus produces spores that can be viable for many years in dry environments
-regularly cleaning/disinfecting animal housing, avoid high stocking densities of animals, ensuring animal housing is dry, allowing animals to have regular exposure to sunlight prevents it
-is not damaging but is unsightly and itchy

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17
Q

Describe athletes foot, treatments, causes

A

Fungal infection affecting the feet mainly in between toes but any part of the body can be faceted if infected skin is scratched and the fungus is transferred
-caused by a form of human ringworm
-treatment is with anti fungal creams, sprays, powders and anti fungal medication
-transmission is usually indirect contact with contaminated objects
-warm humid environments promote growth and spread of the fungus so transmission often occurs I. Shows, swimming pools, sharing fomites such as socks and towels
-direct contact with the infected skin can also transmit the fungus so transmission
-prevention- keep feet clean/dry, wear footwear in high risk areas, avoid sharing potential fomites with others

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18
Q

What does basal resistance react to?

A

The presence of a microbe or pathogen associated molecular patterns (PAMP or MAMPs) such as flagellins and chitins found in pathogens

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19
Q

What does MAMP receptors do?

A

-they recognise the molecular patterns and begin a cascade of responses
-causing the plant to up regulate the expression of genes producing chemicals resulting in an oxidative burst

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20
Q

What is an oxidative burst?

A

-big release of chemicals such as nitric acids, oxygen species, hydrogen peroxide and salicylic acid
-functions to strengthen cell wall linkages and signals to other cells the presence of a pathogen threat

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21
Q

What happens during the basal resistance response?

A

Callose is deposited between the plant cell membrane and cell wall around where the pathogen infects. Callose helps strengthen the cell wall and make it more difficult for pathogen to enter adjacent cells.
the stomata close in order to prevent the entry of pathogens

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22
Q

Describe the hypersensitive response

A

-can be triggered by the presence of bacteria, viruses, fungi or nematodes
-the response causes localised cell suicide (apoptosis) at the site of infection, which cuts off the nutrient and water supply to the pathogen
-triggering the HR response resulting in systematic acquired resistance to broad ranges of pathogens for a length of time. However, SAR can be artificially stimulated by spraying plants with plant activators

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23
Q

Describe the hypersensitive response in plants

A

-can be triggered by the presence of bacteria, viruses, fungi or nematodes
-the response causes localised cell suicide (apoptosis) at the site of infection, which cuts off the nutrient and water supply to the pathogen
-triggering the HR response resulting in systematic acquired resistance to broad ranges of pathogens for a length of time. However, SAR can be artificially stimulated by spraying plants with plant activators

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24
Q

What are the primary non specific defences for animals

A

The skin, mucous membranes, blood clotting, inflammation, fevers, phagocytes

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25
Q

Describe the skin as a non specific primary response defence

A

-covers the body and prevents the entry of pathogens
-has healthy microorganisms that outcompete pathogens for space on the body surface
-the waterproof covering makes it hard for pathogens to penetrate without a wound being present
-the skin also produces sebum which inhibits the growth of pathogens

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26
Q

Describe the mucous membranes and role in defence

A

-line many of the body tracts
-they secrete a sticky mucus that traps microorganisms and contains lysosomes which destroy bacterial and fungal cell walls
-also contains pathogens which remove remaining pathogens
-irritation of the mucous membranes causes expulsive reflexes such as coughing and sneezing which forces the mucous (containing the pathogen) out of the body

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27
Q

Describe blood clotting role in defence

A

-when you cut yourself the skin is breached and pathogens can enter the body
-the blood clots rapidly to seal the wound
-when platelets come into contact with collagen in the skin or the wall off the damaged blood vessel they adhere and begin secreting several substances
-thromboplastin is an enzyme that triggers a cascade of reactions resulting in the formation of a blood clot
-serotonin makes the smooth muscle in the walls of the blood vessel contract so they narrow and reduce the supply of blood to the area
-epidermal cells beneath the scab start to grow ,sealing the wound permanently, while damaged blood vessels regrow
-collagen fibres are deposited to give the new tissue strength
-the blood clotting cascade is where once the clot forms blood can’t leave and pathogens can’t enter

