antimicrobial chemotherapy mechanism of action Flashcards

1
Q

what does Bactericidal kill

A

antimicrobial that

kills bacteria

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2
Q

when is an organism sensitive

A

if its inhibited or killed ny the antimicrobial available at the site of infection

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3
Q

what is MBC

A

Minimal bactericidal concentration minimum concentration of antimicrobial
needed to kill a given organism.

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4
Q

what is MIC

A

Minimal inhibitory concentration
minimum concentration of antimicrobial
needed to inhibit growth
of a given organism.

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5
Q

what is Bacteriostatic

A

antimicrobial that inhibits growth
of bacteria
(erythromycin)

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6
Q

when is an organism Resistant

A

organism is resistant if it is not killed or inhibited by the antimicrobial available at the
site of infection.

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7
Q

what is a topical route of administration

A

Applied to a surface

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8
Q

what is a systemic route of administration

A

Taken internally,

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9
Q

what is a parenteral route of administration

A

Administered intra-venously (iv)
or intra-muscularly (im),
occasionally subcutaneously.

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10
Q

what are the three areas of metabolic activity

A

Inhibition of
cell wall synthesis

Inhibition of
nucleic acid synthesis

Inhibition of
protein synthesis
(eg, gentamicin & erythromycin)

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11
Q

why are human cells not affected by antibiotics

A

because they dont have cell walls

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12
Q

what are the two types of B- lactamase action

A

benzyl penicillin and cephalosporins

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13
Q

do glycopeptides penetrate gram negative or gram positive organisms

A

gram positive organisms

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14
Q

which drug is common for toxicity

A

vancomycin

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15
Q

what would you use for patients that are allergic to penicillin

A

macrolides

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16
Q

what would you use for the treatment of gram positive infections

17
Q

how would you give linezolid

18
Q

what does aggregation of daptomycin alter the curvature of?

19
Q

what does daptomycin do?

A

novel agent recently introduced
with activity against Gram positives
in general and MRSA in particular.

20
Q

how does antibiotics inhibit DNA synthesis

A

interrupting the supply of precursors for DNA synthesis

21
Q

what is trimethoprim used for?

22
Q

what are the 5 inhibitors of protein synthesis

A

aminoglycosides, macrolides, tetracyclines, oxazolidinones, cyclic lipopeptide

23
Q

what is an inhibitor of nucleic acid synthesis

A

flouroquinolones

24
Q

what kind of gram is flouroquinolones effective against

A

gram negative

25
how do you take flouroquinoles
orally and parenterally
26
why cant flouroquinoles not be used with children
interferes with the cartilage growth
27
what are the types of resistance
inherent or intrinsic
28
what is streptococci resistant to?
aminoglycosides
29
what is gram negative organisms resistant to?
vancomycin
30
what are the two basic ways in which resistance is acquired
spontaneous mutation and spread of resistance
31
what are B- lactamases
bacterial enzymes which cleave the β–lactam ring of the antibiotic and thus render it inactive
32
what are the two ways to combat B- lactamase
To introduce a second component to the antibiotic (β-lactamase inhibitor) protecting the antibiotic from enzymatic degradation To modify the antibiotic side chain producing new antibiotic resistant to the actions of β-lactamase.
33
what is flucloxacillin
modified form of penicillin.