Antimicrobial Drugs Flashcards
Who is credited with the birth of modern chemotherapy?
Paul Ehrlich
What was the first antibiotic discovered?
Penicillin
What species is the source of more than half of modern antibiotics?
Streptomyces
What type of microbes are easiest to treat with antimicrobial drugs?
Bacteria
Why can using broad-spectrum antibiotics be a disadvantage?
They can kill normal microbes
What term means that a drug stops bacteria from growing?
Bacteriostatic
What term means that a drug kills bacteria?
Bactericidal
Which antimicrobial has the broadest spectrum?
Tetracylines
How does penicillin work?
Inhibiting cell-wall synthesis
What type of ribosomes do eukaryotes have?
80S
What type of ribosomes do prokaryotes have?
70S
The relationship between antimetabolite sulfanilamide and PABA is an example of what?
Competitive inhibition
How does chloramphenicol work?
Inhibiting protein synthesis
Targeting sterols is what type of method?
Injuring the plasma membrane
What was the first penicillinase-resistant drug to be developed?
Methicillin
Why are gram-negative bacteria more resistant to antibiotics?
Their cell wall restricts absorption of molecules through porins
What is the term for assessing the risks and benefits when administering drugs?
Therapeutic index
What happens to 70% of antibiotics produced in the US?
They are used in animal feed to promote growth
What does MIC mean?
Minimum inhibitory concentration
What are the 3 tests that can be done to test antibiotic effectiveness?
Disk-diffusion method, E-test, and broth dilution test
How to you test if an antimicrobial drug is bactericidal?
Broth dilution test
What is the term for “treating a disease with chemicals that are taken into the body?”
Chemotherapy
What is the term for the drug used in chemotherapy?
Chemotherapeutic agent
What was the arsenic compound that was used as a “magic bullet” to cure syphilis?
Salvarsan
Who discovered prontosil?
Gerhard Domagk
What does prontosil protect from?
Staphylococci and hemolytic strep
What is the common use for prontosil?
UTI treatment
Who discovered lysozyme?
Alexander Flemming
How many criteria are there for an effective antimicrobial drug?
7
What are the 7 criteria for an effective antimicrobial drug?
- Selective toxicity
- No hypersensitivity reactions
- Soluble in human tissues
- Should not be degraded or excreted too quickly
- Long shelf-life
- No rapid resistance to new strains
- Doesn’t get rid of normal flora
What is one species of bacteria that tetracyclines are not effective against?
Mycobacteria
What drug class is effective against mycobacteria, making it narrow-spectrum?
Isoniazid
Are most clinical drugs bactericidal or bacteriostatic?
Bactericidal
What are the 5 ways antimicrobial drugs work?
- Inhibit cell wall
- Inhibit protein synthesis
- Inhibit DNA copying
- Injury to the plasma membrane
- Inhibit essential metabolites
Give an example of a bacteria that inhibits cell walls
Staphylococcus
Give two examples of a class of drugs that inhibit protein synthesis
Tetracyclines, erythromycin, and chloramphenicol
During which cycle are cell wall inhibitors most effective?
During the log phase
How do tetracyclines inhibit translation?
Interferes with attachment of tRNA
How does erythromycin inhibit translation?
Stops the ribosome from moving along the mRNA
How does chloramphenicol inhibit translation?
Inhibits peptide bond between individual amino acids
What class of drug targets RNA polymerase?
Rifampin
Which two drugs target gyrase and topoisomerase IV?
Quinolones and fluoroquinolones
Give an example of two drugs that damage the cell membrane
Amphotericin B and Polymyxins
Amphotericin B is typically used against which group of microbes?
Funguses
What common virus causes gastroenteritis?
Rotavirus
What percent of infectious diseases are caused by bacteria?
15%
What percent of infectious diseases are caused by viruses?
60%
What antiviral drug inhibits the uncoating of the influenza virus?
Amantadine
What antiviral drug is a neuraminidase inhibitor that blocks the release of influenza virus from its host cell?
Oseltamivir (tamiflu)
What antiviral drug resembles guanine and shuts down the synthesis of herpes virus DNA?
Acyclovir
What cream stimulates interferon production and is used to treat genital herpes?
Imiquimod
What antiviral drug is used for viral hepatitis?
Alpha interferon
What does HIV stand for?
Human immunodeficiency virus
What does AIDS stand for?
Acquired immunodeficiency syndrome
What antiviral drug interferes with reverse transcriptase and is used to treat AIDS?
Azidothymidine
What antiviral drug interferes with the assembly of new virus particles and is used to treat AIDS?
Protease inhibitors
Name 3 anti-malaria drugs
- Quinine
- Chloroquine
- Artemisinin
Name 3 anti-protozoan drugs
- Quinacrine
- Metronidazole
- Tinidazole
Name 2 drugs used to treat tapeworms and flukes
- Praziquantel
- Niclosamide
Name 2 drugs used to treat helminths
- Mebendazole