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28
Q

Describe inflammation response in primary non specific defences

A

-is a localised response to pathogens resulting in inflammation at the site of the wound
-characterised by pain, redness, heat or swelling of tissue
-most cells are activated in damaged tissue and release chemicals called histamines and cytokines
-histamines make the blood vessels dilate allowing more blood to enter the tissue, causing localised heat and redness. This raised temperature helps prevent pathogens reproducing
-histamines make blood vessel walls more leaky so blood plasma is forced out, once forced out of the blood it is known as tissue fluid which causes swelling and pain
-cytokines attract white blood cells (phagocytes) to the site which then dispose of the pathogen by phagocytosis

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29
Q

Describe inflammation response in primary non specific defences

A

-is a localised response to pathogens resulting in inflammation at the site of the wound
-characterised by pain, redness, heat or swelling of tissue
-most cells are activated in damaged tissue and release chemicals called histamines and cytokines
-histamines make the blood vessels dilate allowing more blood to enter the tissue, causing localised heat and redness. This raised temperature helps prevent pathogens reproducing
-histamines make blood vessel walls more leaky so blood plasma is forced out, once forced out of the blood it is known as tissue fluid which causes swelling and pain
-cytokines attract white blood cells (phagocytes) to the site which then dispose of the pathogen by phagocytosis

30
Q

Describe fevers as a non specific primary response

A

-when a pathogen enters the body cytokines stimulate hypothalamus to reset the thermostat and your temperature increases
-the specific immune system, works faster at high temperatures
-most pathogens reproduce best at or below 37 degrees Celsius so this inhibits reproduction

31
Q

Describe phagocytosis as a non specific primary response

A

-phagocytes are specialised white blood cells that engulf and destroy pathogens and there are 2 main types: neutrophils and macrophages
1)pathogens produce chemicals that attract phagocytes
2)phagocytes recognise non human proteins on the pathogen
3)the phagocyte engulfs the pathogen and encloses it into a vacuole called a phagosome
4)the phagosome combines with a lysosome to form a phagolysosome
5)enzymes from the lysosome digest and destroy the pathogen by

32
Q

Describe macrophages

A

Macrophages take longer but they undergo a more complex process
-when a macrophage has digested a pathogen,it combines antigens from the pathogen surface membrane with special glycoproteins in the cytoplasm called major histocompatibility complex (MHC)
-the mhc moves these pathogens antigens to the macrophages own surface membrane, becoming an antigen presenting cell (APC). These antigens then stimulate other cells in the specific immune system response

33
Q

What are antibodies structure?

A

-Y shaped glycoproteins called immunoglobulins which bind to a specific antigen on the pathogen or toxin that has triggered the immune response
-are made up of 2 identical long polypeptide chains called the heavy chains and 2 much shorter identical chains called the lighter chains
-the chains are held together by disulphide bridges and there are disulphide bridges within the polypeptide chains holding them in shape
-the binding site is an area of 110 amino acids on both the heavy and light chains known as the variable region as it’s a different shape on each antibody giving it specificity
-the rest of the antibody is always the same and is called the constant region as its
-the hinge region of the antibody provides the molecule with flexibility allowing it to bind to 2 separate antigens one at each antigen binding site

34
Q

Describe antibodies role in the specific immune system response

A

-Antibodies bind to antigens by the lock and key mechanism
1)the antibody of the antigen-antibody complex acts as an opsonin so the complex is easily engulfed and digested by phagocytes
2)most pathogens can no longer effectively invade the host cells once they are a part of an antigen-antibody complex
3)antibodies act as agglutinins causing pathogens carrying antigen-antibody complexes to clump together. This helps prevent them spreading through the body and makes it easier for phagocytes to engulf a number of pathogens at the same time
4)antibodies can act as antitoxins, binding to the toxins produced by pathogens and making them harmless

35
Q

Where do T lymphocytes mature?

