Antibiotics Flashcards

1
Q

What are antibiotics?

A

Natural product of fungi and bacteria

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2
Q

What are the principles of antibiotics as theraputic agents?

A

Selective toxicity

Theraputic margin

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3
Q

What is the theraputic margin?

A

Difference between active dose and toxic effect

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4
Q

What is selective toxicity?

A

Differences in structure and metabolic pathways between host and pathogen

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5
Q

What does microbial antagonism do?

A

Maintains flora- complex interactions and competition between flora

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6
Q

What does antibiotic + immunity lead to?

A

Bacterial clearance

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7
Q

How are antibiotics classified?

A

Type of activity
Structure
Target site for activity

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8
Q

What are the types of antibiotic activity?

A

Bactericidal
Bacteriostatic
Broad-spectrum or narrow spectrum

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9
Q

What is bactericidal?

A

Kills bacteria

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10
Q

What is bacteriostatic?

A

Inhibit bacteria

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11
Q

What are the types of penicillins?

A
Basic
Anti-staphylococcal 
Broader spectrum 
Anti-pseudomonas
Beta-lactam/lactamase inhibitor combinations
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12
Q

What is an example of an anti-staphylococcal penicillin?

A

Flucloxacillin

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13
Q

What is an example of a broader spectrum penicillin?

A

Ampicillin

Amoxicillin

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14
Q

What is an example of an anti-pseudomonas penicillin?

A

Piperacillin

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15
Q

What is an example of a beta-lactam/lactamase inhibitor combination penicillin?

A

Co-amoxiclav/augmentin

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16
Q

What antibiotics target cell wall synthesis?

A
Cycloserine
Vancomycin, Teichoplanin
Bacitracin
Penicillins
Cephalosporins
Monobactams
Carbapenems
17
Q

What antibiotics are free radicals?

A

Metronidazole

nitrofurantoin

18
Q

What antibiotics target 50s protein synthesis?

A

Erythromycin

19
Q

What antibiotics target 30s protein synthesis?

A

Streptomycin

20
Q

What antibiotics target the cell membrane?

A

Daptomycin

21
Q

What antibiotics target folic acid metabolism?

A

Trimethoprim

Sulfonamides

22
Q

What is the process of bacterial cell wall synthesis?

A

Synthesis of cell wall precursors
Synthesis of new cell wall subunits attached to lipid carrier
Attachment of new wall unit to the growing peptidoglycan

23
Q

Why wouldn’t beta-lactam antibiotics work for mycoplasma pneumoniae?

A

Doesn’t have a peptidoglycan

24
Q

When do you use antibiotics?

A

Treatment of bacterial infections

Prophylaxis

25
How do you work out antibiotic dose?
Minimum inhibitory clearance
26
What does the minimum inhibitory clearance depend on?
Age, weight, renal and liver function and severity of infection