Antimicrobials Flashcards

1
Q

What is the common goal of drugs used to treat infections?

A

selective toxicity

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2
Q

What is broad spectrum treatment?

A

drugs effective against a variety of bacteria

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3
Q

What is narrow spectrum treatment?

A

drugs that are specific to drugs that are specific to one type of bacteria

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4
Q

What are mechanisms of action of antibacterial drugs?

A

inhibition of cell wall synthesis and function
inhibition of bacteria protein synthesis
inhibition of RNA/DNA function

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5
Q

What are adverse effects of antibacterial drugs?

A

hypersensitivity reactions- skin rashes, itching, respiratory distress

GI problems- nausea, vomiting, diarrhea

increased skin sensitivity to UV light

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6
Q

What are drugs that inhibit cell wall synthesis?

A

penicillins
cephalosporins
carbapenems

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7
Q

How does penicillin work?

A

bind with specific enzymatic proteins within the bacteria cell wall

the cell wall becomes impaired and then dies

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8
Q

What is cephalosporin?

A

alternative to penicillin

drug of choice for certain UTIs

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9
Q

What are carbapenems?

A

similar to penicillin and cephalosporins but tend to have broader spectrum

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10
Q

What are drugs that inhibit protein synthesis?

A

aminoglycosides
erythromycin
tetracyclines

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11
Q

What is the MOA of drugs that prohibit protein synthesis?

A

bacterial cell membrane transport and metabolic function is impaired which leads to decreased bacterial growth and/or death

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12
Q

How do aminoglycosides work?

A

bind to bacterial ribosomes and cause changes in protein synthesis

causes death of target bacteria

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13
Q

What are adverse effects of aminoglycosides?

A

toxicity
kidney failure

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14
Q

____________ are part of a group of agents known as macrolide antibiotics.

A

Erythromycin

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15
Q

How does erythromycen work?

A

binds to ribosome

very broad spectrum

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16
Q

What are the adverse effects of erythromycin?

A

GI distress
liver toxicity

17
Q

How does tetracycline work?

A

binds to ribosome
broad spectrum

18
Q

What are adverse effects of tetracycline?

A

GI distress and hypersensitivity
may effect bone growth

19
Q

What are drugs that inhibit DNA/RNA synthesis?

A

fluoroquinolones
rifamycins
sulfonamides

20
Q

Side effects of drugs that inhibit DNA/RNA synthesis are similar to ______________.

A

drugs that inhibit protein synthesis

21
Q

What are the two basic categories of viruses?

A

DNA
RNA

22
Q

____________ are instrumental in controlling many viral infections.

A

Vaccines

23
Q

What are acyclovir and valacyclovir?

A

effective against herpes, varicells, epstein-barr

topical and systemic uses

24
Q

What are the adverse effects of acyclovir and valacyclovir?

A

local irritation from topical

prolonged use could cause:
headaches
dizziness
GI problems

25
Q

What are amantadine and rimantadine?

A

treatment and prevention of influenza A

26
Q

What are adverse effects of amantadine and rimantadine?

A

CNS symptoms:
confusion
mood changes
nervousness
dizziness
light-headedness

27
Q

What are interferons?

A

group of proteins
immune response-enable healthy cells to resist infection

is not interchangeable with antivirals

28
Q

What are Type I Alpha Interferons used for?

A

Hepatitis C

29
Q

What are Type I Beta Interferons used for?

A

MS