Antimicrobial Drugs Flashcards
What are the most common types of nosocomial infections?
Surgical wound infections, respiratory infections, genitourinary infections, gastrointestinal infections
Example sentence: The patient developed a nosocomial respiratory infection after surgery.
What are the most common Nosocomial Bacterial infections?
- Staphylococcus aureus
- Pseudomonas aeruginosa
- Escherichia coli
Additional information: These bacterial infections are often resistant to antibiotics.
Proposals to Combat Antimicrobial Resistance
- Speed development of new antibiotics
- Track resistance data nationwide
- Restrict antimicrobial use
- Direct observed dosing (TB)
- Use more narrow spectrum antibiotics
- Use antimicrobial cocktails
Consequences of Antimicrobial Resistance
- Infections resistant
- Increased cost of treatment
Antibiotics in Foods
1.to prevent infection and promote growth
- Multi drug-resistant Salmonella typhi has been found in 4 states in 18 people who ate beef fed antibiotics
Inappropriate Antimicrobial Use
- Lack of quality control
- Inadequate surveillance
- Poverty
- Use of antibiotics in foods
- Prescription not taken correctly
- Antibiotics for viral infections
- Antibiotics sold without medical supervision
- Spread of resistant microbes in hospitals due to lack of hygiene
What Factors Promote Antimicrobial Resistance?
- Exposure to sub-optimal levels of antimicrobial
- Exposure to microbes carrying resistance genes
Mechanisms of Antibiotic Resistance
- Enzymatic destruction
- Prevention of penetration
- Alteration of antibiotic
- Rapid ejection
Antimicrobial Resistance
- Lack of antimicrobial effect against previously susceptible microbes
- MIC increases
Measuring Antimicrobial Sensitivity
E Test
MIC: Minimal inhibitory concentration
Enzyme Inhibitors
Inhibit assembly
☐Indinavir (HIV)
Inhibit attachment
☐Zanamivir
(Influenza)
Inhibit uncoating
☐Amantadine (Influenza)
PABA means
P-aminobenzoic acid
3 characteristics of Aminoglycoside
Neomycin
Streptomycin
Gentamicin
2 types of atypical bacteria
Gram negative
Gram positive
Used for mycobacteria
Pifampin
Ethambutol
Pyrazinamide