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SHARAD CHAND
PHARM. D(Intern)
Department of Pharmacy Practice
Understanding and
overcoming antibiotic
resistance
•What is Antibiotic Resistance?
•Causes
•Mechanisms of Resistance
•Examples of diseases that show resistance:
•Possible Solutions
Outline of Topic
•Cellular stress results in selective
pressures on a microorganism,
leading to the development of
resistance within a population
•Three possible outcomes when
antibiotics are introduced:
1. Death (Bacteriocidal)
2. Growth Inhibition (Bacteriostatic)
3. Resistance
•The ability of a microorganism to avoid the harmful effects of an
antibiotic by destroying it, transporting it out of the cell, or undergoing
changes that block its effects.
Antibiotic Resistance
•Conjugation: Transfer of a plasmid
through direct cell contact. R Plasmids
confer resistance.
•Rolling circle:
Conjugation bridge is made
between cells
Plasmid begins to replicate as a
rolling circle
Travels across bridge in a linear
fashion
Recircularizes in recipient cell
•Horizontal gene transfer- Transfer of
genes without production of
offspring.
Bacterial Processes Leading to Resistance
Transformation: Uptake of
DNA from the environment,
incorporation into the
genome, and gene expression.
Transduction- The insertion
of genetic material from a
virus (Bacteriophage).
Vertical Gene Transfer:
Transfer of genetic material
from parent to daughter cell
(Generational Inheritance)
Bacterial Processes Leading to Resistance
•Although resistance is natural still
resistant bacteria multiply when
antibiotics are used carelessly.
•Millions of people take antibiotics
unnecessarily every year.
•Antibiotics have no effect on viral
illnesses such as:
Colds
Flu
Sore Throats
Bronchitis
•Use of antibiotics for feed animals
and livestock also a major factor.
Misuse/Overuse of Antibiotics
• Change the antibiotic
structure so that it is
no longer able to
perform its function
• Break down the
antibiotic
• Pump the antibiotic
out of the cell
Mechanisms of Resistance
•Methicillin-Resistant
Staphylococcus aureus
 Also Vancomycin Resistant
(VRSA)
•Infects the nostrils, respiratory
tract, wounds, and urinary
tract.
•Commonly found and
contracted within hospitals and
healthcare centers
(Nosocomial Infection)
MRSA
•Mycobacterium tuberculosis
•Four antibiotics used: isoniazid,
rifampicin, pyrazinamide, and
ethambutol for 6 months.
•Most of them nihibit the synthesis of
mycolic acids, a major component of
the cell wall.
•Multi–drug-resistant tuberculosis is
resistant to two antibiotics,
Extensively drug resistant
tuberculosis is resistant to three, with
a cure rate of only 30%.
Tuberculosis
•Streptococcus pneumoniae and
Klebsiella pneumoniae (CRKP)
•Several strains of pneumonia
that is resistant to at least one
antibiotic.
•There are seven strains of
resistant pneumonia, the most
well known of which is the 19A
strain.
Pneumonia
1) Vaccines: manufacturing vaccines for
resistant strains of bacteria.
Don’t suffer the same fate as antibiotics, as
they stimulate the body’s immune system to
eradicate the infection.
2) Cytokines:
Several government organizations are
experimenting with adding cytokines to
animal feed rather than antibiotics.
Have been found to enhance the growth of
the animals, without the use of antibiotics.
Potential Solutions
3) Bacteriopage therapy:
The therapeutic use of lytic bacteriophages to
treat bacterial infections.
4) Responsible use of antibiotics:
Only use when prescribed for a bacterial
infection.
Use exactly as instructed, do not stop
treatment early.
Research ways of making products safe while
reducing the use of antibiotics.
Potential Solutions
Potential Solutions
• To strengthen the action of antibiotics by modifying them so
the bacterial enzymes that cause resistance cannot attack them.
• Alternately, "decoy" molecules can be used along with the
antibiotic. Decoy molecules such as clavulanic acid or
sulbactam are already in use for blocking the beta-lactamase
enzymes that destroy the penicillin family of drugs.
• To interfere with the mechanisms that promote resistance. For
example, interfering with the duplication or movement of a
bacterium's genetic material would eliminate the transfer of
resistance genes between bacteria.
• Siderofore trozan molecule concept.
