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🌿 Antibiotics and Painkillers

Spec 4.3.3 📗 Foundation
📖 In-Depth Theory

Antibiotics

Antibiotics are drugs that kill bacteria or prevent them from reproducing — they are used to treat BACTERIAL infections.
How they work: Antibiotics target specific structures in bacteria that are NOT present in human cells — for example:
PENICILLIN (and similar antibiotics) disrupts bacterial CELL WALL synthesis. Human cells have no cell wall, so penicillin doesn't harm them.
Other antibiotics target bacterial ribosomes or DNA replication.
Different antibiotics work on different bacteria:
BROAD SPECTRUM antibiotics work against many different bacterial species.
NARROW SPECTRUM antibiotics target specific types of bacteria.
Antibiotics CANNOT treat viral infections because:
Viruses have no cell walls, no bacterial ribosomes and no bacterial DNA replication machinery — there is nothing for antibiotics to target.
Viruses live INSIDE host cells — drugs that killed them would also damage the host cell.
Antibiotics were discovered by Alexander Fleming in 1928 — he noticed Penicillium mould was killing bacteria on a petri dish.

Antibiotic Resistance — A Global Crisis

Antibiotic resistance is one of the greatest threats to global health.
How it develops through NATURAL SELECTION:
1. Within a population of bacteria, random MUTATIONS occur naturally during reproduction.
2. Occasionally, a mutation gives a bacterium resistance to an antibiotic.
3. When antibiotics are used, non-resistant bacteria are killed.
4. Resistant bacteria SURVIVE and REPRODUCE — passing on the resistance gene to offspring.
5. Over time, the entire population becomes resistant — the antibiotic no longer works.
Why resistance is spreading:
OVER-PRESCRIBING — doctors prescribing antibiotics for viral infections or 'just in case'.
NOT COMPLETING COURSES — stopping early leaves some bacteria alive; the survivors are more likely to be partially resistant.
AGRICULTURE — antibiotics used to promote growth in livestock, creating resistant bacteria in food chains.
Consequences: Infections once easily treated (e.g. tuberculosis, some pneumonias) are becoming dangerous again. MRSA (methicillin-resistant Staphylococcus aureus) is an example of a serious antibiotic-resistant bacterium.
How to slow resistance:
Only use antibiotics when genuinely necessary.
Always complete the full course.
Never share or save antibiotics for later.
Reduce agricultural antibiotic use.

Painkillers

Painkillers (analgesics) relieve pain and reduce fever — but they do NOT kill pathogens or treat the cause of infection.
Common painkillers: paracetamol, ibuprofen, aspirin.
They treat SYMPTOMS — making the patient feel more comfortable — but the immune system still needs to fight the infection.
A patient with a bacterial infection may take BOTH:
Antibiotics — to kill the bacteria (treating the cause).
Painkillers — to manage fever, pain and discomfort (treating the symptoms).
ANTIVIRAL DRUGS are medicines that do treat viral infections — but they are much harder to develop than antibiotics because viruses use the host cell's own machinery.
Examples: oseltamivir (Tamiflu) for influenza, antiretroviral drugs (ARVs) for HIV.
Antivirals don't kill viruses outright — they usually prevent replication.
⚠️ Common Mistake

Painkillers do NOT treat infections — they only relieve symptoms. A patient taking only paracetamol for a bacterial infection is NOT treating the infection. Also: always complete antibiotic courses — stopping early is a major driver of resistance because the bacteria that survive are likely to be the more resistant ones.

📌 Key Note

Antibiotics: kill bacteria, NO effect on viruses, target bacterial cell walls/ribosomes. Antibiotic resistance: natural selection of resistant mutants — avoid misuse. Painkillers: treat symptoms only, don't kill pathogens.

🎯 Matching Activity — Antibiotic, Painkiller or Antiviral?

Sort each statement to the correct type of drug. — drag the symbols on the right to match the component names on the left.

Antibiotic
Drop here
Painkiller
Drop here
Antiviral
Drop here
Antibiotic
Drop here
Painkiller
Drop here
Has no effect on viral infections — useless against flu or measles
Examples: paracetamol, ibuprofen, aspirin
Prevents viral replication — used for HIV and influenza
Kills bacteria — works by targeting bacterial cell walls or ribosomes
Relieves fever and pain — does not kill any pathogens
🎯 Test Yourself
Question 1 of 2
1. Why can't antibiotics treat viral infections?
2. Why is it important to always complete a full course of antibiotics?
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