Antibiotics and Resistance Flashcards

1
Q

what is the difference between antibiotics and antimicrobials?

A

Antibiotics attack processes

Antimicrobials attack structures

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2
Q

Why do antibiotics not work on spores?

A

Antibiotics does not work on spores because they have no processes

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3
Q

“No progress, no action” applies to what?

A

Antibiotics

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4
Q

The goal of Antibiotics

A

drugs that kill the the pathogen, not harm the host

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5
Q

how are antibiotics described?

A

by origin
effectivity range
mode of synthesis: chem or organic

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6
Q

What must be known before antimicrobial therapy can begin

A

The nature of the pathogen
Microbial sensitivity
Condition of the patient

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7
Q

how is microbe susceptibility tested?

A

Kirby-Bauer technique

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8
Q

how to determine therapeutic Index

A

toxic dose / MIn. Inhibitory Concentration

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9
Q

What does a small TI ratio mean?

A

there is a greater potential for toxic drug reactions

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10
Q

What does a larger TI ratio mean?

A

there is less potential for toxic drug reaction

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11
Q

antibiotic modes of action

A

prevents the cell from forming a cell wall or cell membrane
prevents protein synthesis
prevents nucleic acid synthesis
prevents folic acid synthesis

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12
Q

What is the spectrum of antibiotic activity

A

Broad spectrum

narrow spectrum

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13
Q

Is broad spectrum or narrow spectrum drugs more effective?

A

Broad spectrum

effective against multiple groups and can be used for multiple treatments

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14
Q

How do antibiotics affect biofilms?

A

Biofilms are not susceptible to antibiotics

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15
Q

Why is the risk of host harm higher with antifungals?

A

Human tissue and fungal tissue are similar so drugs that attack fungi could also attack human tissue

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16
Q

How does antimicrobial resistance occur

A

Spontaneous mutation
Horizontal transfer
Phenotypic adaptation

17
Q

Resistance Mechanisms

A

New enzymes are made and inactivate the drug
Decreases drug uptake
Drug is eliminated
Decrease of drug binding sites
affected metabolic pathway is shut down and new ones made