2.2.2 Introducing acquired resistance

As its name suggests, acquired resistance is not innate to a bacterial type. It occurs when a bacterium acquires or develops the ability to resist the actions of a particular antibiotic.

Unlike intrinsic resistance, acquired resistance is only found in some populations of a bacterial type.

Acquired resistance is a very significant healthcare concern. Infections caused by bacteria that have acquired resistance to an antibiotic can no longer be treated with that antibiotic. Consequently, identifying the type of pathogenic bacteria causing an infection may not always be sufficient to determine which antibiotics will be effective treatments. That is why all isolates must be tested to determine which antibiotics are effective before definitive treatment can be prescribed.

Activity 6: Comparing intrinsic and acquired resistance

Timing: Allow about 10 minutes

Look at the following statements in the table. Decide whether they are about intrinsic or acquired resistance or both and type your answer into the right-hand column.

Active content not displayed. This content requires JavaScript to be enabled.
Interactive feature not available in single page view (see it in standard view).

Answer

The answers are as follows:

StatementIntrinsic resistance, acquired resistance or both?
Mechanism only present in a subpopulation of bacteria of a given typeAcquired resistance
Can be identified if the bacterial type is knownIntrinsic resistance
Normal for bacteria of that typeIntrinsic resistance
Limits treatment optionsBoth
Mechanism present in all bacteria of a given typeIntrinsic resistance
Occurs as a result of genetic mutation or horizontal gene transferAcquired resistance

2.2.1 Intrinsic resistance

2.2.3 Multidrug resistance