Learn in your language
Skip to content
IGCSE · Cambridge (CIE) · 0654

Evaluate evidence about antibiotic resistance

Compare stages and denominators before attributing changes to natural selection.

Selection · Cambridge IGCSE 0654 · B17.2

Mapped to the named 0654 section using teaching from the corresponding single-science course. A 0654-specific review of every Core and Supplement objective is still in progress. Written practice is self-checked; it does not demonstrate supervised laboratory competence or award an official Cambridge grade.

Before you begin

  • CDC public information is used only to check educational terminology. This lesson is not medical advice.

Work on paper. Try each question before revealing help, and explain why your method works.

Quick readiness check

What should be checked before comparing resistance percentages?

What you will learn

  • Distinguish selection from the origin of resistance
  • Evaluate what a bacterial dataset can and cannot show

Original selection schematic. Population counts and scenarios are supplied teaching models; they are not field observations.

Evaluate evidence about antibiotic resistanceOriginal schematic for this worked context. Trait, population and selection claims use only the supplied assumptions; stage labels are not measurements of every individual.Evaluate evidence about antibioticresistance1Step 1Identify the organism, drug context andresistance measurement.2Step 2Calculate each stage with its own denominator.3Step 3Separate a selection pattern from the origin of aresistance trait.
Original schematic for this worked context. Trait, population and selection claims use only the supplied assumptions; stage labels are not measurements of every individual.
Selection evidence key
Stage or recordMeaning
Before sample5/100 = 5%
After sample8/40 = 20%
Difference+15 percentage points
Design checksSame strain, test, stage and sampling

Distinguish selection from the origin of resistance

To evaluate a resistance claim, identify the bacterial population, the antibiotic context, what counts as resistant and the stage measured. A before-and-after dataset should use the same detection method and state its denominators. Without these details, a change in reported percentage may reflect a different sample or measurement threshold.

Natural selection describes how a resistant variant can contribute more to later generations under a particular drug context. It does not, by itself, show when or how the resistance mechanism first appeared. Genetic change, transfer between germs and selection are distinct processes; do not collapse them into “the antibiotic made bacteria resistant.”

Evaluate what a bacterial dataset can and cannot show

One group may have a higher resistant fraction after exposure even if the resistant count falls. Another group may change for unrelated reasons, such as sampling a different location, different growth stages or a different strain. Repeated comparable records and a suitable untreated comparison can strengthen inference, but every study still has limits.

Resistance evidence concerns microbes and medicines. CDC explains that resistance belongs to germs and can spread through DNA-based traits; it is not a person becoming resistant. Keep the lesson educational and specific to the supplied organism and drug. Do not recommend stopping, starting or changing a medicine.

Sources for this lesson

Pause and explain

What does a post-exposure increase in resistant fraction establish by itself?

Put the idea to work

Worked example

Two comparable samples show resistant bacteria rising from 5/100 to 8/40 after exposure. State the percentage change and one control needed before a causal claim.

Show the worked solution
  1. Calculate 5/100 = 5% and 8/40 = 20%.
  2. Check whether the same strain, sampling and resistance test were used; a comparison group can help.

Answer The resistant share rises from 5% to 20% in the records. A consistent test and comparable strain/sampling, ideally with an appropriate comparison group, are needed to support a causal selection claim.

Try a topic test

Choose Easy, Normal or Difficult. Save your answers and open worked review after finishing.

Test this topic →

From guided practice to a new situation

Write your answer and reasoning first. Use a hint only if you are stuck. The model solution is for self-checking; your written work is not automatically marked.

1 · Guided

Sample A has 3/60 resistant bacteria and Sample B has 12/60. Calculate the percentage-point difference and state one needed design detail.

Give me a hint

Use the same denominator of 60.

Compare my reasoning
  1. 3/60=5%; 12/60=20%.
  2. 20% − 5% = 15 percentage points.

The recorded difference is 15 percentage points; state that strain, assay and sampling conditions are comparable before a causal interpretation.

Look for these in your work

  • Both percentages
  • Difference in percentage points
2 · Independent

An after-exposure sample contains 12 resistant bacteria, compared with 6 before, but the after sample is ten times larger. Why compare proportions as well as counts?

Give me a hint

Different sample sizes make absolute counts hard to compare.

Compare my reasoning
  1. Use resistant count divided by all bacteria at each stage.
  2. A larger sample can contain more resistant bacteria without a larger resistant share.

Counts alone may reflect sample size; calculate each stage’s proportion using its own total before comparing.

Look for these in your work

  • Denominator per stage
  • Counts and proportions distinguished
3 · Transfer

A student says an antibiotic caused resistance because resistant bacteria were found after treatment, but no pre-exposure sample exists. Evaluate.

Give me a hint

Presence after exposure does not reveal when the trait appeared.

Compare my reasoning
  1. The sample shows resistance at the later stage.
  2. Pre-exposure and comparison evidence are missing.

The later sample establishes that resistant bacteria were detected, but without a baseline or suitable comparison it cannot show that the antibiotic caused the variant or quantify a selection change.

Look for these in your work

  • Observation stated
  • Origin and causation limited

Common mistakes

  • Ignoring the changed denominator
  • Claiming the dataset identifies where resistance originated
  • Confusing person and bacterial resistance
Recall without your notes

What can you explain now?

What does a post-exposure increase in resistant fraction establish by itself?

Compare with the explanation

A difference in the recorded fractions

The numbers establish the measured difference.

After trying it yourself, choose your next review. This is your self-assessment.

Your review choice appears on Today. Sign in to sync it across devices.

Make it stick

Without your notes, distinguish selection from the origin of resistance and evaluate what a bacterial dataset can and cannot show. Explain the mechanism, use the given population or breeding records and state what the evidence does not establish.

If you needed the solution, close it and solve the problem again from a blank page. A correct answer is stronger when you can explain the reason for each step.

Keep learning Sciences — Co-ordinated (Double)

Course scope and assessment

This 2028–2029 pathway maps all 152 detailed subject-content sections in the published 0654 syllabus to original teaching and staged practice. It adapts teaching from the related single-science pathways and excludes clear 0610-only topics such as classification systems, human excretion, tropic responses, food supply, population dynamics, detailed pollution and biotechnology. Some explanations may include wider single-science context. A 0654-specific objective-by-objective review, Core/Supplement audit, human subject-teacher review, supervised laboratory experience and cumulative assessment remain in progress. Written practice is self-checked and does not predict an official grade. The 2025–2027 syllabus has not been reconciled here; choose the 2028–2029 syllabus only.

StudyForA · Learn with understanding

Original teaching content and links to official sources. Check your exam year and qualification before using a resource.