Anti-Infectives: Introduction Flashcards

1
Q

what is a chemical substance originating from various species of microorganisms (bacteria, fungus, actinomyces) that suppresses growth or destroys other microorganisms

A

antibiotics

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2
Q

what do you consider with route of delivery for antibiotics?

A

highest ocular concentration is delivered locally

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3
Q

what do you consider with dosing of antibiotics?

A

weight, height, organ function (kidney & liver), therapeutic drug levels

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4
Q

what are the most common allergies to antibiotics?

A

penicillins & sulfa drugs

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5
Q

do you use antibiotics when there is mucopurulent discharge, no discharge, or putrid smelling discharge?

A

mucopurulent

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6
Q

do you use antibiotics when there is diffuse conjunctival injection or sectoral conjunctival injection?

A

diffuse conjunctival injection

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7
Q

do you use antibiotics when the cornea is compromised?

A

yes

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8
Q

do G+ or G- secrete unique antigenic nonenzymatic heat sensitive protein exotoxins?

A

both

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9
Q

does G+ or G- release pyretic, heat stable, mildly antigenic endotoxin (LPS) upon lysis?

A

G-

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10
Q

reaction to endotoxins can lead to?

A

anaphylactic shock & death

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11
Q

what is the most common nosocomial infection? is it G+ or G-? what is it called when it is more virulent?

A

staphylococcus aureus → G+

more virulent → MRSA

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12
Q

staphylococcus epidermis is G+ or G-? what is it called when it is more abundant?

A

G+

more abundant → MRSE

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13
Q

what cocci can cause corneal ulcers & pediatric conjunctivitis? is it G+ or G-?

A

streptococcus pneumoniae → G+

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14
Q

what cocci is intestinal & has some virulent strains & what is it called? is it G+ or G-?

A

enterococcus → G+

virulent strains → vancomycin resistent enterococcus (VRE)

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15
Q

what rod can cause post-LASIK keratitis? is it G+ or G-?

A

nocardia asteroides → G+

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16
Q

what rod has involvement with conjunctivitis? is it G+ or G-?

A

haemophilus influenzae → G-

17
Q

what enteric is considered the 2nd most common nosocomial infection & usually associated with CL wear? is it G+ or G-?

A

pseudomonas aeruginosa → G-

18
Q

what are some sexually-transmitted eye infections? by what organism? are they G+ or G-?

A
  • corneal ulcer & hyperpurulent discharge → neisseria gonorrhea
  • trachoma → chlamydia trachomatis
  • inclusion conjunctivitis → chlamydia trachomatis
  • syphilitic conjunctivitis & keratitis → treponema pallidum
19
Q

what are some bacteriostatic antibiotics, and what do they do?

A
  • tetracyclines
  • macrolides
  • sulfonamida
  • trimethoprim
  • chloramphenicol

→ prevent target cell replication

20
Q

what are some bactericidal antibiotics & what do they do?

A
  • bacitracin
  • fluoroquinolones
  • penicillins/cephalosporins
  • aminoglycosides
  • polymyxin B
  • kills target cells