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Understanding antibiotic resistance
Understanding antibiotic resistance

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Glossary


Browse the glossary using this index

Special | A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | ALL

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A

acidification

The process of becoming more acidic.

acquired resistance

Resistance to an antibiotic to which a bacterium is innately susceptible. It occurs when a bacterium acquires the ability to resist the actions of a particular antibiotic through either genetic mutation or horizontal gene transfer.

amino acid

The individual unit from which proteins are constructed.


aminoglycoside antibiotics

A class of antibiotics containing an amino sugar that targets protein synthesis, e.g. streptomycin.


amino sugar

A sugar molecule in which a hydroxyl (-OH) group is replaced by an amine (-NH2) group.

antagonists

Substances that interfere with a physiological process.

antibiotic pipeline

Novel antibiotics that are newly discovered or in the development phase before being approved for clinical use.

antibiotic prophylaxis

The use of antibiotics as a precaution to prevent, rather than treat, an infection.

antibiotic resistance

The ability of bacteria to resist the action of antibiotics so that they survive exposure to antibiotics that would normally kill them or stop their growth.


antibodies

Proteins found in blood that are produced as an immune defence against foreign agents.

antimetabolites

Chemicals which are structurally similar to natural metabolites but just different enough to interfere with normal cell function.


B

bacteraemia

The presence of viable bacteria in the circulating blood.

bacteria

Single cell prokaryotes. The oldest, smallest and most numerous organisms living on Earth. (Singular: bacterium)


bacterial endocarditis

A bacterial infection of the inner lining of the heart (the endocardium).


bactericidal

Antibiotic that kills bacteria. 


bacteriophage

A virus that infects bacteria.  


bacteriostatic

Antibiotics that stop or slow bacterial growth. 


batch fermentation

An industrial process for the large-scale production of microbes and/or metabolites in liquid culture. After the microbe is introduced to the culture no additional growth medium is added.

Bdellovibrio bacteriovorus

Gram-negative bacteria that prey on other bacteria, attacking and killing them.

binary fission

A form of asexual reproduction used by bacteria and other prokaryotic cells in which one cell divides to form two.

biofilm

An aggregation of bacterial cells embedded in a carbohydrate matrix and attached to a surface or tissue.

biomarkers

Biological molecules that can be used as a measurable indicator of a biological state or condition.

bioprospecting

The systematic search for organisms and natural compounds from which antibiotics and other drugs might be derived.

broad-spectrum

Antibiotics that affect a wide range of bacteria. 


C

cefotaxime

A third-generation broad-spectrum cephalosporin antibiotic.

ceftazidime

A third-generation broad-spectrum cephalosporin antibiotic.

central dogma

The one-way flow of information from DNA to RNA to protein. First proposed by Francis Crick in 1958.


chemical libraries

Collections of chemical compounds that can be screened for compounds with potential antibiotic activity.

chemically labile

The tendency of a substance to be easily broken down during a chemical reaction.

chemical messengers

Chemical compounds that transmit messages between cells.

chromosomes

DNA molecules containing some, or all, of the genetic information of an organism.

commensals

Bacteria that live associated with the host organism without having a detrimental effect on the host. For example, Streptococcus pyogenes is a commensal bacterium often found in the nose of healthy individuals.

conjugation

A horizontal gene transfer mechanism in which plasmids are transferred between two contacting bacteria through a hollow tube, or pilus.

contagion

The spread of a disease from one person to another by close contact.

correlation

A relationship between two sets of data. For example, as antibiotic use increases, antibiotic resistance also increases.

CTX-M-type ESBL

The most common class of extended spectrum β-lactamases worldwide that act against cephalosporins.

D

deoxyribonucleic acid (DNA)

A macromolecule comprised of two chains of complementary nucleic acids. Heritable genetic information is encoded by the sequence of nucleotides in DNA.

diverticulitis

An infection of pockets in the lining of the large intestine.

