anti-infectives Flashcards

1
Q

T cells, B cells, NK cells, plasma cells

A

lymphocytes

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2
Q

eosinophil, basophil, neutrophil, macrophage

A

WBC

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3
Q

allergic response cells

A

eosinophil, basophil

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4
Q

T cell

A

lymphocyte, come from thymus, have memory, help B cells

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5
Q

B cell

A

come from bone marrow, have specific immunity, create antibodies, memory, and plasma cells

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6
Q

plasma cells

A

come from B cells, have memory

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7
Q

neutrophil

A

highest amount of WBC
- 1st to site of damage
- called band cells when immature

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8
Q

band cells

A

immature neutrophils

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9
Q

monocytes

A

become macrophages
- specific to tissue

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10
Q

eosinophils

A

allergy response, release enzymes and chemicals

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11
Q

basophils

A

allergy response, pro-inflammatory, anticoagulating

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12
Q

2 mechanisms of entry for infection

A

strength in numbers, toxin production

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13
Q

viral infections

A

more contagious than bacterial, prevention through immunization, antiviral for symptom management

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14
Q

antivirals

A

decrease virus, do not eliminate

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15
Q

bacterial infections

A

less contagious, treat with antibiotics

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16
Q

botulism

A

gram positive, anaerobic, can get from uncooked meat

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17
Q

botulism treatment

A

antitoxin HBAT
- prevention through sodium and nitrates

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18
Q

culture tests

A

tells us which antibiotics to use or are resistant

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19
Q

gram negative

A

more challenging because of multiple layers
- E.coli, salmonella, cholera, Nisseria

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20
Q

gram positive

A

staphylococci, streptococci, C.dif

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21
Q

bactericidal

A

kill bacteria

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22
Q

bacteriostatic

A

suppress bacteria

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23
Q

empiric treatment

A

based on suspected bacteria
- broad spectrum, start ASAP

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24
Q

focal treatment

A

culture and sensitivity results, narrow spectrum

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25
Q

streptococcus pyogenes

A

pharyngitis; incubation 2-4 days, highly infectious
- pen V

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26
Q

penicillins, cephalosporins, bacitracin, vancomycin

A

cell wall synthesis inhibitors

27
Q

erythromycin, tetracyclines, streptomycin

A

protein synthesis inhibitors

28
Q

quinolones, rifampin

A

DNA/RNA synthesis inhibitors

29
Q

sulfanilamide, trimethoprim

A

antimetabolites

30
Q

beta lactam antibiotics

A

penicillins, cephalosporins, carbapenems
- bactericidal

31
Q

penicillins

A

” illin”; target peptidoglycan; cell wall synthesis inhibitor
- work against gram positive or negative

32
Q

amoxicillin, ampicillin, methicillin, piperacillin

A

broad spectrum penicillins

33
Q

pen G and V

A

narrow spectrum penicillins

34
Q

otitis media

A

caused by S.pneumoniae
- amoxicillin

35
Q

clavulanic acid and tazobactam

A

B-lactamase inhibitors

36
Q

cephalosporins

A

“cef”; largest antibiotic class; cell wall synthesis inhibitors
- 1st choice for skin infections

37
Q

cefazolin, cephalexin, cefuroxime

A

1st gen cephalosporins

38
Q

ceftriaxone, ceftazidime, ceftaroline

A

3-5 gen cephalosporims

39
Q

carbapenems

A

“penem”; cell wall synthesis inhibitors

40
Q

impinem, meropenem

A

carbapenems, potent, not 1st line, broad spectrum, meningitis

41
Q

bacitracin

A

cell wall synthesis inhibitor; gram +, broad spectrum

42
Q

polysporin

A

bacitracin
- treat conjunctivitis, topical infections

43
Q

glycopeptide antibiotic

A

cell wall synthesis inhibitor; vancomycin

44
Q

vancomycin

A

glycopeptide antibiotic;
- 1st choice MRSA
-2ns choice C.dif

45
Q

C.dif

A

gram +, release toxin
- 1st choice metronidazole (flagyl)

46
Q

Macrolides

A

“mycin”; protein synthesis inhibitors
- 1st choice community acquired pneumonia

47
Q

erythromycin, azithromycin, clarithromycin

A

macrolides

48
Q

tetracyclines

A

“ycline”; protein synthesis inhibitors
- gram + and -

49
Q

tetracycline, doxycycline, monocycline

A

tetracyclines; beware bone deformations, not good for teens

50
Q

aminoglycosides

A

protein synthesis inhibitors; potent, used for high risk infections, narrow TI, poor bioavailability, cytotoxic

51
Q

gentamicin, streptomycin, neomycin, tobramycin

A

aminoglycosides

52
Q

lincosamides

A

used in surgical prophylaxis

53
Q

clindamycin

A

lincosamide

54
Q

fluoroquinolones

A

“xacin”; RNA/DNA synthesis inhibitors
- gram -
- treat GI infections

55
Q

ciprofloxacin, levofloxacin, norfloxacin

A

fluoroquinolone

56
Q

nitromidazoles

A

“dazole”;RNA/DNA synthesis inhibitors; 1st choice for C.dif, h.pylori

57
Q

metronidazole

A

nitroimidazole; 1st choice C.dif

58
Q

sulfonamides

A

“sulfa”; antimetabolite; inhibit cellular function but kill from inside
- treat UTI
- contraindicated for hypertension patients

59
Q

polyene fungal antibiotics

A

“azole”; target fungal infections
- increase cell membrane permeability

60
Q

amphotericin, nystatin

A

polyene fungal antibiotics
- 1st choice therapy

61
Q

TB

A

not gram + or -, treatment 6-12 months, bacteria capsuled in resistant cell wall

62
Q

TB treatment

A

rifampin (DNA inhibition) and isoniazid

63
Q

traveller diarrhea treatment

A

ciprofloxacin