The remaining .1% of bacteria that are NOT killed by cleaning products or hand sanitizers are those that have:

a mutation that is resistant to the cleaning product

You should finish your entire bottle of antibiotics even if your symptoms are gone

You should use as much hand sanitizer and cleaners as possible to attempt to rid your home of bacteria right away

You should ask a doctor for antibiotics if you have a cold or the flu

You should give antibiotics to a friend who is sick

Which is NOT one of the main points of Natural Selection?

if an organism is not well-suited to its environment, it can adapt and evolve to become better on its own

organisms produce more offspring than can survive, due to competition for limited resources

there is natural variation among members of a population

those individuals with traits best suited to their environment most often survive and reproduce, passing on their helpful traits

Which is NOT true of life BEFORE antibiotics were widely used in the 1940s?

People usually died of cancer and heart attacks

Surgeries were nearly impossible due to the risk of bacterial infection

People lived on average 20 years less

People usually died of infections that are now easily treatable

If two species have very similar protein sequences (amino acid sequences) in a specific protein, then scientist conclude that this is evidence that the two species:

have very different DNA sequences

Tik Taalik is an example of a transitional fossil meaning that it is an intermediate (in-between) fossil. What did this demonstrate to evolutionary scientists? (Choose the BEST answer!)

Scientists propose that Tik Taalik demonstrates how life evolved from water to land due to its unique body structures

Scientists propose that Tik Taalik is evidence that living organisms become fossilized over time and provide clues to the past.

Scientists propose that Tik Taalik demonstrates that organisms are capable of adapting to harsh environments

Antibiotic Resistance & Natural Selection

Antibiotic Resistance

Antibiotic Resistance Development

Antibiotic Resistance Mechanisms

Bacterial Cell One of the very first organisms to evolve on earth was probably a unicellular organism, like modern bacteria. Ever since then, life has evolved into a multitude of life forms over many millennia. However, we can still trace our ancestry back to this single-celled organism. Bacteria Definition “Bacteria are unicellular organisms belonging to the prokaryotic group where the organisms lack a few organelles and a true nucleus”. Internal Structures • Cytoplasm: A gel-like substance that fills the cell, containing water, enzymes, nutrients, and waste, where metabolic activities occur. • Nucleoid: A region within the cytoplasm that houses the bacterial chromosome, a single, continuous circle of DNA. • Ribosomes: Responsible for synthesizing proteins within the cell. • Plasmids: Small, circular, extra-chromosomal DNA molecules that can provide advantageous traits, such as antibiotic resistance. • Mesosomes: (Optional, less prominent in some views) Folds in the plasma membrane that are believed to be involved in cell division and respiration. Outer Structures & Layers • Cell Wall: A rigid outer layer composed of peptidoglycan that provides structural support, maintains cell shape, and protects against osmotic lysis. Capsule: (Optional) A sticky outer layer of polysaccharide that can help the bacteria adhere to surfaces, protect against phagocytosis by the immune system, and serve as a food reserve. • Plasma Membrane: A selectively permeable barrier that regulates the passage of nutrients and waste products into and out of the cell. Appendages • Flagella: Long, whip-like structures that provide motility, allowing the bacterium to move through its environment. • Pili (and Fimbriae): Hair-like protein appendages. Pili are longer and involved in bacterial conjugation (transfer of genetic material), while the shorter, more numerous fimbriae primarily function in attachment to host cells or surfaces.

Gram positive, gram negative bacterias and resistance to antibiotics

Antibiotic-Resistant Organisms

7.03 Patients with Infectious Disease The center adheres to infection control policies to ensure the safety of patients, physicians, and staff members. Patients who are currently being treated for an infectious disease or condition that is transmitted via the contact route may not be treated at the center. Patients with disease spread via droplet (e.g. influenza) or airborne (e.g. tuberculosis, measles) routes will reschedule their procedures in consultation with their physicians. The infection control nurse, in consultation with the infection control consultant, will determine whether the patient requires isolation or other additional precautions. If a patient with current Clostridium difficile-associated diarrhea is treated at the center, all rooms where the patient was housed, even briefly, should be cleaned by housekeeping under supervision of the staff at the center. Physicians must document relevant information in their pre-admission documentation. Standard Precautions will be followed in the care of all patients. Cigarroa Interventional Institute establishes policies to ensure compliance with infection control policies for the care of patients with drug-resistant organisms. The physician will screen patients through the medical history review prior to scheduling a patient at the center. During the pre-operative (pre-op) phone call or interview, a pre-op screening of the patient will be conducted. Strict isolation policies are required to treat patients with active MRSA, VRSA, or tuberculosis. Since this facility has no provisions for strict isolation, those patients with active infections will be referred elsewhere for treatment. Patients who are undergoing or completed a course of antibiotic therapy, are colonized and/or are not actively infected may be treated at the center. Patients with active infections requiring transmission-based precautions are not appropriate candidates for this facility and will be referred to another facility or rescheduled. Procedures cannot be scheduled for patients currently undergoing an infection with transmission based precautions. The patient must finish the course, and they will be rescheduled. Definitions and Standards: The following definitions and standards are provided for informational purposes only: Airborne Transmission and Precautions: This mode of transmission occurs by the spreading of either airborne droplet nuclei (small particle residue of 5 microns or smaller), of evaporated droplets which contain microorganisms that remain suspended in the air for long periods of time) or dust particles containing microorganisms. Patients must be isolated in private rooms with special air handling and ventilation, and the door must remain closed. Patient transport should be restricted to essential transport only. Respiratory precautions must be taken when in the presence of patients with active tuberculosis, including respiratory masks. Droplet Transmission and Precautions: Droplets are transmitted from the host source by coughing, sneezing, talking, or during procedures such as suctioning or bronchoscopy. Patients must be isolated, and a distance of 3 feet maintained between the infected patient and others. Caregivers within 3 feet of the patient should wear a mask. Patient transport should be minimized. Contact Transmission and Precautions: Direct contact transmission involves direct body surface to body surface contact with physical transfer of microorganisms between a susceptible host and an infected person. Indirect contact transmission involves contact with an intermediate object (usually inanimate) and a susceptible host. Patients should be isolated as much as possible. Gloves and hand washing are essential for all contact with the patient and contact with objects, which come in contact with the patient. Gloves should be changed after each contact. Reportable Condition If the patient is determined to have a reportable condition at any time during pre-admission, the Director of Operations/Nurse Manager will be notified. The procedural physician will be contacted and the case will be canceled. The Department of Health will also be notified the same day following state regulations regarding Reportable Communicable Diseases. To report a disease or condition, contact: The City of Laredo Epidemiology 24/7 Reporting Line: (956) 763-2915, if unable to report locally, call The Texas Departmrent of Health Services epidemiology program: 24/7Number for Immediately Reportable – 1-800-705-8868

Antibiotic Stewardship

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