THANK

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Antibiotic resistance,introduction, cause, mechanism and solution of Antibiotic resistance

  • 1. SHARAD CHAND PHARM. D(Intern) Department of Pharmacy Practice Understanding and overcoming antibiotic resistance
  • 2.
  • 3. •What is Antibiotic Resistance? •Causes •Mechanisms of Resistance •Examples of diseases that show resistance: •Possible Solutions Outline of Topic
  • 4. •Cellular stress results in selective pressures on a microorganism, leading to the development of resistance within a population •Three possible outcomes when antibiotics are introduced: 1. Death (Bacteriocidal) 2. Growth Inhibition (Bacteriostatic) 3. Resistance •The ability of a microorganism to avoid the harmful effects of an antibiotic by destroying it, transporting it out of the cell, or undergoing changes that block its effects. Antibiotic Resistance
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  • 6. •Conjugation: Transfer of a plasmid through direct cell contact. R Plasmids confer resistance. •Rolling circle: Conjugation bridge is made between cells Plasmid begins to replicate as a rolling circle Travels across bridge in a linear fashion Recircularizes in recipient cell •Horizontal gene transfer- Transfer of genes without production of offspring. Bacterial Processes Leading to Resistance
  • 7. Transformation: Uptake of DNA from the environment, incorporation into the genome, and gene expression. Transduction- The insertion of genetic material from a virus (Bacteriophage). Vertical Gene Transfer: Transfer of genetic material from parent to daughter cell (Generational Inheritance) Bacterial Processes Leading to Resistance
  • 8. •Although resistance is natural still resistant bacteria multiply when antibiotics are used carelessly. •Millions of people take antibiotics unnecessarily every year. •Antibiotics have no effect on viral illnesses such as: Colds Flu Sore Throats Bronchitis •Use of antibiotics for feed animals and livestock also a major factor. Misuse/Overuse of Antibiotics
  • 9. • Change the antibiotic structure so that it is no longer able to perform its function • Break down the antibiotic • Pump the antibiotic out of the cell Mechanisms of Resistance
  • 10. •Methicillin-Resistant Staphylococcus aureus  Also Vancomycin Resistant (VRSA) •Infects the nostrils, respiratory tract, wounds, and urinary tract. •Commonly found and contracted within hospitals and healthcare centers (Nosocomial Infection) MRSA
  • 11. •Mycobacterium tuberculosis •Four antibiotics used: isoniazid, rifampicin, pyrazinamide, and ethambutol for 6 months. •Most of them nihibit the synthesis of mycolic acids, a major component of the cell wall. •Multi–drug-resistant tuberculosis is resistant to two antibiotics, Extensively drug resistant tuberculosis is resistant to three, with a cure rate of only 30%. Tuberculosis
  • 12. •Streptococcus pneumoniae and Klebsiella pneumoniae (CRKP) •Several strains of pneumonia that is resistant to at least one antibiotic. •There are seven strains of resistant pneumonia, the most well known of which is the 19A strain. Pneumonia
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  • 14. 1) Vaccines: manufacturing vaccines for resistant strains of bacteria. Don’t suffer the same fate as antibiotics, as they stimulate the body’s immune system to eradicate the infection. 2) Cytokines: Several government organizations are experimenting with adding cytokines to animal feed rather than antibiotics. Have been found to enhance the growth of the animals, without the use of antibiotics. Potential Solutions
  • 15. 3) Bacteriopage therapy: The therapeutic use of lytic bacteriophages to treat bacterial infections. 4) Responsible use of antibiotics: Only use when prescribed for a bacterial infection. Use exactly as instructed, do not stop treatment early. Research ways of making products safe while reducing the use of antibiotics. Potential Solutions
  • 16. Potential Solutions • To strengthen the action of antibiotics by modifying them so the bacterial enzymes that cause resistance cannot attack them. • Alternately, "decoy" molecules can be used along with the antibiotic. Decoy molecules such as clavulanic acid or sulbactam are already in use for blocking the beta-lactamase enzymes that destroy the penicillin family of drugs. • To interfere with the mechanisms that promote resistance. For example, interfering with the duplication or movement of a bacterium's genetic material would eliminate the transfer of resistance genes between bacteria. • Siderofore trozan molecule concept.
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  • 19. THANK