Antibiotics mode of action Flashcards

1
Q

What are physical controls of microbial growth? (2 points)

A
  • Heat sterilization

- Radiation sterilisation

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2
Q

What are chemical controls of microbial growth? (3 points)

A
  • Antiseptics (biological) and disinfectant (inanimate)
  • Natural antimicrobials
  • Synthetic antimicrobials
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3
Q

What are common examples of transmitted pathogens? (8 points)

A
  • HIV
  • Herpes simplex virus types 1 & 2
  • HBV
  • Streptococci
  • Staphylococci
  • Myobacterium tuberculosis
  • Cytomegalovirus
  • Some upper respiratory tract viruses
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4
Q

What are common forms of infection control? (4 points)

A
  • Disinfecrtion of non-sterilisable surface and equipment
  • Heat sterilization of all compatible equipment
  • Handwashing techniques + appropriate antiseptics
  • Combined with appropriate barrier techniques: masks, gloves and eye protection
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5
Q

What are disinfectants?

A

Strong chemical agents that inhibit or kill microorganisms

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6
Q

What are antiseptics?

A

Disinfecting agents with sufficiently low toxicity for host cells -> can be used directly on skin, mucous membranes, or wounds

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7
Q

What are sterilants?

A
  • Kill both vegetative cells and spores when applied to materials for appropriate times and temperatures
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8
Q

What are antiseptics?

A

Disinfecting agents with sufficiently low toxicity for host cells

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9
Q

Where are antiseptics used? (3 points)

A
  • Skin, mucous membranes or wounds
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10
Q

What is antisepsis?

A
  • Use of chemical to destroy most pathogenic organisms on animate surfaces
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11
Q

What is antiseptic used for? (5 points)

A
  • Treatment of skin infections
  • Prevention of infections in cuts and wounds
  • Cleaning the skin area of surgery from microorganisms
  • Prophylaxis and treatment of infection sin mucosal areas such as mouth, nose and vagina that are open to the environment
  • As a scrub for surgeons and the medical personnel
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12
Q

What are the 3 classifications of antiseptics?

A
  • Those that denature proteins (cidal)
  • Those that cause osmotic disruption of the cell (cidal)
  • Those that interface with specific metabolic processes (growth arrest/static)
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13
Q

What is the mechanism of action of phenols, iodine, al cohols, aldehydes and mettalic compounds?

A
  • Denature proteins and DNA bases
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14
Q

What is the mechanism of action of cationic detergents?

A

Interfere with plasma membrane’s permeability and cause leakage of enzyme, coenzyme and metabolites

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15
Q

What is the mechanism of action of oxidizing compounds?

A
  • Oxidize functional molecules in the microorganisms
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16
Q

What are iodophores used for?

A

Used either as an antiseptic or disinfectant

17
Q

What do iodophores do?

A

Kill vegetative bacteria, mycobacteria, fungi, lipid containing viruses (spores on prolonged use)

18
Q

What are 2 examples of alcohols that are effective antiseptic and disinfectant agents?

A
  • Ethyl alcohol and isopropyl alcohol
19
Q

When alcohols are applied to the skin, by what % are bacterial numbers reduced?

20
Q

What do alcohols do? (2 points)

A
  • Rapidly kill vegetative bacteria, fungi, and inactive lipophilic viruses
  • Denature proteins and disturb the membrane permeability of bacteria
21
Q

What is water soluble chlorohexidine digluconate used as?

A

An antiseptic

22
Q

How does chlorohexidine work?

A
  • Strongly absorbs to bacterial membranes and causes leakage of small molecules and precipitation of cytoplasmic proteins
23
Q

What is the most common oxidising compounds that have been used as antiseptics?

A

Hydrogen peroxide

24
Q

What type of bacteria are oxidising agents effective against?

A
  • Vegetative bacteria, higher concentrations are sporicidal
25
What can oxidising agents be used to disinfect? (5 points)
- Respirators - Acrylic resin implants - Plastic eating utensils - Soft contact lenses - Cartons of milk or juice
26
What % concentration oxidizing agents are sporicidal?
- 10-25%
27
Why is there a health warning with antiseptic, disinfectant and sterilant users? (3 points)
- Short-term and long-term toxicity - General biocidal activity - Accumulate in the environment OR in the patient's/caregiver's body
28
What are naturally occurring antimicrobials?
- Metabolic products of bacteria and fungi
29
What is an antibiotic?
A chemcical substance produced by one organism that is destructive to another 
30
What are 2 categories of antibiotics?
- Bacteriostatic | - Bacteriocidal
31
What are the cellular targets of antibiotics? (4 points)
- Cell wall - Cell membrane - Nucleic acid - Protein synthesis
32
What are the ideal properties of an antimicrobial agent? (8 points)
- Selective toxicity against microbial target - Minimal toxicity to the host - Cidal activity (kills micro-organisms) - Long plasma half-life - Good tissue distribution - Low binding to plasma proteins - Oral and parenteral preparation - No adverse interaction with other drugs
33
What are the 4 main targets of antimicrobials on a cell?
- Inhibition of cell wall synthesis - Inhibition of protein synthesis - Inhibition of nucleic acid rep lication and transcription - Injury to plasma membrane
34
What are 2 examples of inhibitors of cell wall synthesis?
- Beta-lactams | - Glycopeptides
35
What is the key concept you need to know for penicillin strictures?
- There are different ones | - There is the basic building block of penicillin and this produces modified antibiotics by adding synthetic side chains
36
What are 2 examples of nucleic acid synthesis precursors?
- Sulphonamides | - Trimethoprim
37
What is an example of an inhibitor of DNA replication?
- Quinolones 
38
What is an example of an inhibitor of RNA polymerase?
- Rifamycins
39
Misuse of antibiotics selects for resistance mutants. What does misuse include? (5 points)
- Using outdated or weakened antibiotics - Using antibiotics for the common cols and other inappropriate conditions - Using antibiotics in animal feed - Failing to complete the prescribed regimen - Using someone else's leftover prescription