A

Thymus gland

36
Q

Describe T helper cells and their function

A

-have CD-4 receptors on their cell surface membranes which bind to the surface antigens on APCs
-produce interleukins which are a type of cytokine (cell signalling molecule)
-interleukins stimulate the activity of B cells which increases antibody production, stimulates production of other types of T cells and attracts and stimulates macrophages to ingest pathogens antigens and antibody complexes

37
Q

What do T killer cells do?

A

-destroy the pathogen carrying the antigen
-produce a chemical called perforin which kills the pathogen by making holes in the cell membrane so it freely permeable

38
Q

What do T memory cells do?

A

-live for a long time and are part of the immunological memory
-if they meet an antigen the second time they divide rapidly to form a huge number of clones of T killer cells that destroy the pathogen

39
Q

What do T regulator cells do?

A

-these cells suppress the immune system, acting to control and regulate it
-they stop the immune response once a pathogen has been eliminated and makes sure the body recognises self antigens and doesn’t set up an autoimmune response
-interleukins are importantly in this response

40
Q

Where do B lymphocytes mature?

A

Bone marrow

41
Q

What do plasma cells do?

A

-produce antibodies to a particular antigen and release them into the circulation
-an active plasma cell only lives for a few days but produces around 2000 antibodies per second while its alive and active

42
Q

What do B effector cells do?

A

Divide to form plasma clones

43
Q

What do B memory cells do?

A

-these live for a very long time and provide the immunological memory
-are programmed to remember a specific antigen and enable the body to make a very rapid response when a pathogen carrying that antigen is encountered again

44
Q

What is cell mediated immunity important for?

A

Against viruses and early cancers

45
Q

Describe the process of cell mediated immunity

A

-the foreign antigens presented by phagocytes bind to specific receptors on the cell surface of T lymphocyte cells. Binding of the antigens activates the T helper cells as receptors on some of the T helper cells fit the antigens
-T helper cells produce interleukins which stimulate more T cells to divide rapidly by mitosis. They form clones of identical activated T helper cells that all carry the right antigen to bind to a a particular pathogen
-the cloned T cells may develop into T memory cells and produce interleukins that stimulate phagocytosis and B cells to divide, stimulate the development clone of T killer cells specific for the presented antigen

46
Q

Describe humoral immunity

A

1)activated T helper cells bind to the B cells APC. This is clonal selection-the point at which the B cell with the correct antibody is selected for cloning to overcome a particular antigen and
2)interleukins produced by the activated T helper cells activate the B cells
3)clonal expansion-the activated B cells divide by mitosis to give clones of plasma cells and B memory cells.
4)cloned plasma cells produce antibodies that bind to the antigens and disable them/act as opsonins or agglutinins
5)this is the primary immune response and it can take weeks to become fully effective against a particular pathogen which is why we get ill. It is fully operational
6)some cloned B cells develop into B memory cells. If the body is infected by the same pathogen again, the B memory cells divide rapidly to form plasma cell clones and wipe out the pathogen quickly before it can cause the symptoms of disease. This is a secondary immune response

47
Q

Compare primary immune response to secondary immune response

A

-primary is slow because it takes time for the antigens to be detected and the specific plasma cells to be activated. Secondary is fast due to memory cells quickly identifying pathogens
-primary individuals will shows symptoms but secondary are said to be immune so unlikely to show symptoms
-secondary is stronger as more plasma cells can be produced more quickly

48
Q

Compare primary immune response to secondary immune response

A

-primary is slow because it takes time for the antigens to be detected and the specific plasma cells to be activated. Secondary is fast due to memory cells quickly identifying pathogens
-primary individuals will shows symptoms but secondary are said to be immune so unlikely to show symptoms
-secondary is stronger as more plasma cells can be produced more quickly

49
Q

What is autoimmune disease?

