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the claim
Bacteria retain antibiotic resistance following the cessation of antibiotic treatment
the verdict
REFUTED
the evidence says no
refutedsupported
the weight of evidence
0 sources for · 2 against

Peer-reviewed research demonstrates that bacterial drug-resistance frequently declines in an antibiotic-free environment due to phenotypic reversion and the reduction of induced antimicrobial structures.

Evidence against · 2
2019 · cited by 0
Antibiotic resistance typically induces a fitness cost that shapes the fate of antibiotic-resistant bacterial populations. However, the cost of resistance can be mitigated by compensatory mutations elsewhere in the genome, and therefore the loss of resistance may proceed too slowly to be of practical importance. We present our study on the efficacy and phenotypic impact of compensatory evolution in Escherichia coli strains carrying multiple resistance mutations. We have demonstrated that drug-resistance frequently declines within 480 generations during exposure to an antibiotic-free environment. The extent of resistance loss was found to be generally antibiotic-specific, driven by mutations that reduce both resistance level and fitness costs of antibiotic-resistance mutations. We conclude that phenotypic reversion to the antibiotic-sensitive state can be mediated by the acquisition of additional mutations, while maintaining the original resistance mutations. Our study indicates that restricting antimicrobial usage could be a useful policy, but for certain antibiotics only.
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rails:sufficiency:refuted:single_source:for=0+0p:against=1+1p | v55:sufficiency

More against · 1
2019 · cited by 0
It is possible due to the fact that some antimicrobial resistance genes are induced by the presence of antibiotics themselves and are not promoted in the absence of a specific antibiotic, so the production of certain antimicrobial structures (enzymes, pumps, etc.) will be reduced once the bacterial medium is antibiotic free for enough time. This is sometimes refered to as "antibiotic pressure" referencing to some extent the genomic concept of selection pressure. Take for example the phenomena reported in this paper's summary ; they studied a patient hospitalized because of an infection by 2 K. pneumoniae strains. They knew beforehand that one of the strains was suceptible to carbapenems while the other one had a certain degree of resistance to this antibiotic. As the infection unfolded and a treatment with meropenem was administered, they took several samples and studied them via whole g
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  1. Rapid decline of bacterial drug-resistance in an antibiotic-free environment through phenotypic reversionpeer-reviewedno side taken
  2. Loss of antibiotic resistance due to long term storagereferenceno side taken
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