Course Content
Drugs in Medicine
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Cambridge IGCSE Biology
    About Lesson

    Antibiotics

     

    Antibiotics are a class of medicinal drugs specifically designed to combat bacterial infections in the body. They work by either killing bacteria or inhibiting their growth, thus helping the immune system to effectively eradicate the infection. 

     

    Mechanism of Action

     

    Antibiotics exert their effects through various mechanisms, depending on the type of antibiotic and the specific bacterial target. Some antibiotics 

    • disrupt bacterial cell walls, causing them to burst and die.
    • bacterial protein synthesis or DNA replication, preventing bacterial growth and reproduction. 

    By targeting specific aspects of bacterial physiology, antibiotics can effectively combat infections while sparing human cells.

    Antibiotics have saved countless lives and have enabled medical advancements that were previously unimaginable. For instance, routine surgical procedures, such as organ transplants and joint replacements, rely heavily on antibiotics to prevent and treat infections, thereby reducing the risk of complications and improving patient outcomes.

     

     

    Development of Resistant Bacteria

     

    Incomplete antibiotic courses allow some bacteria to survive and be exposed to the drug. These survivors may develop drug-resistant mutations, passing on resistance to their offspring. As a result, the antibiotic becomes less effective, leading to challenges in treating infections and contributing to the rise of antibiotic-resistant bacteria. 

     

    • Completing antibiotic courses as prescribed is crucial to prevent the development and spread of drug resistance.

     

    Emergence of Drug-Resistant Mutants

     

    Among the bacteria exposed to antibiotics, some may develop mutations that confer resistance to the drug. These drug-resistant mutants have genetic changes that allow them to survive and multiply in the presence of antibiotics.

     

    Transmission and Spread

     

    Once drug-resistant bacteria emerge, they can spread within healthcare settings, communities, and even globally. In the case of MRSA, these “superbugs” are particularly concerning because they are resistant to multiple antibiotics, making them difficult to treat and control.

     

    Clinical Impact

     

    MRSA infections can cause a wide range of illnesses, from mild skin infections to severe bloodstream infections and pneumonia. These infections often require more aggressive treatment approaches and may result in longer hospital stays, increased healthcare costs, and higher mortality rates compared to infections caused by non-resistant strains of Staphylococcus aureus.

     

    Importance of Completing Antibiotic Courses 

     

    Completing a full course of antibiotics as prescribed is crucial for several reasons:

    • It ensures that all bacteria causing the infection are effectively eradicated, reducing the risk of treatment failure and recurrence.
    • It minimizes the chance of drug-resistant bacteria emerging and spreading within the population.
    • It helps preserve the effectiveness of antibiotics for future use by reducing selective pressure on bacteria to develop resistance.

     

     

    Antibiotics and Viral Diseases 

     

    Antibiotics are medications designed to target and kill bacteria or inhibit their growth. They achieve this by disrupting essential structures or processes within bacterial cells, such as cell wall synthesis, protein synthesis, or DNA replication.

     

    • Antibiotics are not effective against viral diseases. Viruses have fundamentally different characteristics and life cycles compared to bacteria.

     

    Viruses are not considered living organisms in the same way bacteria are. They lack many of the cellular structures and metabolic processes that antibiotics target in bacteria. Instead, viruses consist of genetic material (either DNA or RNA) enclosed within a protein coat, known as a capsid. Some viruses also have an outer envelope derived from the host cell’s membrane.

     

    The replication process of viruses differs significantly from that of bacteria. Viruses must infect host cells and hijack the cellular machinery to replicate and produce new viral particles. Antibiotics, which are designed to target bacterial structures and processes, have no effect on the replication cycle of viruses.

     

    Furthermore, because viruses replicate inside host cells, they are often shielded from the immune system and from external agents like antibiotics. Antibiotics typically work by targeting bacteria present outside or within the body’s cells, where they can directly interfere with bacterial growth or kill bacteria.

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