Week 6: Antimicrobial resistance Flashcards
Case 1

Question

Mechanisms of resistance
- Intrinsic resistance
- Transfer of genetic material encoding for resistance
What is intrinsic resistance
Innate ability of bacterial species to resist activity of drug
What mechanisms of resistance can be in Genetic material coding for resistance
4 listed
- Alteration of target antibiotic
- Enzymatic degradation of antibiotic
- Changes in cell wall permeability
- Production of efflux pumps
Case 2


Question

Mechanisms of horizontal gene transfer

What is Transformation?
- Transformation involves uptake of short fragments of naked DNA by naturally transformable bacteria
What is Transduction?
Transfuction involves transfer of DNA from one bacterium into another via bacteriophages
What is Conjugation?
Conjugation involves transfer of DNA material via sexual pilus and requires cell-to-cell contact
Case 3

Question

VRE AKA
Vancomycin-Resistant Enterococci
VSE AKA
Vancomycin-Susceptible Enterococci
Describe the mechanism of vancomycin susceptible enterococci

Describe the mechanism of vancomycin-resistant enterococci

Case 4


What is the MIC

Case 5

Question

Case 6

Question

Question

Case 7

Question

Case 8

Question

Case 9

Question

Explain how drug resistance arises

Why and when to order Genotype testing of HIV

Question

Causes of HIV resistance to ARVs
6 listed

How to prevent HIV Resistance to ARVs

Case 10


Question

Mycobacterial Resistance mechanisms
- Naturally occurring mutations can confer resistance
- On drug-therapy, drug-susceptible organisms are killed selecting for drug-resistant mutants
When should Mycobacterial Resistance be considered in patients
- Who remain culture positive after 2-4 months of treatment
- Patients who have previously been treated for TB
- Contacts of patients with drug-resistant TB
- Patients born in countries or who reside in setting where drug-resistant TB is prevalent
Treatment principles for Active TB

Case 11

Question

Case 12

Question

Case 13

Question

Question

Case 14


Question
