Learning focus

Use precise biological vocabulary, interpret diagrams and data, explain mechanisms as linked sequences, and evaluate biological applications and environmental decisions.

Initial variation

A bacterial population may contain rare cells with a mutation that gives resistance. The antibiotic does not create the needed mutation; resistant variants exist before exposure or arise randomly.

Antibiotics select pre-existing resistant variants.
Antibiotics select pre-existing resistant variants.
Selection by antibiotic

When the antibiotic is used, susceptible bacteria are killed or prevented from reproducing. Resistant bacteria survive. Competition is reduced and survivors reproduce rapidly, passing resistance genes to descendants.

Survival and reproduction make resistance alleles more common.
Survival and reproduction make resistance alleles more common.
Development of a strain

After repeated selection, resistant bacteria form a larger proportion of the population and a resistant strain develops. MRSA is an important example. Treatment becomes more difficult because some antibiotics no longer work.

Minimising resistance

Antibiotics should be used only when essential and according to professional guidance. They do not treat viral infection. Infection control, hygiene and monitoring also reduce spread of resistant strains.

Practical or data skill

Interpret bacterial-growth data before and after antibiotic treatment and identify the selection pressure and surviving phenotype.

Examination tip

Resistance develops in the bacterial population, not in the patient’s body.

Review questions and suggested answers
Question 1

Did the antibiotic cause the useful mutation?

Suggested answer

No, mutation is random and resistant variants may already be present.

Question 2

Why do resistant bacteria become common?

Suggested answer

They survive treatment and reproduce.

Question 3

How can resistance be minimised?

Suggested answer

Use antibiotics only when essential and apply infection-control measures.