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Antibiotics, Antivirals and Resistance

HSC Biology | Study Notes

Antibiotics, antivirals and resistance are a key part of NSW Biology Stage 6, Module 7, Infectious Disease. This topic matters because Module 7 specifically requires students to investigate and assess the effectiveness of pharmaceuticals used to control infectious disease, including antibiotics and antivirals. HSC materials also repeatedly link antibiotic use to the growing problem of resistance. 


In this lesson

  • how antibiotics are used to treat bacterial infections

  • how antivirals are used to treat viral infections

  • what resistance means

  • why resistance is a major problem

  • what responsible use of these drugs involves


What are pharmaceuticals in infectious disease?

In Module 7, pharmaceuticals are drugs used as treatment strategies to help control infectious disease.

The syllabus specifically names:

  • antibiotics

  • antivirals 

These are not the same thing, and one of the most important exam points is knowing which type of pathogen each one is used against.


Bacterial treatment

Antibiotics are used to treat bacterial infections.


What antibiotics do

Antibiotics work by interfering with important bacterial processes, which can:

  • inhibit bacterial growth

  • kill bacteria

  • reduce the spread of bacterial infection in the body

A 2020 HSC marking guideline states that antibiotics can be used to treat bacterial infections because they can inhibit bacterial growth. 


HSC example

A 2021 HSC question describes streptomycin as an antibiotic that interferes with bacterial ribosomes. The question links this to prevention of polypeptide production in bacteria. 


Important point

Antibiotics act against bacteria, not viruses.


Viral treatment

Antivirals are used to treat viral infections.


What antivirals do

Antivirals are designed to interfere with stages of viral infection or viral replication.

At syllabus level, the key idea is that:

  • antibiotics are for bacteria

  • antivirals are for viruses

The Module 7 syllabus specifically includes assessing the effectiveness of antivirals as treatment strategies for infectious disease. 


HSC example

A 2023 HSC question presents a pharmaceutical tested on a viral infection, showing that antivirals are considered separately from antibiotics in treatment questions. 


Antibiotics and antivirals compared

Treatment

Main target

Main idea

Antibiotics

Bacteria

Inhibit bacterial growth or kill bacteria

Antivirals

Viruses

Interfere with viral infection or replication

Resistance

Resistance means a pathogen is no longer affected as effectively by a drug that once worked.


Antibiotic resistance

In Module 7, the main resistance idea students need is antibiotic resistance in bacteria.

A 2020 HSC marking guideline states that antibiotic resistance in bacteria is becoming increasingly common and is reducing the effectiveness of many antibiotics. 


Why resistance matters

If bacteria become resistant:

  • treatment becomes less effective

  • infections may last longer

  • disease control becomes harder


HSC example

A 2021 HSC marking guideline explains that using antibiotics may eliminate disease quickly, but longer-term use may induce resistance in the bacteria, making the strategy less effective over time. 


How resistance affects treatment

Resistance makes it harder to control infectious disease because:

  • the usual drug may no longer work

  • another treatment may be needed

  • disease may spread more easily if treatment fails

This is why antibiotics are powerful but must be used carefully.


Responsible use

Responsible use means using the correct pharmaceutical in the correct situation and not relying on it unnecessarily.


What this involves

At this level, responsible use includes:

  • using antibiotics for bacterial disease, not viral disease

  • selecting treatment based on the pathogen involved

  • recognising that overuse or poor use can increase resistance

  • combining pharmaceuticals with other control strategies where appropriate


HSC-style support for this idea

A 2019 HSC question on antibiotic discs shows that bacterial treatment should be based on which antibiotic is actually effective against the cultured bacteria. 

A 2021 HSC marking guideline also contrasts quick antibiotic treatment with longer-term hygiene strategies, showing that pharmaceuticals are not the only control method and should be used as part of wider disease management. 


Why this topic matters in Module 7

This topic is important because Module 7 is about:

  • treatment

  • prevention

  • control of infectious disease

To answer exam questions well, students need to distinguish clearly between:

  • bacterial disease and viral disease

  • antibiotics and antivirals

  • effective treatment and reduced effectiveness due to resistance


Worked example

Exam-style question

Explain why antibiotics are not useful for treating viral infections.


Worked answer

Antibiotics are used to treat bacterial infections because they interfere with bacterial processes such as growth. Viral infections require antivirals instead, because viruses are different pathogens and are not controlled by antibiotics. Using antibiotics when the disease is viral does not target the cause of the infection.  


Why this works

This answer:

  • distinguishes bacteria from viruses

  • links antibiotics to bacterial treatment

  • explains why the treatment would be inappropriate


Common mistakes

  • Saying antibiotics treat all infectious diseases.

  • Mixing up antibiotics and antivirals.

  • Forgetting that resistance reduces drug effectiveness.

  • Writing about resistance without linking it to bacteria or treatment failure.

  • Treating pharmaceuticals as the only way to control infectious disease.


Quick quiz

  1. What type of pathogen do antibiotics treat?

  2. What type of pathogen do antivirals treat?

  3. What is antibiotic resistance?

  4. Why is resistance a problem in infectious disease control?

  5. What does responsible use of antibiotics involve?


 
 
 

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