Antibiotics Flashcards

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1
Q

How does bleach disinfects

A
  • Broad spectrum
  • Chlorine denatures proteins
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2
Q

How does antibiotics work

A
  • affect targets found in bacterial cells and not in mammalian eukaryotic cells
  • Becoming concentrated in the bacterial cell and not in the host cell
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3
Q

What does Bactericidal mean

A
  • Bacteria are killed
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4
Q

What does Bacteriostatic mean

A
  • Bacteria are inhibited: host defences usually take over
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5
Q

What targets the cell wall?

A
  • Beta-lactams
  • Vancomycin
  • Isoniazid
  • Polymyxin
  • Daptomycin
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6
Q

What does NAM stand for and what is it made out of

A
  • N-acetylmuramic acid
  • Made up of NAG + lactic acid and 3 amino acids
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7
Q

What does NAG stand for ?

A
  • N-acetylglucosamine
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8
Q

What is NAM and NAG linked by

A
  • peptide bridges
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8
Q

What is Peptidoglycan

A
  • mesh-like polymer that forms the main structural component of most bacterial cell walls
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9
Q

What are the mechanisms of action of glycopeptides

A
  • Normal cell wall ->
  • Transpeptidase enzymes bind NAM-NAG monomers ->
  • Vancomycin binds NAM-NAG monomers: TP inhibited ->
  • Autolysins break peptide bonds but no further bonds are created
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10
Q

What is included in Glycopeptide antibiotics

A
  • vancomycin and teicoplanin
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11
Q

what does glycopeptides do to prevent transglycosylation

A
  • bind to the growing peptidoglycan chain and prevent transglycosylation
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12
Q

Which antibiotic is known to be last resort

A
  • vancomycin
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13
Q

How does penicillin work

A
  • penicillin (and all beta-lactams) bind to penicillin-binding proteins (PBPs) in the growing cell wall
  • cross links between peptidoglycan chains are inhibited and cell lysis results
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14
Q

what are the different classes of beta-lactams

A
  • ampicillin
  • methicillin
  • carbenicillin
  • oxacillin
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15
Q

What are Beta-lactamase inhibitors

A
  • have a lactam ring, but are weak antibiotics
16
Q

How does beta lactamase inhibitors become effective

A
  • beta-lactamase must have a higher affinity for inhibitors than drug
  • inhibitor must bind irreversibly to beta-lactamase
17
Q

what is the mechanism of action of polymyxins

A
  • disrupts inner and outer cell membranes, causing cell lysis
  • acts gram-negatives only
  • polymyxin B; polymyxin E
18
Q

What are Aminoglycosides

A
  • binding and distortion of ribosome - perturbation of translocation prevents protein synthesis initiation
19
Q
A