Antibiotics Flashcards

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1
Q

What are chemotherapeutic agents used for?

A

Used to treat disease

Antibacterials, antifungals, antivirals

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2
Q

What are 2 ways we can determine the effectiveness of antimicrobials?

A

Dilution susceptibility tests for MIC

Disk diffusion tests

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3
Q

What is a dilution susceptibility test?

A

Involves inoculating media containing different concentrations of a drug
The agar with the lowest concentration showing no growth is the MIC

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4
Q

What is the disk diffusion test?

A

Inoculate plate with a culture of bacteria and place disks containing antibiotics on it
The zone of inhibition will show you how effective an antibiotic is against the bacteria

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5
Q

What do antibiotics target?

A

Inhibitors of cell wall synthesis
Protein synthesis inhibitors
Metabolic antagonists
Nucleic acid synthesis inhibition

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6
Q

How do penicillins work?

A

Blocks the enzyme that catalyzes transpeptidation
Prevents the synthesis of complete cell walls leading to lysis of the cell
Acts only on growing bacteria that are synthesizing new peptidoglycan

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7
Q

How do vancomycin and teicoplanin work?

A

Inhibit cell wall synthesis

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8
Q

What is vancomycin important for?

A

Important for the treatment of antibiotic-resistant MRSA or enterococcal infections

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9
Q

What are aminoglycosides effective against?

A

Gram-negative aerobic and facultatively anaerobic bacteria

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10
Q

How do aminoglycosides work?

A

Bind to the 30S ribosomal unit, interfere with protein synthesis by directly inhibiting the process and by causing misreading of the messenger RNA

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11
Q

What type of antibiotic are tetracyclines?

A

Broad-spectrum and bacteriostatic

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12
Q

How do tetracyclines work?

A

Combine with the 30S ribosomal subunit and inhibits binding of aminoacyl-tRNA molecules to the A site of the ribosome

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13
Q

What type of antibiotic are macrolides?

A

Broad-spectrum and bacteriostatic

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14
Q

How do macrolides work?

A

binds to 23S rRNA of 50S ribosomal subunit and inhibits peptide chain elongation

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15
Q

How do sulfa drugs work?

A

Selective toxic due to competitive inhibition of folic acid synthesis enzymes

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16
Q

What type of antibiotics are sulfa drugs?

A

Bacteriostatic

17
Q

How do quinolones work?

A

Act by inhibiting bacterial DNA-gyrase and topoisomerase 2

18
Q

What type of antibiotics are quinolones?

A

Broad-spectrum and bactericidal

19
Q

How do lipopeptides work?

A

Inserts into membrane near phosphatidylglycerol, then aggregate changing membrane curvature and allowing little holes to form

20
Q

What do antifungals do?

A

Disrupt membrane permeability
Inhibit sterol synthesis
Disrupt spindle formation
Inhibit nucleic acid and protein synthesis

21
Q

What is amphotericin B?

A

An antifungal is one of the few that can be used systematically
Bind the fungal steroid ergosterol to cause membrane leakage

22
Q

What is clotrimazole?

A

Inhibits sterol synthesis and damages fungal cell wall

Bind the fungal steroid ergosterol to cause membrane leakage

23
Q

What are antiparasitic drugs?

A

Used to treat malaria and helminths
Peroxide-containing
Poor bioavailability
Potential for resistance

24
Q

What are some ways that bacteria develop resistance?

A

Efflux pumps
Inactivating enzymes
Decreased uptake
Alterations of the targets

25
Q

What is the basis of antimicrobial resistance?

A

Microbial warfare
Horizontal gene transfer
Evolutionary pressure from widespread antibiotic use