Antimicrobial Drugs (Quiz 9/11/15) Flashcards
Define Bacteriostatic and give examples
Inhibits the growth of bacteria
Ex. Tetracycline, sulfonamides, chloramphenicol
Define Bactericidal and give examples
Rapidly kills the target organism
Ex. Penicillin, streptomycin, cephalosporins, polymyxin, and neomycin
Define MIC (mean inhibitory concentration)
The minimum concentration of a drug necessary to inhibit the growth of an organism
Define Breakpoints
Known MIC (mean inhibitory concentration) values that have been determined for a given antimicrobial for a given pathogen in a given animal species
Define MBC (mean bactericidal concentration)
Gives an indication of the usefulness of antimicrobials that are bactericidal
Define the “spectrum” of an antimicrobial
How wide a variety of bacterial are affected by that agent
Which type of antimicrobials work by inhibiting growth by analoques?
Sulfonamides
What is the analoque being inhibited by sulfonamides and how is it being inhibited?
PABA (para aminobenzoic acid)
Sulfa drugs are analoques of PABA and compete with it for folic acid - in sufficient concentrations, the sulfa drug will inhibit the folic acid synthesis pathway and prevent the growth of bacteria
What is the role of PABA?
PABA is used to form folic acid, a necessity to the synthesis of purines
What are two of the cons associated with sulfonamides?
- Have a problem with solubility
2. Some are known to precipitate in the kidneys
Are sulfonamides banned from use in food animals?
Yes, for the most part
What are sulfonamides typically given in combination with?
Trimethoprim
How does trimethoprim act? What does it act on?
Inhibits the same folic acid synthesis pathway that sulfonamides do; however, it acts on dihydrofolate reductase
Which types of antimicrobials inhibit cell wall synthesis?
Beta lactams (penicillins) Semisynthetic penicillins Bacitracin Vancomycin Cephalosporins
True or false: all penicillins contain the beta lactam ring structure?
True
What does the penicillin bind to in the cell wall?
Transpeptidase enzymes
Explain the effects transpeptidases binding penicillin has on the organism.
- Binding is irreversible, so the transpeptidase enzymes are thus inactivated
- Cross-bridging can NOT occur
- Peptidoglycan layer weakens
- Bacterium bursts
Which type of organisms is penicillin active against?
Mostly active against gram (+)
Less active against gram (-)
What are some examples of semisynthetic penicillins?
Amoxicillin
What is the difference between penicillins and semisynthetic penicillins?
Semisynthetic penicillins have a greater ability to withstand stomach acid, which means they can be given orally and they have a longer activity. Some are also resistance to breakdown by the penicillinase enzyme.
Clavamox is a combination of amoxicillin and clavulanic acid. What role does the clavulanic acid play?
Clavulanic acids have a beta lactam ring that binds penicillinase enzymes, preventing them from destroying the active beta lactam ring of the amoxicillin.
What are the three advantages to Cephalosporins? (Extra credit - what is a fourth advantage?)
- Resistant to penicillinase
- Not as allergenic as penicillin
- Have a broad spectrum of activity
- (Extra) Longer plasma half-life in third generation
What are third generation Cephalosporins active against?
Most effective against gram (-)
What is a common drug that is an example of a Cephalosporin?
Convenia