AQA · GCSE · Combined Science

    Course version: 8464 · Version from Sept 2018

    Resistant bacteria: The development of new antibiotics is costly and slow. It is unlikely to keep up with the emergence of new resistant strains.

    Discovering and testing a new antibiotic takes many years and large amounts of money.

    • 2 key terms

    Study notes

    From the checked teaching notes for this specification point.

    The idea

    Discovering and testing a new antibiotic takes many years and large amounts of money. Researchers must find a compound that kills bacteria, then test it for safety and effectiveness in laboratories, animals and human trials before it can be prescribed. Because bacteria reproduce rapidly and mutations for resistance appear constantly, new resistant strains can emerge faster than new drugs can be approved. This means relying only on new antibiotics is not a complete solution. Reducing unnecessary use, completing prescribed courses and preventing infection through hygiene and vaccination all help slow resistance, so existing antibiotics remain useful for longer.

    What earns the marks

    • Developing a new antibiotic requires years of laboratory research, safety testing and clinical trials before it can be used.
    • The process is expensive, so pharmaceutical companies may have limited financial incentive to develop antibiotics compared with other medicines.
    • Bacteria reproduce rapidly and mutate frequently, so resistant strains can appear and spread quickly.
    • New resistant strains may emerge faster than new antibiotics can be discovered, tested and approved.
    • Slowing resistance through reduced unnecessary use, good hygiene and infection control helps existing antibiotics remain effective.

    Common mistakes and how to put them right

    • Thinking a new antibiotic can be created quickly once resistance appears.

      Put it right: Development takes many years of testing and trials.

    • Assuming resistance only appears after a new drug is used.

      Put it right: Resistant mutants can already exist in a population before the drug is widely used.

    • Believing new antibiotics alone solve resistance.

      Put it right: They help, but reducing unnecessary use and preventing infection are also needed.

    Exam tips

    • Compare timescales explicitly: state that bacterial reproduction is fast while drug development is slow.
    • Use the idea of selection pressure to explain why resistant strains increase when antibiotics are used.
    • When asked for solutions, give more than one measure, such as restricting use, completing courses and improving hygiene.

    Try the lesson

    The start of the Resistant bacteria: The development of new antibiotics is costly and slow. It is unlikely to keep up with the emergence of new resistant strains. lesson, made from checked teaching notes for this specification point.

    Have a go first

    Why is it difficult for scientists to keep supplying new antibiotics that work against resistant bacteria?

    Listen

    Discovering and testing a new antibiotic takes many years and large amounts of money. Researchers must find a compound that kills bacteria, then test it for safety and effectiveness in laboratories, animals and human trials before it can be prescribed. Because bacteria reproduce rapidly and mutations for resistance appear constantly, new resistant strains can emerge faster than new drugs can be approved. This means relying only on new antibiotics is not a complete solution. Reducing unnecessary use, completing prescribed courses and preventing infection through hygiene and vaccination all help slow resistance, so existing antibiotics remain useful for longer. A strong answer earns marks for these points. Developing a new antibiotic requires years of laboratory research, safety testing and clinical trials before it can be used. The process is expensive, so pharmaceutical companies may have limited financial incentive to develop antibiotics compared with other medicines. Bacteria reproduce rapidly and mutate frequently, so resistant strains can appear and spread quickly. New resistant strains may emerge faster than new antibiotics can be discovered, tested and approved. A common slip: Thinking a new antibiotic can be created quickly once resistance appears. Instead, development takes many years of testing and trials. Exam tip: Compare timescales explicitly: state that bacterial reproduction is fast while drug development is slow.

    See it

    A top-down flowchart. One branch starts with the box 'Antibiotic development is costly and slow', which leads to 'Unlikely to keep up with emergence of new resistant strains'. A second branch starts with 'Bacteria reproduce rapidly and mutate frequently', leading to 'Resistant strains appear and spread quickly', which also leads to 'Unlikely to keep up with emergence of new resistant strains'. That box leads to 'New antibiotics alone are not a complete solution', which branches into three boxes: 'Reduce unnecessary use', 'Complete prescribed courses' and 'Prevent infection through hygiene and vaccination'. All three of these lead to the final box 'Existing antibiotics remain useful for longer'.
    It shows how slow, costly antibiotic development struggles to keep pace with fast-emerging resistant strains, and how other measures help existing antibiotics remain useful for longer.

    Key words

    Say what each word means before you turn the card.

    Antibiotic development

    Try answering aloud or in your head before turning the card.

    Infection prevention

    Try answering aloud or in your head before turning the card.

    See every definition
    Antibiotic development
    Discovering and testing a new antibiotic takes many years and large amounts of money, requiring laboratory research, safety testing and clinical trials.
    Infection prevention
    Preventing infection through hygiene and vaccination helps slow resistance, so existing antibiotics remain useful for longer.

    Label the diagram

    Some boxes have lost their names. Pick the right name for each number.

    The diagram again, with 3 boxes numbered instead of named. A top-down flowchart. One branch starts with the box 'Antibiotic development is costly and slow', which leads to 'Unlikely to keep up with emergence of new resistant strains'. A second branch starts with 'Bacteria reproduce rapidly and mutate frequently', leading to 'Resistant strains appear and spread quickly', which also leads to 'Unlikely to keep up with emergence of new resistant strains'. That box leads to 'New antibiotics alone are not a complete solution', which branches into three boxes: 'Reduce unnecessary use', 'Complete prescribed courses' and 'Prevent infection through hygiene and vaccination'. All three of these lead to the final box 'Existing antibiotics remain useful for longer'.
    • 1Box 1

    • 2Box 2

    • 3Box 3

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