TI-2 Antimicrobial mechanisms of resistance Flashcards

1
Q

What is the primary reason microbes produce antibiotics?

A

To gain a competitive advantage over neighboring microbes.

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2
Q

Why has antibiotic resistance become more pronounced in recent years?

A

Due to the widespread use and manufacturing of antibiotics.

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3
Q

How often do mutations occur in bacterial populations?

A

1 in every 10^6 to 10^8 cells.

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4
Q

What is the consequence of treating a sensitive bacterial population with antibiotics?

A

It selects for and increases the number of resistant bacteria.

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5
Q

What factors promote antibiotic resistance in bacterial populations?

A

Overuse, overprescribing, aging populations, and use in farming.

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6
Q

Which bacterial pathogens are currently of particular concern due to multi-drug resistance?

A

Klebsiella pneumoniae, Pseudomonas aeruginosa, Escherichia coli, MRSA, and multi-drug resistant M. tuberculosis.

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7
Q

What are the two main types of antimicrobial resistance?

A

Intrinsic resistance and acquired resistance.

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8
Q

What defines intrinsic resistance in bacteria?

A

A natural resistance to an antimicrobial shared by all strains of a species.

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9
Q

How does acquired resistance differ from intrinsic resistance

A

Acquired resistance develops in some bacteria of a species, not all.

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10
Q

What are the two types of acquired resistance

A

Genetic (irreversible) and phenotypic (reversible).

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11
Q

What is phenotypic resistance associated with?

A

Specific growth conditions, such as growth in biofilms

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12
Q

How can bacteria acquire genetic resistance?

A

Through mutations in chromosomal DNA or acquiring new DNA, such as plasmids.

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13
Q

What is the significance of plasmids in antibiotic resistance?

A

They can carry multiple antibiotic resistance genes and facilitate the rapid spread of resistance.

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14
Q

What role do beta-lactamases play in antibiotic resistance?

A

They hydrolyze beta-lactam antibiotics, rendering them inactive.

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15
Q

What is the function of clavulanic acid when combined with amoxicillin?

A

It acts as a beta-lactamase inhibitor, extending the effectiveness of amoxicillin.

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16
Q

How can bacteria alter their drug target sites to resist antibiotics?

A

By changing the structure of the target protein, preventing drug binding without affecting its function

17
Q

What is the main mechanism by which Gram-negative bacteria develop resistance to antibiotics?

A

Altered uptake through changes in porin channels.

18
Q

What is the mechanism of action for glycopeptides like Vancomycin

A

They inhibit cell wall biosynthesis by binding to terminal amino acids in peptide chains.

19
Q
A