BACTE AMR Flashcards
a chemical substance produced by microorganisms
with the capacity to inhibit (bacteriostatic) or kill
(bactericidal) other microorganisms
ANTIBIOTICS
effective against a limited number of
pathogens
Narrow-spectrum
destroys different kinds of organisms
Broad spectrum
examples for Broad spectrum
ampicillin, cephalosporins, chloramphenicol,
ciprofloxacin, rifampicin, sulfonamides,
trimethoprim, tetracycline
examples for Narrow spectrum
bacitracin, clindamycin, dapsone,
erythromycin, gentamicin, isoniazid,
penicillin, polymyxin b, and vancomycin
produced by bacteria or fungi
Natural drugs
modified natural drugs with
added chemical groups (ampicillin, carbenicillin,
methicillin)
Semi-synthetic drugs
chemically-produced drugs
(sulfonamides, trimethoprim, chloramphenicol,
ciprofloxacin, isoniazid, dapsone)
Synthetic drugs
Bacillus subtilis
Bacitracin
Bacillus polymyxa
Polymyxin
Cephalosporium
Cephalosporins
Micromonospora purpurea
Gentamicin
Streptomyces erythraeus
Erythromycin
Streptomyces fradiae
Neomycin
Streptomyces nodosus
Amphotericin B
Streptomyces noursei
Nystatin
Streptomyces venezuelae
Chloramphenicol
agents that inhibit bacterial growth; but generally, they
do not kill the microorganisms
Bacteriostatic agents
example for Bacteriostatic agents
(chloramphenicol,
dapsone, erythromycin, clindamycin, isoniazid,
sulfonamides, and tetracycline)
agents that usually kill or destroy organisms; used for
life-threatening infections
Bactericidal agents
example for Bactericidal agents
(aminoglycosides
—gentamicin, amikacin, and streptomycin;
beta-lactams, glycopeptides, isoniazid, rifampicin,
quinolones, bacitracin, and metronidazole)
These are the most selective antibiotics with a high
therapeutic index
CELL-WALL INHIBITORS
● They inhibit the activity of the transpeptidase
enzymes in which cell growth stops and the death of
the cells often follows
● These drugs are effective against Gram-positive
bacteria
CELL-WALL INHIBITORS
CELL-WALL INHIBITORS examples
Bacitracin, B-lactams, carbenicillin
Binds to the penicillin-binding proteins
(transpeptidase-transglycosylase) —involved
in cell wall cross-linking, inhibiting
transpeptidation and cell wall synthesis
Beta-lactams
types of Beta-lactams
penicillins, cephalosporins, carbapenems,
and monobactams
These antibiotics bind to the 30s subunit resulting in the misreading of mRNA and thus interfering with
aminoacyl-tRNA binding
Protein-synthesis inhibitors
It also binds with the 50S subunit resulting in the
inhibition of peptidyl-transferase and peptide chain
elongation
Protein-synthesis inhibitors
Drugs that bind to the 30S ribosomal subunit —
aminoglycosides, tetracyclines, and
spectinomycin
Drugs that bind to the 50s ribosomal subunit—
chloramphenicol, erythromycin, lincomycin,
clindamycin, and streptogramins
Blocks the initial step in protein synthesis
linezolid
antimicrobial agents that target DNA
metabolism
Nucleic acid synthesis inhibitors
The primary antimicrobial agents that target DNA
metabolism are the _________________________________
fluoroquinolones and
metronidazole
derivatives of nalidixic acid; interfere with DNA gyrase
and topoisomerase IV and are highly effective for
enteric bacteria like E. Coli:
Quinolones/fluoroquinolones
disrupts DNA and is effective against anaerobic
bacteria
Metronidazole
most potent against anaerobic
microaerophilic organisms, notably those
that are gram-negative
Metronidazole
inhibits RNA polymerase; inhibits RNA synthesis
○ Does not effectively penetrate the outer
member membrane of most gram-negative
bacteria
Rifampicin
competitively
inhibits the binding of the structural analog
aminobenzoic acid with dihydropteroate
synthase, blocks the formation of
7,8-dihydropteroate
Sulfamethoxazole (SMZ)
prevents the dihydrofolate
reductase—mediated recycling of folate
coenzymes, blocks the formation of THF
Trimethoprim
cord factor inhibitor; cord factor is found in
the cell wall of TMP
Isoniazid
● Bind to the terminal D-Ala-D-Ala of the
pentapeptide-glycosyl peptidoglycan intermediates
Glycopeptides
The clinical spectrum is limited to gram-positive
microorganisms
Glycopeptides
types of Glycopeptides
Vancomycin, dalbavancin, teicoplanin