Antibiotics and Cancer Flashcards

1
Q

Define antimicrobial drug

A

a drug that is active against bacteria, virus, fungi, or parasite

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2
Q

Define antibiotic drug

A

a drug that is only actively against bacteria

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3
Q

T/F: are all antimicrobials also antibiotics?

A

False

all AB = AM but not all AM = AB

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4
Q

What is the main characteristic of Gram-positive bacteria

A

a thick cell wall

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5
Q

What are the 2 main characteristics of Gram-negative bacteria

A

Outer membrane

thin cell wall

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6
Q

Define bacteriostatic antibiotics

A

drugs that prevent multiplication and continued growth of bacteria
- require host immune system

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7
Q

Define Bactericidal antibiotics

A

drugs that actively kill bacteria

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8
Q

Define bactericidal concentration-dependant

A

drug is given at a high dose so the effects are maintained for a longer period of time

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9
Q

Define bactericidal time-dependent

A

must maintain the correct level of drug long enough to kill the bacteria

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10
Q

what is a broad spectrum drug?

A

works for many types of organism

used for when we don’t know what the infection is

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11
Q

what is a narrow spectrum drug?

A

targets a specific infection the patient is known to have

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12
Q

what 3 factors must be taken into consideration when selecting treatment of drugs

A

identity/susceptibility of bacteria
host specific factors - allergies, renal function
Drug specific factors - DDI, route

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13
Q

What class of antibiotic ends with -cillin

A

Penicillins

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14
Q

What class of antibiotic begins with Cef- or Ceph-

A

Cephalosporins

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15
Q

What class of antibiotic ends with -penem

A

Carbapenems

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16
Q

What class of antibiotic ends with -vancin

A

Glycopeptides

17
Q

What class of antibiotic ends with -mycin or -micin

A

Aminoglycosides AND macrolides

18
Q

What class of antibiotic ends with -cyclin

A

Tetracyclines

19
Q

What class of antibiotic ends with -floxacin

A

Fluoroquinolines

20
Q

What class of antibiotic ends with -idazole

A

Nitroimidazole

21
Q

What class of antibiotic begins with Sulfa-

A

Antifolates

22
Q

What drug class is tigecyclin NOT in

A

tetracyclines

23
Q

What is the general MOA of antibiotics

A

inhibition of the cell wall, cell membrane, protein synthesis, DNA synthesis, or DNA strand

24
Q

What are the general AEs of antibiotics

A

GI, hypersensitivity, hypotension, ototoxicity, nephrotoxicity, DDI, photosensitivity, arthralgia, myalgia, thrombocytopenia, allergy

25
Q

What is a big AE of Clindamycin?

A

It can cause C. diff

26
Q

What is a big AE of Linzolid?

A

Serotonin syndrome

27
Q

What is a big AE of the drug class Fluoroquinolones?

A

tendon rupture

significant hypoglycemia

28
Q

What is a big AE of the drug class Sulfonamide?

A

Stevens-Johnson syndrome

29
Q

What are the two types of antimicrobial resistance?

A

Innate

Acquired

30
Q

What are the 4 types of MOA in acquired antibacterial resistance?

A
  • inactivate drug
  • modify drug target in bacteria
  • actively export drug from the bacteria
  • bypass antibiotic inhibition
31
Q

What are the 3 main ways to prevent antibacterial resistance?

A
  • discourage antibiotic overuse
  • encourage patients to finish full course of antibiotics
  • follow infection prevention and control protocols