Microbiology with Diseases by Taxonomy Plus Mastering Microbiology with Pearson eText -- Access Card Package (5th Edition)
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Chapter 7, Problem 1CCS

Clinical Case Study Deadly Horizontal Gene Transfer

Chapter 7, Problem 1CCS, Clinical Case Study Deadly Horizontal Gene Transfer Sarah might have been 85 years old, but her mind

Sarah might have been 85 years old, but her mind was still sharp; it was her body that was failing. After she broke her hip by falling in the bathroom, she had succumbed to a series of complications that ultimately required admittance to a large university-associated hospital in New York City. Treatment necessitated a urinary catheter, a feeding tube, and intensive antibiotic therapy. While hospitalized, she acquired a life-threatening urinary tract infection with multi-drug-resistant (MDR) Enterococcus faecium.

Enterococci are normal members of the microbiota of the colon, yet these Gram-positive bacteria have a propensity to acquire genes that convey resistance to antimicrobial drugs. As a result of such horizontal gene transfer, E. faecium has become an MDR bacterium- that is, a strain resistant to many different kinds of antimicrobials. Drug-resistant enterococci are a leading cause of healthcare-associated infections (nosocomial infections).

Physicians treated Sarah with a series of antimicrobial drugs, including metronidazole, penicillin, erythromycin, ciprofloxacin, and vancomycin, but to no avail. After 90 days of hospitalization, she died.

  1. 1. Define healthcare-associated infection.
  2. 2. What is the likely source of Sarah’s infection?
  3. 3. List three ways by which E. faecium might have acquired genes for drug resistance.
  4. 4. How can hospital personnel prevent the spread of resistant E. faecium throughout the hospital?
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Chapter 7 Solutions

Microbiology with Diseases by Taxonomy Plus Mastering Microbiology with Pearson eText -- Access Card Package (5th Edition)

Ch. 7 - Which of the following is not a mechanism of...Ch. 7 - Prob. 12MCCh. 7 - Prob. 13MCCh. 7 - Which of the following are called jumping genes?...Ch. 7 - Prob. 15MCCh. 7 - Prob. 16MCCh. 7 - Prob. 17MCCh. 7 - Prob. 18MCCh. 7 - Prob. 19MCCh. 7 - Prob. 20MCCh. 7 - Prob. 21MCCh. 7 - Prob. 22MCCh. 7 - Prob. 23MCCh. 7 - Prob. 24MCCh. 7 - The trp operon is repressible. This means it is...Ch. 7 - The three steps in RNA transcription are...Ch. 7 - Prob. 2FIBCh. 7 - Prob. 3FIBCh. 7 - Prob. 4FIBCh. 7 - An operon consists of ____________,...Ch. 7 - Prob. 6FIBCh. 7 - A daughter DNA molecule is composed of one...Ch. 7 - Prob. 8FIBCh. 7 - Prob. 9FIBCh. 7 - ____________ is a recombination event that occurs...Ch. 7 - Prob. 11FIBCh. 7 - Prob. 12FIBCh. 7 - Prob. 1SACh. 7 - Prob. 2SACh. 7 - Prob. 3SACh. 7 - Polypeptide synthesis requires large amounts of...Ch. 7 - Prob. 5SACh. 7 - Prob. 6SACh. 7 - Prob. 7SACh. 7 - Prob. 8SACh. 7 - Describe how DNA is packaged in both prokaryotes...Ch. 7 - Prob. 10SACh. 7 - Prob. 11SACh. 7 - Prob. 12SACh. 7 - On the figure below, label DNA polymerase I, DNA...Ch. 7 - Prob. 2VICh. 7 - Prob. 3VICh. 7 - If molecules of mRNA have the following nucleotide...Ch. 7 - A scientist uses a molecule of DNA composed of...Ch. 7 - Prob. 3CTCh. 7 - Prob. 4CTCh. 7 - Prob. 5CTCh. 7 - Suppose that the E. coli gene for the lac operon...Ch. 7 - Prob. 7CTCh. 7 - Prob. 8CTCh. 7 - Prob. 9CTCh. 7 - How can knowledge of nucleotide analogs be useful...Ch. 7 - The endosymbiotic theory states that mitochondria...Ch. 7 - Prob. 12CTCh. 7 - Prob. 13CTCh. 7 - Prob. 14CTCh. 7 - Prob. 15CTCh. 7 - What DNA nucleotide triplet codes for codon UGU?...Ch. 7 - Prob. 17CTCh. 7 - Prob. 1CMCh. 7 - DNA replication requires a large amount of energy,...Ch. 7 - In bacteria, polypeptide translation can begin...Ch. 7 - Prob. 3TMWCh. 7 - Prob. 4TMWCh. 7 - Clinical Case Study Deadly Horizontal Gene...Ch. 7 - Emerging Disease Case Study Vibrio Vulnificus...
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