Antibiotics Flashcards
Innate Resistance
Resistance to an antimicrobial is a characteristic property of a species
e.g. Mycoplasma species are innately resistant to antibiotics that target peptidoglycan synthesis
Acquired resistance
Acquisition of resistance to an antimicrobial by members of a species that is normally sensitive
Mutation
Gene transfer
Mechanisms of acquired antimicrobial resistance
Inactivation of drug (usually enzymatic)
Modification of target (enzymatic or mutational)
Prevention of access to target
Blocking entry of the antibiotic to the cell
Active efflux of the antibiotic from the cell
Selective toxicity
The microorganism is inhibited or killed without harm to the host cells
Therapeutic index
A measure of the difference in effective dose relative to toxic dose
Antimicrobial spectrum
The range of organisms that are inhibited by a given agent
Beta lactams
inhibits cell wall synthesis
Macrolides
Inhibits protein synthesis
Fluoroquinolones
Inhibits DNA synthesis