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Resistant Bacteria

Spec 4.6.5 ๐Ÿ“— Foundation
๐Ÿ“– In-Depth Theory

How Antibiotic Resistance Develops

Antibiotic resistance is a direct example of EVOLUTION BY NATURAL SELECTION occurring in our lifetimes.
The process:
1. VARIATION โ€” within a population of bacteria, individuals vary slightly due to random mutations. A very small number may have a mutation that gives RESISTANCE to a particular antibiotic.
2. SELECTION PRESSURE โ€” when antibiotics are used, they KILL bacteria that are NOT resistant. The resistant bacteria SURVIVE.
3. REPRODUCTION โ€” resistant bacteria reproduce (bacteria can double every 20 minutes). They pass on the resistance gene to offspring.
4. SPREAD โ€” resistant bacteria become increasingly common in the population. The antibiotic no longer works.
This is natural selection in real time โ€” the antibiotic acts as the selection pressure. The resistant mutation existed BEFORE the antibiotic was used โ€” the antibiotic didn't create the mutation, it selected for it.

MRSA โ€” A Serious Example

MRSA (Methicillin-resistant Staphylococcus aureus) is a bacterium that has developed resistance to many commonly used antibiotics.
Staphylococcus aureus is normally a relatively harmless skin bacterium found on about 30% of people.
MRSA has acquired resistance through repeated exposure to antibiotics โ€” particularly in hospital settings where antibiotics are widely used.
Why MRSA is dangerous:
Difficult to treat โ€” standard antibiotics don't work.
Can cause serious infections: bloodstream infections (sepsis), pneumonia, wound infections.
Particularly dangerous for hospital patients who are already weakened or have wounds.
Few effective antibiotics remain โ€” some strains are resistant to almost everything.
MRSA shows what can happen when antibiotic resistance goes unchecked โ€” a common bacterium becomes a serious, life-threatening pathogen.

Why Antibiotic Resistance is a Global Crisis

Antibiotic resistance is one of the greatest threats to global health, food security and development โ€” according to the World Health Organisation.
The problem is accelerating because:
OVER-PRESCRIPTION โ€” antibiotics given for viral infections (where they have no effect) or 'just in case'.
INCOMPLETE COURSES โ€” stopping antibiotics early leaves the most resistant bacteria alive to reproduce.
AGRICULTURAL USE โ€” antibiotics widely used in livestock farming to prevent disease and promote growth โ†’ resistant bacteria enter food chains.
GLOBAL SPREAD โ€” resistant bacteria travel with people internationally.
SLOW DEVELOPMENT of new antibiotics โ€” pharmaceutical companies have reduced investment because new antibiotics are not as profitable as drugs for chronic diseases.
What can be done:
Prescribe antibiotics ONLY when necessary.
Patients must COMPLETE FULL COURSES.
Develop NEW antibiotics and alternative treatments (e.g. phage therapy โ€” using viruses that kill bacteria).
Reduce agricultural antibiotic use.
Better hygiene to prevent spread of resistant bacteria.
โš ๏ธ Common Mistake

Antibiotics do NOT CAUSE mutations โ€” they SELECT resistant bacteria that already exist. The mutation happened randomly, long before the antibiotic was used. The antibiotic is the selection pressure that determines which bacteria survive. This is a key distinction โ€” evolution acts on existing variation, it doesn't create new variation in response to need.

๐Ÿ“Œ Key Note

Resistance develops by natural selection: random resistance mutation exists โ†’ antibiotic kills non-resistant bacteria โ†’ resistant bacteria survive and reproduce โ†’ resistance spreads. Antibiotics select for resistance โ€” they don't cause it. MRSA = serious hospital-acquired resistant bacterium.

๐ŸŽฏ Matching Activity โ€” Steps in Developing Antibiotic Resistance

Put the steps of antibiotic resistance development in order by matching each step. โ€” drag the symbols on the right to match the component names on the left.

Step 1 โ€” Variation
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Step 2 โ€” Selection pressure
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Step 3 โ€” Reproduction
Drop here
Step 4 โ€” Population change
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Antibiotic is used โ€” kills all non-resistant bacteria, resistant one survives
A random mutation gives one bacterium resistance to an antibiotic โ€” before any antibiotic is used
Resistant bacteria dominate the population โ€” the antibiotic no longer works
Resistant bacterium reproduces โ€” passing resistance gene to millions of offspring
๐ŸŽฏ Test Yourself
Question 1 of 3
1. How does antibiotic resistance develop in bacteria?
2. Why is it important to complete a full course of antibiotics even if you feel better?
3. MRSA is resistant to many antibiotics. How did this resistance arise?
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