E

efficacy

The ability of a drug to produce a therapeutic effect.

efflux pump

Transport proteins in the bacterial membrane actively transport antibiotics out of the bacterial cell.

empirical diagnosis

A diagnosis based on clinical experience, using the visible signs and symptoms experienced by a patient.

empiric treatment

Antibiotic therapy administered without a definitive diagnosis and often based on clinical observation and experience.

enterobacteria

A family of Gram-negative bacteria, including Salmonella spp. and Escherichia coli.

enzymes

Proteins that speed up (catalyse) chemical reactions in living organisms.


eukaryotes

One of the two main categories of living things (the other is prokaryotes). Eukaryotic organisms, including humans and animals, have cells containing nuclei and other membranous organelles.

evolution

The process by which all living organisms develop from a common ancestor. A change over time in the inherited characteristics or traits in a population. This change is largely brought about by natural selection.

extended spectrum cephalosporins (ESCs)

Cephalosporins with greater activity against Gram-negative bacteria than first-generation cephalosporins.

extended spectrum β-lactamase (ESBL)

An enzyme that destroys a broad spectrum of β-lactam antibiotics, including penicillin and cephalosporins.

F

faecal–oral transmission

The route of infection in which pathogens are transmitted directly from hand to mouth or via faecally contaminated food, water or utensils.

fomites

Objects in the environment, such as door handles, cups and pens, that are routinely touched and can transmit infections.

G

gene

A sequence of DNA that encodes the amino acid sequence of a particular protein.

generations

A classification system for cephalosporins based on their spectrum of activity.

genetic mutations

Changes in the sequence of DNA due to either errors made while copying the DNA or environmental factors. Genetic mutations in genes can result in changes to the amino acid sequence encoded by the gene.

genome

The complete set of DNA of an organism.

genus

Rank used in biological classification of organisms. A subdivision of a family usually consisting of more than one species. For example the species Staphylococcus aureus is a member of the genus Staphylococcus.

germ theory

The theory that many diseases are caused by microorganisms.

Gram-negative

Bacteria that do not retain crystal violet dye in the Gram-staining test.

Gram-positive

Bacteria with a thick peptidoglycan layer in their cell wall that is stained blue–purple by the Gram stain dye.

Gram staining

A cell-staining method used to visualise the composition of the bacterial cell wall and to identify and classify bacteria.

Greiss reaction

An analytical chemistry test that detects the presence of nitrites in a solution.

H

high-income countries (HICs)

Countries with a gross national income per capita classified as high income by the World Bank.

horizontal gene transfer

The process of swapping genetic information between two unrelated cells. It is the primary mechanism of spreading antibiotic resistance because it allows bacteria to spread antibiotic resistance genes rapidly between different species.

hydroscopic

A substance that can absorb water from its surrounding environment.

hydroscopicity

The tendency of a substance to absorb water from its surroundings.

I

infectious dose

The amount of pathogen needed to cause an infection in the host.

intervention

An activity that promotes behaviours that improve health.

intrinsically susceptible

A bacterial species that naturally lacks resistance mechanisms and is sensitive to the action of an antibiotic.

intrinsic resistance

The innate ability of a bacterial species to resist the action of antibiotic as a consequence of the bacteria’s structural or functional characteristics.

isolate

A bacterial strain separated from a mixed population of microbes such as those found in the soil or inside the gut.

K

Kluyvera spp.

Non-pathogenic soil bacteria that are the source of CTX-M-type ESBLs.

L

listeriosis

A rare infection caused by the bacterium Listeria.

low-income countries (LICs)

Countries with a gross national income per capita classified as low income by the World Bank.

low-middle-income countries (LMICs)

Countries with a gross national income per capita classified as low or middle income by the World Bank.

lysin

Enzyme produced by a bacteriophage that is required to lyse bacteria.

lysis

The process by which cells burst open and die. For example, as a consequence of too much water entering the cell by osmosis.

