Antibiotics Flashcards
Ability of antimicrobial drugs to cause greater harm to microorganisms than to human host
Selective toxicity
Toxicity of a given medication
Therapeutic index
Is a higher therapeutic index more or less toxic?
Less
Dose required to produce desired effect
Therapeutic dose
Effective against many different bacteria but can disrupt normal flora
Broad spectrum
Specific targeting, but must have time to properly identify pathogen
Narrow spectrum
What do beta-lactam drugs target?
Cell wall (peptidoglycan)
Bacteria produces enzymes that interfere with drug
Medicine-inactivating enzymes
Minor structural changes that prevent binding
Alteration in target molecule
Changes in porin proteins of outer membrane of Gram-negatives
Decreased uptake of the medication
Pumps that remove compounds from cell
Efflux pumps
Strategy to prevent resistance
Combination therapy, don’t overprescribe, complete full dose