A

stops recognising self cells and attacks healthy body tissue

50
Q

Describe natural immunity

A

-when you meet a pathogen for the first time, your immune system is activated and antibodies are formed which results in the destruction of an antigen
-if you meet the pathogen again the immune system recognises the antigens and can immediately destroy the pathogen
-the immune system of a new born baby isn’t mature and can’t make antibodies for the first couple months
-the first milk a mammalian mother makes is called colastrum which is very high in antibodies
-the infants gut allows these glycoproteins to pass into the bloodstream without being digested so will have the same level as antibody protection against disease as the mother
-this is natural passive immunity and it lasts until the immune system of the baby begins to make its own antibodies

51
Q

Describe artificial passive immunity and give an example

A

-antibodies are formed in one individual, extracted and then injected into the bloodstream of another individual
-is temporary immunity
-tetanus is caused by a toxin released bacterium that causes muscles to spasm so you can’t swallow or breathe
-people who are infected with tetanus will be injected with tetanus antibodies extracted from the blood of a horse, preventing the development of a disease but not providing long term immunity

52
Q

Describe artificial active immunity

A

-the immune system of the body is stimulated to make its own antibodies to a vaccine which is injected into the bloodstream
-the pathogen is made safe so that antigens are in tact but there’s no risk of infection e.g killed or inactive bacteria are used
-small amounts are injected
-primary immune response is triggered by foreign antigens so body produces antibodies and memory cells
-sometimes boosters (repeat vaccinations) are needed to increase the time you are immune to the disease and ensure the memory cells are still in your body
-pathogens with a high mutation rate are hard to vaccinate against

53
Q

define epidemic

A

when a communicable disease spreads rapidly to a local or national level

54
Q

define pandemic

A

when the same disease spreads rapidly across a number of countries and continents

55
Q

How do vaccines remain effective?

A

by being changed regularly

56
Q

What are communicable diseases that can’t be vaccinated and why ?

A

malaria-the protoctist that causes malaria is very evasive (it spends time in the erthrocytes so it is protected by self antigens from the immune system)

HIV-it enters the macrophages and T helper cells, so it has disabled the immune system itself

57
Q

What are medicines used for and give examples?

A

-treat communicable and non communicable diseases
-treat symtoms and cure them e.g chemotherapy, antibiotics, antifungals

58
Q

Discuss the development of the first antibiotic

A

-penicillin was the first widely used, safe and effective antibiotic capable of curing disease
-it came from mould
-discovered by Alexander Fleming in 1928 when he found it growing on staphylococus

59
Q

How do scientists design drugs?

A

by using complex computer programmes that can build up 3D models of key molecules in the body and of pathogens and their antibody systems

60
Q

What is docetaxel?

A

derived originally from yew trees and used to treat breast cancer

61
Q

What is aspirin?

A

-based on compounds from willow bark and used as a pain killer and anti flammatory

62
Q

What is prialt?

A

derived from the venom of a cone snake and is a painkiller

63
Q

What is vancomycin?

A

derived from a soil fungus and is one of the most powerful antibiotics

64
Q

What is digoxin?

A

-originally extracted from fox gloves
-powerful heart drug used to treat heart failure

65
Q

What is pharmacugenetics?

A

-personalised medicine that works with your individual comination of genetics and disease

66
Q

What is synthetic biology?

A

-using the techniques of genetic engineering, we can develop populations of bacteria to produce much needed drugs that would otherwise be too rare or expensive

67
Q

Example of synthetic biology

A

mammals have been genetically modified to produce necessary therapeutic proteins in their milk

67
Q

Define nanotechnology

A

-another part of synthetic biology where tiny non natural particles are used for biological purposes

68
Q

What is selective toxicity?

A

antibiotics interfere with the metabolism of the bacteria without interfering with the metabolism of human cells

69
Q

What is the antibiotic dilemma?

A

-antibiotics are becoming less effective in the treatment of antibacterial disease as they are developing increased resistance
-if a random mutation occurs during bacterial reproduction that produces a bacterium that isn’t affected by the antibiotic this one is more likely to survive, reproduce and pass on the antibiotic resistance mutation to daughter cells
-bacteria reproduce quickly so it doesn’t take long for the mutation to spread among a large number of the population

70
Q

What is an example of antibiotic resistant bacteria?

A

-MRSA

71
Q

How can we reduce antibiotic resistant bacteria?

A

-minimising the use of antibiotics
-ensuring that every course of antibiotics is completed
-good hygiene in hospitals