M

metabolism

The chemical reactions in an organism that allow it to obtain the energy and nutrients it needs to grow and survive.

metabolites

The intermediates and products of metabolism.

methicillin-resistant Staphylococcus aureus (MRSA)

Bacteria that cause infections that are resistant to many commonly used antibiotics.

microorganisms

Pathogenic and non-pathogenic microscopic organisms, including bacteria, fungi, protists and viruses.


molecular diagnostics

Diagnostic tests that use molecular biology techniques such as PCR to analyse DNA from the patient or pathogen in order to diagnose disease.

morbidity

A measure of the illness or disability experienced by a population.

mortality

A measure of the deaths in a population.

multidrug resistance

The resistance of a bacterial species to multiple antibiotics.

N

nanometre (nm)

Unit of length equal to one billionth of a metre.

nanoparticles

Particles between 1 and 100nm in size.

narrow-spectrum

Antibiotics that only affect a small range of bacterial types.

natural selection

The process that ensures that advantageous traits become more frequent in the population.

non-target-based screening

Systematic screening of microbes for extracts with non-specified antibacterial activity.

nosocomial infections

Infections that are acquired in hospital.

O

OECD countries

Countries that are members of the Organisation for Economic Cooperation and Development.

opportunistic pathogens

Microorganisms that are normally commensal and do not harm their host but can become pathogenic and cause infection when the host's immune defences are compromised.

organelles

Membrane-bound components of eukaryotic cells that are specialised to carry out particular functions.

osmosis

The process by which water moves through a partially permeable membrane from a less concentrated solution of, for example, salt (where there is a relatively high concentration of water and a low concentration of salt) to a more concentrated one (where there is a relatively low concentration of water and a high concentration of salt).

P

pathogenic

Capable of causing disease.

penicillinase

The first identified β-lactamase. It hydrolyses and destroys penicillin but not other β-lactam antibiotics such as cephalosporins.


penicillin-binding protein 2a (abbreviated to PBP2a)

A penicillin-binding protein with low affinity for penicillin and other β-lactams.

penicillin-binding proteins (PBPs)

Bacterial enzymes that are essential for bacterial cell wall synthesis. They are the target of β-lactam antibiotics.

peptidoglycan

A major component of bacterial cell walls. A large polymer, consisting of sugars and amino acids, that forms a mesh-like layer outside the bacterial cell membrane.

phage therapy

Treatment for bacterial infections that exploits the ability of bacteriophages to lyse and kill the bacteria they infect.

pharmacological properties

The characteristics of a drug that relate to how it is used and its effects in the body.

pH indicator

A chemical compound that changes colour in solution, depending on the pH (acidity) of the solution they are mixed with.

phytochemical

Chemicals produced by plants. Many phytochemicals have antibacterial properties.

pilus

A thin hollow tube extension of the bacterial cell wall that connects bacteria and is involved in horizontal gene transfer via conjugation.


plasmid

A circular, non-chromosomal piece of DNA often carrying genes associated with a particular function, e.g. antibiotic resistance.

point-of-care (POC)

‘point-of-care is the specific location at which a patient is presenting with illness – this could be at home, or in a range of primary and secondary healthcare settings. Point-of-care diagnosis therefore takes place close to the patient, rather than at a physically removed central laboratory.’

Bailey, S. (2017) ‘What do we mean by point of care?’, Longitude Prize, 4 May 2017 [Blog]. Available at https://longitudeprize.org/blog-post/longitude-prize-what-do-we-mean-point-care (Accessed 28 February 2018).


polymerase chain reaction (PCR)

A laboratory technique that permits the analysis of short DNA sequences in a sample. PCR is used to amplify short sections of DNA for analysis.

porin

A transmembrane protein complex that allows the movement of small molecules across the bacterial outer membrane.


primary barrier

Sanitation and hygiene barrier that prevents initial contact with faeces. For example, providing people with access to flushing toilets.

primary metabolites

A type of metabolite directly involved in growth and development.

procalcitonin (PCT)

A precursor of the hormone calcitonin. Levels of PCT rise in patients with bacterial, but not viral, infections. Consequently, it can be used as a biomarker for bacterial infections.

prokaryotes

One of the two main categories of living things (the other is eukaryotes). Prokaryotic cells lack a nucleus, mitochondria and other membrane-bound organelles.  


prophylactically

Giving a medicine or treatment to a healthy individual in order to prevent disease occurring.

protein

A large molecule consisting of long chains of amino acids that performs many essential functions within cells.


public health

‘the art and science of preventing disease, prolonging life and promoting health through the organized efforts of society’ (Winslow, C.-E. A. (1920) ‘The untilled fields of public health’, Science, vol. 51, no. 1306, pp. 23–33).

