Antibac/antifungal agents Flashcards

1
Q
define these terms:
antibiotics 
antimicrobial agent 
bacteriostatic/fungistatic
bactericidal/fungicidal
A

chemical products of microbes that inhibit or kill other organisms

encompasses antibiotics and synthetic compounds and semi synthetics

inhibit growth eg protein synthesis inhibitor

kill organism eg penicillins

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2
Q
define these terms: 
Minimum inhibitory concentration (MIC)
minimum bacterial/fungical conc (MBC/MFC)
synergism 
antagonism 
indifference 
antimicrobial spectrum
A

min conc at which visible growth is inhibited eg low MIC means sensitive organism

min conc needed to kill organism

activity of 2 antimicrobials given together is greater than the sum of their activity if given separately

one agent diminishes activity of the other
activity is unaffected by the addition of another agent

range of organisms likely to be sensitive to a type of agent

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3
Q

what is the issue with broad spectrum antibiotics

A

kill natural flora

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4
Q

what are the two types of mechanisms of action of antimicrobial agents

A

inhibit enzymes and physical structures

exhibit selective toxicity to target

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5
Q

what are the 5 specific antimicrobial targets

A
cell wall 
protein synthesis 
DNA synthesis 
RNA synthesis 
Cell membrane
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6
Q

what is targeted in bacterial cell walls

A

peptidoglycan

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7
Q

what is targeted in fungal cell walls

A

B 1 - 3 glucan

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8
Q

what are some antibacterial cell wall inhibitors

A
B lactams: (traget transpeptidases)
penecillin 
Cephalosporins 
Carbapenems 
monobactams 

glycopeptides - tigecycline
(inhibit binding of transpeptidases and stops cross linking) - used for MRSA

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9
Q

what is an anti fungal cell wall inhibitor

A

echinocandins

inhibit B 1 3 glucan synthase

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10
Q

describe some examples of antibacterial protein synthesis targets

A

aminoglycosides - binds to 30S subunit ribosome

M.L.S. antibiotics

Tetracyclines - doxycycline for MRSA - bind to 30S sub unit

oxazolidnones - bind 50S sub unit

Mupirocin or fusidic acid

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11
Q

why are there not antifungals that target protein synthesis

A

same mechanisms as humans so would be toxic

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12
Q

describe some antibacterial DNA synthesis drugs

A

trimethoprim - inhibits folate synthesis (UTIs) via inhibits reductase

sulphonamides - same but via inhibit synthetase

quinolones/fluroquinolnes

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13
Q

what is an example of a DNA synthesis anti fungal target

A

5 flurocytosine - not very effective

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14
Q

what is a antibacterial RNA synthesis drug

A

firfamycin - RNA polymerase inhibitor

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15
Q

what are some antibacterial cell membrane drugs

A

colistin for gram +

daptomycin

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16
Q

what are some anti fungal cell membrane drugs

A

azoles - thrush
terbinafine - inhibits ergosterol (athletes foot)
amphotericin - physical damage to the membrane

17
Q

which drug is the new antibiotic for C diff

A

fidaxomicin