People verus pathogens Flashcards

1
Q

How bacteria can develop resistance to antibiotics

A
  • random mutation resulting in resistance
  • exposure to antibiotic (provides selection pressure) selects resistant mutants, natural selection
  • more likely to survive and reproduce
  • resistance gene passed on, descendants also have resistance
  • transmission of plasmids
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2
Q

Why resistance to one antibiotic develops more slowly than other antibiotics

A
  • antibiotic used less frequently
  • fewer bacteria exposed
  • less likely to select resistant mutant
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3
Q

Comparing sensitivity of bacteria to antibiotics

A
  • bacteria X is sensitive to antibiotics A and B
  • bacteria X is more sensitive to antibiotic A than bacteria Y
  • neither bacteria are sensitive to antibiotic C
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4
Q

Penicillin

A
  • works on gram-positive bacteria

- interferes with synthesis of cell wall

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5
Q

Why might viruses be resistant to interferon

A
  • interferon does not prevent viral protein synthesis

- viruses able to reproduce

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6
Q

Why is it difficult for drug developers to treat HIV

A
  • rapid reproduction
  • many gene mutations (mutation more likely in a given time)
  • variety of proteins and larger variation
  • antigens on viral coat keep changing
  • natural selection favours resistant gene
  • drug development takes A long time, virus has changed by then
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7
Q

How bacteria become resistant to antibiotics

A
  • mutation of resistance occurs
  • increased use of antibiotics, more bacteria are exposed
  • antibiotic provides selection pressure
  • bacteria with resistant gene is selected for, reproduces and passes on resistant gene to offspring
  • resistants organisms become more common
  • horizontal gene transfer
  • conjugation
  • strand of plasmid carrying gene for resistance transfers between conjugating bacterium
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8
Q

Why are antibiotics not effective against viruses

A
  • viruses have no cell wall or ribosomes
  • no protein synthesis in viruses
  • viruses use the host cell for protein synthesis
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9
Q

The effects of HIV on the ability of humans to combat TB

A
  • HIV destroys T helper cells, numbers fall
  • reduced immune response
  • T cells cannot release cytokines to stimulate B cells to divide and produce antibodies
  • less able to destroy TB, more like to show symptoms/develop TB
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10
Q

Effect of co-infection of HIV and M.TB on rate at which each disease develops

A
  • HIV infects T helper cells which are destroyed by T killer cells
  • less able to destroy M tuberculosis
  • more phagocytosis occurs
  • more infected macrophages
  • positive feedback, both diseases progress more rapidly
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11
Q

Bactericidal

A
  • cell wall destroyed
  • lysis occurs
  • decreases number of living bacteria
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12
Q

Bacteriostatic

A
  • no reproduction

- same number of living bacteria

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13
Q

How do bacteriostatic antibiotics help overcome a bacterial infection

A
  • slows growth (fewer cells)
  • more time for the immune system to respond
  • gives time for antigen to bind to B cell and stimulate specific immune response
  • bacteria can be phagocytosed
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14
Q

How antibiotics affect bacteria

A
  • gram positive have thick cell wall (peptioglycan layer)
  • antibiotic affects cell wall synthesis
  • inhibits formation of peptidoglycan bonds in cell wall
  • weakening of cell walls
  • cell lysis
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15
Q

How antibiotic resistant bacteria spread

A
  • mutation causes resistant bacteria
  • any resistant bacteria will multiply
  • pass on resistant gene/plasmid
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16
Q

Resistant bacteria might secrete enzymes which break down the antibiotic, how would antibiotics prevent this

A
  • antibiotic doesn’t fit enzyme active site, so cannot be broken down
  • addition of a component to the antibiotic
17
Q

Explain what is meant by the terms bacteriostatic antibiotic and bactericidal antibiotic

A
  • antibiotic is used to kill/prevent reproduction of bacteria
  • bacteriostatic prevent multiplication/reproduction of bacteria
  • bactericidal destroy bacteria
18
Q

Suggest why the rate of MRSA infection might be low in a hospital

A
  • hospital has strict hygiene practices
  • hand washing regimes for medical staff particularly when dealing with open wounds
  • wearing suitable clothing, not long sleeves
  • antiseptic solutions, e.g. alcohol rubs readily available
  • isolation of suspected cases of MRSA
  • monitoring use of antibiotics, narrow antibiotics, fully course, used when only necessary
  • few patients/visitors passing in and out