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6.3.4Inheritance, Variation and Evolution

Resistant Bacteria

5 min read 9 parts Lesson 15 of 16 Unit quiz

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Section 1 of 9Bacteria and antibiotics

Antibiotic resistance: resistant bacteria survive and multiply
How Penicillin Kills a Bacterial Cell — Animated
How Penicillin Kills a Bacterial Cell — Animated
Binary Fission in Bacteria — Full 2D Simulation
Antibiotic resistance in gut bacteria
antibiotic bacterial growth
Antibiotic resistance evolves in bacteria
Penicillin and the Bacterial Cell Wall
How penicillin works on bacterial cell wall

Bacteria are single-celled microorganisms, and some cause disease. Antibiotics are drugs, such as penicillin, that kill bacteria or stop them growing; they do not affect viruses. Bacteria can reproduce by binary fission as often as every twenty minutes in good conditions, so a population can grow extremely rapidly and many generations occur in a short time.

Section 2 of 9How resistance arises

Antibiotic Resistance in Gut Bacteria
Antibiotic Resistance in Gut Bacteria
Antibiotic resistance and natural selection in bacteria
1Mutation
Within a population of bacteria there is variation.
  • A random mutation in one bacterium may make it resistant to an antibiotic, for example by changing the target of the drug or by producing an enzyme that breaks it down.
2Non-resistant bacteria are killed
When the antibiotic is used, non-resistant bacteria are killed.
3Reproduces
The resistant bacterium survives, with less competition, and reproduces.
4
Its offspring inherit the resistance allele. Over several generations the population consists mainly of resistant bacteria.

This is natural selection, with the antibiotic as the selection pressure. Resistance can also spread between bacteria by passing plasmids.

Section 3 of 9MRSA

MRSA (methicillin-resistant Staphylococcus aureus) is a strain resistant to several antibiotics. It is a particular problem in hospitals because patients may have open wounds and weakened immune systems. Treating it requires different antibiotics, which may be less effective, more expensive or have side effects. Strains resistant to many drugs are sometimes called superbugs.

Section 4 of 9Reducing the problem

Reducing the problem
Not prescribe antibiotics
Doctors should not prescribe antibiotics for viral infections or for mild bacterial infections that the body can clear.
Complete the whole course
Patients should complete the whole course so that all the bacteria are killed, including partly resistant ones.
Agricultural use of antibiotics should be restricted.
Hospital hygiene must be strict: handwashing, isolating infected patients and cleaning surfaces.
New antibiotics must be developed, but this is slow and expensive, and bacteria will eventually evolve resistance to new drugs too.

Section 5 of 9Link with evolution

Antibiotic resistance is one of the clearest observable examples of evolution by natural selection and shows why a high rate of reproduction combined with mutation produces rapid change. It is also an example where understanding evolution has direct benefit for human health.

Section 6 of 9Antibiotics, evidence and the wider problem

How Antibiotic Resistance Can Spread in the Gut — Animated
How Antibiotic Resistance Can Spread in the Gut — Animated
How antibiotic resistance can spread in the gut

Alexander Fleming discovered penicillin in 1928 when he noticed that mould on a culture plate stopped bacteria growing.

Antibiotics, evidence and the wider problem
Antibiotics were then developed in the 1940s and have saved millions of lives, but resistance was reported only a few years later.
Today, resistance is considered one of the biggest threats to human health,
  • as common operations and treatments for cancer depend on effective antibiotics to prevent infection.

It is important to understand why the numbers behave as they do.

1
A population of 1 million bacteria may include only a handful of resistant mutants at first.
2
After an antibiotic is applied, the susceptible bacteria die, which removes competition for space and nutrients, so the few survivors multiply.
3
Since each bacterium can divide every 20 minutes, a single survivor can give rise to millions in a day.
4
Plasmids carrying resistance genes can be passed between different species of bacteria,
  • so resistance can spread even faster than by reproduction alone.

Preventing resistance involves a combination of measures.

1
Doctors may prescribe narrow-spectrum antibiotics that target a specific bacterium, and may take a sample to test which drug works.
2
Patients are advised not to demand antibiotics for colds and influenza, which are caused by viruses.
3
Farmers are encouraged to avoid giving antibiotics routinely to healthy animals.
4
Hospitals use isolation rooms and strict hygiene routines for infected patients.

Developing new antibiotics is difficult, because a drug may take over ten years and cost large amounts of money, and drug companies earn less from drugs that are used only briefly.

Antibiotics, evidence and the wider problem
Researchers are looking for new sources, including soil microbes, and for alternatives such as bacteriophages.
In exam answers about this topic, name the key steps of natural selection in order and avoid the phrase that bacteria 'adapt' or 'become immune'.

Hospitals also screen patients for MRSA on admission, treat carriers, and use alcohol gels and barrier nursing. These measures do not stop mutations, but they reduce the chance that resistant bacteria spread between patients and so give selection fewer opportunities to favour resistant strains.

Section 7 of 9Exam-style questions

  1. Explain how a population of bacteria can become resistant to an antibiotic. [4]4 marks

  2. Explain why patients should complete a course of antibiotics. [2]2 marks

  3. A colony starts with 1 resistant bacterium among 10 000. After treatment 99.9% of non-resistant bacteria die. Estimate the number of non-resistant survivors and comment on the proportion of resistant bacteria afterwards. [3]3 marks

Section 8 of 9Key terms

TermMeaning
AntibioticA drug that kills bacteria or prevents their growth.
ResistanceThe ability of bacteria to survive an antibiotic.
MRSAA strain of Staphylococcus aureus resistant to many antibiotics.
MutationA random change in DNA.
Binary fissionAsexual division of a bacterial cell into two.
Selection pressureEnvironmental factor, such as an antibiotic, that favours some individuals.

Section 9 of 9Exam technique

1
Saying the bacteria 'become used to' the antibiotic. Individual bacteria do not change; resistant ones are selected.
2
Saying that people become resistant to antibiotics. It is the bacteria that become resistant.
3
Using antibiotics against viruses; they have no effect on viruses.
4
Not mentioning that the mutation occurs before exposure to the antibiotic.
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