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This case study presents the story of Phil, an undergraduate majoring in biology, whose Russian cousin Dimitri has contracted tuberculosis (TB) from inmates at the prison where he works.  Phil learns that his cousin's failure to complete his antibiotic regimen likely contributed to the evolution of antibiotic-resistant TB in his body.  Phil consults with his friend Stacy, and together they try to understand Dimitri's condition by applying what they are learning in their genetics lab experiment about the role of random mutation in bacterial evolution (including the development of antibiotic resistance) through Luria- Delbrück fluctuation analysis. The same analysis includes calculation of the mutation rate, which Phil realizes is sufficient to cause MRSA and other antibiotic-resistant infections. This case study was originally developed for concurrent use in freshman/sophomore-level genetics, elementary statistics, and precalculus. However, it is also very appropriate for courses in introductory biology, evolutionary biology, and biostatistics. The teaching notes discuss various ways to run the case depending on the mathematics and biology background of students.

This integrative case study is based on real events that the author experienced with her ten-year-old daughter. Although the names have been changed, all of the events (symptoms, diagnoses and treatments, types of healthcare professionals) are recorded exactly as they occurred. Both asthma and pneumonia are common in the United States (and globally). Many of the drugs described in the case study are frequently prescribed for a wide variety of ailments. The four "episodes" that constitute the case cover 1) a study of asthma triggers, incidence and treatment; 2) side effects and possible medication errors associated with steroids; 3) causes, diagnosis, treatment and prevention of community-acquired bacterial pneumonia; and 4) the mechanism of action of two different antibiotics. The "epilogue" explores a few larger themes related to healthcare and public health (e.g., continuity of care, drug resistance, asthma prevention programs). The case study could be used in an undergraduate, upper-level, infectious disease, microbiology, public health or physiology course or in a graduate-level health professions program.

Discover natural selection as a mechanism of evolution with the Amoeba Sisters. This video also uncovers the relationship of natural selection and antibiotic resistance in bacteria.

Discover natural selection as a mechanism of evolution with the Amoeba Sisters. This video also uncovers the relationship of natural selection and antibiotic resistance in bacteria.

Séguin, a research scientist in forest genomics with the Canadian Forest Service, inserted bacterial DNA into spruces that effectively made them immune to spruce budworm, a pest that can chew needles off tens of millions of hectares of trees in a single outbreak. While there is controversy over genetic engineering, some scientists say it could also help fight climate change by creating trees that grow bigger, faster, resist disease and can even turn carbon into a stable white powder that falls to the ground - in other words, trees that would be better at pulling carbon from the atmosphere.

We are under attack - by germs. Drug-resistant bacteria are invading organisms, and hospitals are their favorite breeding ground. Scientists are studying the genetics of bacteria and trying to find