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3)
What makes a good target of action for an antibiotic? Give three examples. (five points)
Thetargetofactionmustbesomethingthepathogenhasthathostcellsdonot.
Examplescellwallenzymes,DNAgyrase,ribosomalproteins,folicacidpathway,etc.
4a) When transferring bacteria from the EMB plate to the antibiotic plates, we used one
toothpick (per colony) to inoculate four plates. How do we know antibiotics werent carrying
over from one plate to the next? (two points)
Becausethelastplateintheserieswasaplainplatewithnoantibiotic.Solongas
organismsgrowonthatplate,wecanbesurenoantibioticiscarryingover.
4b) When diluting samples in the plasmid loss experiment, two groups may start with the same
sample and dilute it by different amounts. What is it about the design of the experiment that
still permits us to compare their numbers to determine the proportion of bacteria that are still
antibiotic resistant? (two points)
Becauseeachgroupisplatingequalvolumesoftheirdilutiononplatewithand
withoutantibiotic.Theproportionofresistantbacteriaiscomparableevenifthe
absolutenumbersarenot.
pvalue
0.04
significance
6 of 33 (18%)
4 of 158 (2.5%)
0.002
significant
5 of 33 (15%)
9 of 158 (6%)
0.07
suggestive
Wound present
0.50
notsignificant
Shared room
12 of 70 (17%)
0.50
notsignificant
21 of 88 (24%)
significant
Table2from:MethicillinResistantStaphylococcusaureus(MRSA)inNursingHomesinaMajorUKCity:An
AnonymizedPointPrevalenceSurvey;A.P.Fraise,K.Mitchell,S.J.O'Brien,K.Oldfield,R.Wise;Epidemiologyand
Infection,Vol.118,No.1(Feb.,1997),pp.15
a. Fill in the last column of the table with one of these three terms- SIGNIFICANT,
SUGGESTIVE, or NOT SIGNIFICANT. (one point)
b. Which risk factor is the best differentiator between MRSA-positive and MRSA negative
nursing home residents? What are you basing this on? (two points)
Surgeryshowsthehighestratio(~7fold)betweenpositivesandnegativesandthelowest
pvalue.Surgeryistheclosesttoauniqueidentifierforpositives.
c. Two additional facts were reported in the paper:
1. Environmental sampling showed that only nursing homes with MRSA-positive residents
had MRSA contamination of communal lounges, sitting rooms and bedrooms.
2. Characterization of the MRSA strains recovered from the MRSA-positive nursing home
residents showed greater similarity to hospital strains than to strains circulating in the
general populace.
Putting everything together (table plus facts above), what do you think is the best model for
the epidemiology (initial infection and spread) of MRSA among nursing home residents?
(two points)
MRSAisnotbeingpickedupfromtheenvironmentorfromthegeneralpopulace.
Residentswhohavesurgerypickitupinthehospitalandspreaditinthehome.