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Blasting the same drug on bacteria
→ bacteria gains resistance
Penicillin+Sulfa Drug resistance is common because it has been around for so long
Intrinsic v.s Acquired Resistance
natural selection (survival of the fittest)
vs
picked up the ability to do horizontal gene transfer (from DNA)
Staph+Strep are good at this
Microbe may “resist” antimicrobials by…
Inactivation Drug (special enzymes)
Beta-Lactamase
Penicillinase
Altering Uptake Receptors (surface)
receptor is altered → drug has no effect
MRSA does this
Making “pumps” to EXPEL drug
within cytoplasm
think ribosome inhibitors
specialized membrane proteins continually pump drug out of cell
“Rerouting” Metabolism
etc.
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