Ch 10 Flashcards

1
Q

Know the overall goal of antimicrobial chemotherapy development.

A

Administer a drug to an infected person that destroys the
infective agent without harming the host’s cells

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2
Q

Be able to describe the Kirby Bauer test.

A
  1. Label both of your agar plates with your initials and
    species of bacteria. Label one plate “Ex.16” and the
    other plate “Ex.17.”
  2. You need to make a lawn of bacteria (see Fig.
    16.1). Dip a sterile swab in the broth culture of
    bacteria and press the swab against the inside wall of
    the tube so it isn’t dripping wet.
  3. Starting at the top of the plate, run the swab back
    and forth over the agar until the swab has covered
    every part of the agar’s surface.
  4. Turn the plate 90° and run the swab (do not re-dip in
    the culture) over the agar perpendicular to your first
    streaks, again completely covering the entire plate.
  5. Turn the plate 45° so that your third set of streaks are at an angle in between the first two sets of
    streaks, again completely covering every square millimeter of agar (you should have streaked across
    every spot on the plate three times, ensuring complete coverage).
  6. Run the swab around the outer edge of the agar.
  7. Discard the used swab in the biohazard bucket, and repeat steps 2-6 to make a bacterial lawn on
    your other plate
  8. Sterilize your tweezers by dipping the ends in the ethanol and flaming them using the Bunsen
    burner; do not leave the tweezers in the flame, remove them as soon as the ethanol is on fire. Wait
    for the fire to burn out, being careful not to drip flaming ethanol on the benchtop.
  9. Use the sterile tweezers to obtain a sterile filter paper disk. Dip the disk halfway into a container of
    disinfectant so that the liquid adsorbs up the disk the rest of the way. You should not dip the entire
    disk in the disinfectant or it will become too wet.
  10. Gently place the disk containing disinfectant on your agar plate (Fig. 17.1), and label on the
    bottom of the plate the disinfectant used for that disc.
  11. Repeat steps 8-11 for 3-4 more disinfectants, spacing the disks as far apart from each other as
    possible and not close to the edge of the plate.
  12. Invert the plate and put it in the class tub for incubation (37°C 18-24h).
    Figure 16.1. Making a lawn of
    bacteria using a sterile swab.
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3
Q

Know the goals of antimicrobial drugs

disrupt cell

A

processes or structures of bacteria, fungi, protozoa

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4
Q

Know the goals of antimicrobial drugs

inhibit virus

A

replication

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5
Q

Know the goals of antimicrobial drugs

interfere with the function of enzymes required to

A

synthesize or assemble macromolecules

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6
Q

Know the goals of antimicrobial drugs

destroy structures

A

already formed in the cell

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7
Q

Know the goals of antimicrobial drugs

selectively toxic

A

kill or inhibit microbial cells without damaging host tissues

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8
Q

4 things a drug must be able to do

A

be able to administer

be absolutely toxic to the infectious agent

be absolutely nontoxic to the host

remain active in the body

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9
Q

antimicrobial resistance can occur one of 3 ways

  1. spontaneous mutations in
A

critical chromosomal genes

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10
Q

**antimicrobial resistance can occur one of 3 ways*

  1. acquisition of entire new genes or sets of genes via
A

horizontal transfer from another species

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11
Q

**antimicrobial resistance can occur one of 3 ways*

  1. slowing or stopping of metabolism so that the
A

microbe cannot be harmed by the antibiotic (“persisters”)

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12
Q

how antibiotic resistance happens

A
  1. lots of bacteria; a few are drug resistant
  2. antibiotics kill bacteria causing the illness as well as good bacteria protecting the body from infection
  3. the drug-resistant bacteria are now allowed to grow and take over
  4. some bacteria give their drug resistance to other bacteria causing more problems
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13
Q

Be able to discuss ways we can do to help us out against the evolving drug resistance threats.

prebiotics

A

encourages growth of beneficial microbes in the intestine

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14
Q

Be able to discuss ways we can do to help us out against the evolving drug resistance threats.

probiotics

A

can replace microbes lost during the antimicrobial therapy

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15
Q

Be able to discuss ways we can do to help us out against the evolving drug resistance threats.

fecal transplant

A

transfer of feces from a healthy patient via colonoscopy

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16
Q

broad spectrum antibiotics

A

effective against more than one group of bacteria

17
Q

narrow spectrum antibiotics.

A

target a specific group of bacteria

18
Q

goal of chemotherapy

A

disrupt the structure or function of an organism to the point where it can no longer survive

19
Q

antimicrobial drug categories

inhibition of cell wall

A

synthesis

20
Q

antimicrobial drug categories

inhibition of nucleic acid (RNA and DNA)

A

structure and function

21
Q

antimicrobial drug categories

inhibition of the ribosome in

A

protein synthesis

22
Q

antimicrobial drug categories

interference with cytoplasmic membrane

A

structure or function

23
Q

drugs that target cell walls

penicillins

A

penicillin G and V

Ampicillin

carbenicillin

amoxicillin

24
Q

drugs that target protein synthesis

aminoglycosides

insert on sites on the 30S subunit and cause the misreading of the mRNA leading to abnormal proteins

A

streptomycin

25
Q

drugs that target protein synthesis

tetracyclines

block the attachment of tRNA on the A acceptor site and stop further protein synthesis

A

tetracyclines

26
Q

drugs that target protein synthesis

macrolides

inhibit translocation of the subunit during translation (erythromycin)

A

azithromycin

27
Q

drugs that target DNA or RNA

fluoroquinolones

inhibit DNA unwinding enzymes or helicases thereby stopping DNA transcription

A

ciprofloxacin

28
Q

drugs that target cell membranes

polymyxins (colistins)

interact with membrane phospholipids; distort the cell surface and cause leakage of protein and nitrogen bases, particularly in gram-neg bacteria

A

polymyxin B

29
Q

characteristics of the ideal antimicrobial drug

microbicidal rather than

A

static

30
Q

characteristics of the ideal antimicrobial drug

does not lead to the development of

A

antimicrobial resistance

31
Q

characteristics of the ideal antimicrobial drug

complements or assists the activities of the

A

host’s defenses

32
Q

characteristics of the ideal antimicrobial drug

does not disrupt the host’s health by causing

A

allergies or predisposing the host to other infections