Antimicrobial Agents Flashcards

1
Q

define antibiotic.

A

products of microbes that, in dilute solution, inhibit or kill other organisms

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2
Q

describe antimicrobial agents

A

man made agents which include antibiotics and synthetic compounds that have the same effect - to inhibit or kill other organisms

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3
Q

what is the difference between agents being static or cidal

A

static - inhibits microbes
cidal - kills microbes

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4
Q

why may you use a static antimicrobial agent rather than cidal?

A

gives time for the immune system to eliminate the bacteria
- in case cidal can be more harmful

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5
Q

what test can you use to test the susceptibility of bacteria to drugs? describe it.

A

disc diffusion test
- grow bacteria on agar plate
- place antimicrobial onto them
- incubate
- observe the zones of clearing around the disc where bacteria has been killed

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6
Q

what is the MIC?

A

minimum inhibitory concentration

the lowest conc of antibiotic that prevents visible growth

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7
Q

what is the MBC?

A

minimum bactericidal concentration

the lowest concentration of antibiotic that kills particular bacterium

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8
Q

what is an accurate way of determining the MIC and MBC of a bacteriostatic drug?

A

using test tubes
- control with only bacteria
- control with only antibiotics
- test tubes with varying concentrations of antibiotics

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9
Q

state the concentration levels of test tubes if the concentration halves every time.

A

1
1/2
1/4
1/8
1/16
1/32
1/64
1/128

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10
Q

give an example of a bacteriostatic drug

A

erythromycin

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11
Q

give an example of a bactericidal drug

A

penicillin

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12
Q

why is selective toxicity important?

A

to not affect the human host, but just the bacteria

but acting upon bacterial reactions not found in human cells

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13
Q

how can you have problems with selective toxicity? give an example.

A

can develop allergies

penicillin allergy comes from presence of thiazolidine ring in penicillin

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14
Q

why can antiviral, antifungal and anti protist drugs be more toxic to humans?

A

closer cell structure to human cells
- can cause damage

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15
Q

how do antiviral drugs work?

A

inhibit transcription factors

ribozymes
- RNA molecules
- tertiary structure confers enzymatic activity

antisense RNA
- short sequence of RNA, complement of mRNA
- binds to specific mRNA
- prevents translation

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16
Q

give 10 examples of antiviral drugs.

AGARONZZLR

A

Acyclovir
- treat herpes
Gancyclovir
- treat cytomegalovirus

Amantadine and Rimantadine
- treatment and prevention of influenza A
- target viral entry and uncoating

Oseltamavir (Tamiflu) and Zanamivir (Relenza)
- inhibit neuraminidases
- prevent release of influenza virus from infected cells
Nelfinavir
- inhibits proteases

Zidovudine (AZT)
- inhibits reverse transcriptase
- slows down HIV when patient has developed AIDS
Lamivudine
- inhibits reverse transcripta

Ribavirin
- treat respiratory syncytial virus

17
Q

heavy use of which drug during the influenza pandemic lead to resistant strains of this virus?

A

Oseltamivir

18
Q

give 5 examples of antifungal agents.

NITTA - nitty having mushroom drugs

A

Nystatin
- a polyene
- treat oral and genital candida infection

Imidazoles and Triazoles
- the Azoles family
- inhibit ergosterol synthesis
= membrane leakage
- imidazole = too toxic for systemic infection but used topically
- triazoles - moulds and yeasts

Terbinafine
- treat skin and nail infections
- inhibits ergosterol biosynthesis

Amphotericin B
- treat systemic mycoses
- potentially toxic to humans

19
Q

what drug is part of the Triazoles which some yeast species are devloping resistance against? give a fungi which IS resistant to it.

A

fluconazole

candida krusei

20
Q

what is Amphotericin B (antifungal drug) also given with, to reduce the potential toxicity to humans?

A

5-flucytosine (5-FC)

21
Q

describe 5-FC

A

5-Flucytosine
- synthetic pyrimidine
- metabolised in fungi to 5-flurouracil
- active against pathogenic yeasts

  • how it works
  • interfere with nucleic acid synthesis
22
Q

describe a polyene?

A

bind with sterols in fungal eukaryotic membranes = destabilisation

23
Q

what are protists?

A

unicellular eukaryotes

24
Q

give examples of antiprotist drugs. (4) queens, pyramid and M

A
  1. chloroquine
  2. mefloquine
  3. pryimethamine
  4. metronidazole
25
Q

what is metronidazole and how does it work? what does it treat?

A

an antiprotist agent

  • induces strand breaks in DNA
  • disrupts membrane integrity

treats anaerobic bacteria
- Trichomonas vaginalis
- Entamoeba histolytica

26
Q

what antibacterial antibiotics target in bacteria? (6)

A
  1. cell wall
  2. membrane integrity
  3. protein synthesis
  4. DNA metabolism
  5. DNA packaging
  6. RNA polymerase
27
Q

with antibacterial antibiotics, how do cell wall inhibitors work?

give 4 antibacterial antibiotics that interfere with cell wall.

which is a antibiotic that interferes with the cell wall but is also toxic to humans?

A
  • bacterial cell wall has peptidoglycan
  • with L and D amino acids
    = targets for selective toxicity

antibiotics:
- cycloserine
- fosfomycin
- glycopeptides
- b-lactams - has a b-lactam ring

toxic antibiotic = bacitracin

28
Q

what was the first antibiotic in clinical practise?

A

benzyl penicillin

29
Q

give 3 types of b-lactam antibacterial antibiotics.

A

cephalosporins
monobactams
- mainly against gram-negative bacteria
carbapenems

30
Q

give 3 antibacterial antibiotics that affect membrane integrity.

A

polymyxins
- against gram negative
metronidazole
- anaerobic bacterial infections
gramicidins
- topically, against gram positive bacteria

31
Q

what antibacterial antibiotics affect DNA metabolism?

A

para-aminobenzoic acid
sulphamethoxazole
trimethoprim
folic acid

32
Q

what antibacterial antibiotics affect DNA?

A

nalidixic acid
metronidazole
ciprofloxacin
moxifloxacin
levofloxacin

33
Q

what antibacterial antibiotics affect protein synthesis?

A

ahminoglycosides
tetracyclines
chloramphenicol
macrolides
fusidic acid
lincosamides
mupirocin
linezoid