ch 20 Flashcards

1
Q

antimicrobial drugs types

A

chemotherapy
antibiotics
selective toxicity

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2
Q

chemotherapy

A

the use of drugs to treat a disease

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3
Q

antimicrobial drugs

A

interfere with the growth of microbes within a host

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4
Q

antibiotic

A

a substance produced by a microbe that, in small amounts, inhibits another microbe

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5
Q

selective toxicity

A

a drug that kills harmful microbes without damaging the host

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6
Q

5 modes of action of antimicrobial drugs

A
  1. inhibition of cell wall synthesis
  2. inhibition of protein synthesis
  3. inhibition of nucleic acid replication and transcription
  4. inhibition of synthesis and essential metabolites
  5. injury to plasma membrane
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7
Q

inhibition of cell wall synthesis

A

penicillins, cephalosporins, bacitran, vancomycin

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8
Q

inhibition of protein synthesis

A

chloramphenical, erythromycin, tetracyclines, streptomycin

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9
Q

inhibition of nucleic acid replication and transcription

A

quinolones, rifampin

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10
Q

injury to plasma membrane

A

polymyxin B

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11
Q

inhibition of synthesis of essential metabolites

A

sulfanilamide, trimethoprim

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12
Q

streptomycin

A

changes shape of 30S causing code on mRNA to be read incorrectly

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13
Q

chloramphenical

A

binds to 50S portion and inhibits formation of peptide bond

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14
Q

tetracycline

A

interfere w attachment of tRNA to mRNA-ribosome complex

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15
Q

bactericidal

A

kill microbes directly

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16
Q

bacteriostatic

A

prevent microbes from growing

17
Q

natural penicillin

A

G-injection

V-oral

18
Q

semisynthetic penicillin types

A
  1. oxacillin

2. ampicillin

19
Q

oxacillin

A

narrow spectrum
only-gram positive
resistant to penicillinase

20
Q

ampicillin

A

extended spectrum

many gram negatives

21
Q

beta-lactam antibiotics

A

penicillin, carbapenems, monobactum

22
Q

how to test for microbial susceptibility to chemotherapeutic agents

A

disc-diffusion method - shows inhibition

23
Q

4 methods of resistance to antibiotics

A
  1. blocking entry
  2. inactivating enzymes
  3. alteration of target molecule
  4. efflux of antibiotic
24
Q

5 ways antibiotics are misused

A
  1. using outdated or weakened antibiotics
  2. using for inappropriate conditions (viruses)
  3. use in animal feed
  4. failing to complete prescribed regimen
  5. use someone else’s leftovers
25
Q

synergism

A

occurs when the effect of 2 drugs together is greater thanthe effect of either alone

26
Q

antagonism

A

occurs when the effect of 2 drugs together is less than the effect of either alone

27
Q

superinfection

A

overgrowth of microbes

28
Q

antimicrobial drugs- eukaryotes- fungi

A

ketoconazole

29
Q

antimicrobial drugs- eukaryotes- protozoa

A

mefloquine (malaria)

30
Q

antimicrobial drugs- eukaryotes- helminths

A

niclosamide-tapeworms

praziquantel- flukes

31
Q

antimicrobial drugs- eukaryotes- viruses

A

acyclovir

32
Q

antimicrobial drugs- prokaryotes- mycobacteria

A

isoniazid
streptomycin
tetracycline

33
Q

antimicrobial drugs- prokaryotes- gram-negative bacteria

A

streptomycin

tetracycline

34
Q

antimicrobial drugs- prokaryotes- gram-positive bacteria

A

penicillin G

tetracycline

35
Q

antimicrobial drugs- prokaryotes- chlamydias, rickettsias

A

tetracycline