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An Evolving Enemy
Chapter 12, Problem 10

Antibiotic resistance is becoming common among organisms that cause a variety of human diseases. All of the following strategies help reduce the risk of antibiotic resistance evolving in a susceptible bacterial population except                  . a. using antibiotics only when appropriate, for bacterial infections that are not clearing up naturally; b. using the drugs as directed, taking all the antibiotic over the course of days prescribed; c. using more than one antibiotic at a time for difficult-to-treat organisms; d. preventing natural selection by reducing the amount of evolution the organisms can perform; e. reducing the use of antibiotics in non–health-care settings, such as agriculture

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Key Concepts

Here are the essential concepts you must grasp in order to answer the question correctly.

Antibiotic Resistance

Antibiotic resistance occurs when bacteria evolve mechanisms to withstand the effects of drugs that once killed them or inhibited their growth. This phenomenon can arise from genetic mutations or the acquisition of resistance genes from other bacteria. As a result, infections become harder to treat, leading to increased medical costs, prolonged hospital stays, and a higher risk of mortality.
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Natural Selection

Natural selection is a fundamental mechanism of evolution where organisms better adapted to their environment tend to survive and reproduce more successfully. In the context of antibiotic resistance, the overuse or misuse of antibiotics creates selective pressure, allowing resistant bacteria to thrive while susceptible ones are eliminated. This process accelerates the spread of resistance within bacterial populations.
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Antibiotic Stewardship

Antibiotic stewardship refers to a set of strategies aimed at optimizing the use of antibiotics to combat resistance. This includes using antibiotics only when necessary, adhering to prescribed treatment regimens, and minimizing their use in agriculture. Effective stewardship helps preserve the efficacy of existing antibiotics and reduces the likelihood of resistance development in bacterial populations.
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