Antimicrobial Resistance 1 Flashcards
Antimicrobial resistance
Resistance for different types of microorganisms and encompasses resistance to antibacterial, viral, parasitoc and biotic 30038 Immunity 3
Impact amr
Global health priority and difficulty to treat Patient morbidity and mortality Increased patients stays Complexity and duration of treatment Increased healthcare costs
Discovery of antibiotics
1930 and developed in 1940s
Reduced mortaloty in infectious diseases
Now there are varying degrees of bacterial resistance to all antibiotics
Penicillin
1928 by alesander fleming
Developem by florey and chain
Life expectancy has increased
Treatment is not forever
Not difficult to make microbes resistant to penicillin by exposung them to concentrations that are not sufficient to kill them
Recognised in the antibiotic era
Threatens pur ability to control infection
Examples of amr
Mrsa ( methicillin resistant staphylococcus aureus) wound infection
Mrse ( methicillin resistant staphylococcus epidermidis) wound infection
Vre (vancomycin resistant enterococcus)
Uti
Penicillin resistant streptococcus pneumonia
Penicillin resistant haemophilus influenza
Multidrug resistant mycobacterium tuberculosis
Various species and responsible for
Klebsiella- peritonitis Escherichia - uti Enterobacter - biliary tract infection Protues - hospital acquired pneumonias Pseudomonas- wound infection
Action antibiotics
Bacteriostatic prevention of bacterial cell division
Bactericidal killing the bacteria
Types of antibiotics
Narrow-spectrum antibiotics
broad spectrum
Narrow spectrum antibiotic
Effective against limited range of pathogens
Broad spectrum antibiotics
Effective against a wide a range of pathogens
Actions of antibiotics
Inhibit metabolism Inhibit cellwall synthesis Inhibit protein synthesis Interferes with DNA or RNa Interferes with cell membrane function Unknown
Inhibit metabolism
Sulfonamides, sulfones
Inhibit cell wall synthesis
Beta-lactams, bacitracin, glycopeptide
Inhibits protein synthesis
Aminoglycosides, aminocycitols
Interferes with dna or rna synthesis
Quinolones
Interferes with cell membrane
Polypeptides
Unknown
Polyethers