Q

quorum sensing

The process by which bacteria communicate with each other. It allows bacteria to share information about cell density and change their behaviour accordingly. For example, at high cell density, Vibrio fischeri bacteria alter their behaviour to emit fluorescent light. At low cell density, the bacteria are not fluorescent.

R

rapid diagnostics

Medical diagnostic test that is quick and provides a rapid read-out that can be used to diagnose the patient.

reactive oxygen species (ROS)

Chemically reactive chemical compounds containing oxygen, for example hydrogen peroxide (H2O2). They can damage DNA and proteins.

replication

The synthesis of an exact copy of a DNA molecule.

resistance breakers

Drugs that do not kill bacteria themselves but, when co-administered with a failing antibiotic, can overcome resistance.

ribosome

A structure in the cell where proteins are made. Each ribosome consists of a large and a small subunit which have distinct roles in protein synthesis.

RNA (ribonucleic acid)

A type of nucleic acid. Serves as an intermediate in the conversion of genetic information, encoded in DNA, into a protein.

S

secondary barrier

A sanitation and hygiene barrier that prevents infectious pathogens being ingested by a future victim. For example, using a clean water source when preparing food.

secondary metabolites

A type of metabolite that is not essential for growth and development.

selection

The preferential survival and reproduction of antibiotic resistant bacteria in the presence of antibiotics. Bacteria with a mutation that helps them survive in the presence of the antibiotic will survive and replicate.

selective pressure

The factors that contribute to selection. For example, predation, nutrients or the presence of antibiotics.

selective toxicity

The targeting of drugs to affect only the disease-causing, pathogenic organism and minimise damage to the host cells and commensals.

self-medicate

To take drugs bought over-the-counter without medical supervision.

semi-permeable membranes

Membranes that allow only some molecules to pass through.

streptomycin

An aminoglycoside antibiotic routinely used to treat several bacterial infections, including tuberculosis. 


structural analogue

A compound having a structure similar to that of another compound but a different function. 


substrate

The chemical on which an enzyme acts. It binds to the enzyme and is converted into a product or products through the action of the enzyme.

sub-therapeutic

A dose of drug that is below the level required to treat disease.

subunit

A single amino acid chain that forms a protein in complex with other subunits.

synergistically

When two substances act together to create an effect that is greater than the effect seen when using either substance alone.

T

trait

A genetically determined characteristic of an organism.

transcription profiling

A technique that identifies which genes are being expressed in cells.

transduction

A horizontal gene transfer mechanism in which plasmids are transferred from one bacterium to another, mediated by a virus. 


transformation

A horizontal gene transfer mechanism in which bacteria take up plasmids from the environment across the cell wall.

transmission

The passing of disease-causing pathogens from one individual to another.

turbidity

A measure of how well light passes through a liquid. Light is scattered by particles in liquid, making them appear cloudy, or turbid. Turbidity can be used to measure bacterial cell density. Samples with a high cell density will appear more turbid than those with a low cell density.

V

vertical gene transfer

The transfer of genetic information from a parent to its offspring. 


virus

An infectious agent that is approximately 10 times smaller than a bacterium. Viral infections cannot be treated with antibiotics. 


Î’

β-lactamase

An enzyme that destroys β-lactam antibiotics by hydrolysing the β-lactam ring.

β-lactamase inhibitor

An enzyme inhibitor that prevents the degradation of β-lactam antibiotics by β-lactamases. Used as resistance breakers.


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