Antibiotic Drugs Flashcards
Scope of the antimicrobial drugs
Antibacterials, antituberculars, antifungals, antivirals, antimalarials, antihelminthics, peptides
These are the substances that inhibit bacterial growth or kill bacteria and other microorganisms
Antibacterial drugs
What are the five mechanisms of antibacterial action?
- Inhibition of bacterial cell-wall synthesis
- Alteration of membrane permeability
- Inhibition of protein synthesis
- Inhibition of the synthesis of bacterial RNA and
DNA - Interference with metabolism within the cell
What are the two types of antimicrobial resistance?
Inherent - Occurs without previous exposure to the drug
Acquired - Caused by prior exposure to the antibacterial
What are the three types of antibiotic combinations?
Additive, potentiative, antagonistic
Differentiate narrow and broad spectrum.
Narrow - Primarily effective against one type of organism (selective)
Broad - Effective against gram positive and gram-negative
organisms
What are the four host factors?
Immune system, site of infection, age, pregnancy
These are the DOC for gram-positive cocci such as
Streptococcus pneumoniae, viridans, and
pyogenes
Penicillins
They have the broadest antibacterial actions of any
antibiotics; Bactericidal and inhibit cell wall
synthesis and are often reserved for
complicated body cavity and connective tissue
infections
Carbapenems
Bacteriostatic but with high enough
concentrations may be bactericidal via binding
with 50s ribosomes of MOs
Macrolides
They are the DOC for Rickettsia, Chlamydia, and
Mycoplasma, spirochetes such as syphilis and
lyme
Tetracyclines
They are bactericidal and potent thus DOC for virulent
infections through binding with 30s ribosome
Aminoglycosides
Destroy bacteria by altering their DNA, does
not affect human DNA, suitable for treating complicated UTIs, but cansbe given to patients with respiratory skin, GIT,
and bone infections
Quinolones
Example of antiseptic drugs
Nitrofurantoin, nitrofurantoin macrocrystals, methanamine
What should be checked in the laboratory results before administering antibiotics?
BUN, creatinine, AST and ALT, cardiac function, CBC, platelet, and clotting