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Antibiotic Resistance

Also known as:Antimicrobial resistance (AMR)Drug resistance

Antibiotic resistance is the ability of bacteria to survive and multiply in the presence of an antibiotic that would normally inhibit or kill them, arising through genetic mutations or acquisition of resistance genes via horizontal gene transfer. It develops because antibiotics exert selective pressure on bacterial populations, favouring the survival and proliferation of resistant strains. The World Health Organization (WHO) considers antibiotic resistance one of the greatest global public health threats, as it renders standard treatments ineffective and increases the risk of fatal infections.

Key Mechanisms of Antibiotic Resistance in Bacteria

MechanismDescriptionExample Antibiotic AffectedExample Bacterium
Enzymatic inactivationBeta-lactamase destroys beta-lactam ringPenicillinMRSA
Efflux pumpsActively pumps antibiotic out of cellTetracyclineE. coli
Target modificationAlters ribosomal binding siteErythromycinS. pneumoniae
Reduced permeabilityLoss of outer membrane porinsCarbapenemsP. aeruginosa
Bypass pathwayAcquires alternative metabolic pathwayTrimethoprimS. aureus

Interactive Tools

Khan Academy – Antibiotic Resistance

Explains how natural selection drives antibiotic resistance.

Open Tool

NCBI – Antibiotic Resistance Genes Database

Database of antimicrobial resistance genes and surveillance data.

Open Tool

Brilliant.org

Interactive problem sets on resistance mechanisms and evolution.

Open Tool
Diagram illustrating the development of antibiotic resistance in a bacterial population

Wikimedia Commons, CC BY-SA

Related Terms

"Antibiotic" from Greek "anti-" (against) + "bios" (life); "resistance" from Latin "resistere" (to stand against). The phenomenon was observed almost immediately after penicillin was introduced clinically in the 1940s, when Alexander Fleming himself warned in his 1945 Nobel Prize lecture that misuse of penicillin could lead to resistant bacteria.

amrevolutionpublic-healthnatural-selectionpharmacologymicrobiology