ch 20 Flashcards
antimicrobial drugs types
chemotherapy
antibiotics
selective toxicity
chemotherapy
the use of drugs to treat a disease
antimicrobial drugs
interfere with the growth of microbes within a host
antibiotic
a substance produced by a microbe that, in small amounts, inhibits another microbe
selective toxicity
a drug that kills harmful microbes without damaging the host
5 modes of action of antimicrobial drugs
- inhibition of cell wall synthesis
- inhibition of protein synthesis
- inhibition of nucleic acid replication and transcription
- inhibition of synthesis and essential metabolites
- injury to plasma membrane
inhibition of cell wall synthesis
penicillins, cephalosporins, bacitran, vancomycin
inhibition of protein synthesis
chloramphenical, erythromycin, tetracyclines, streptomycin
inhibition of nucleic acid replication and transcription
quinolones, rifampin
injury to plasma membrane
polymyxin B
inhibition of synthesis of essential metabolites
sulfanilamide, trimethoprim
streptomycin
changes shape of 30S causing code on mRNA to be read incorrectly
chloramphenical
binds to 50S portion and inhibits formation of peptide bond
tetracycline
interfere w attachment of tRNA to mRNA-ribosome complex
bactericidal
kill microbes directly
bacteriostatic
prevent microbes from growing
natural penicillin
G-injection
V-oral
semisynthetic penicillin types
- oxacillin
2. ampicillin
oxacillin
narrow spectrum
only-gram positive
resistant to penicillinase
ampicillin
extended spectrum
many gram negatives
beta-lactam antibiotics
penicillin, carbapenems, monobactum
how to test for microbial susceptibility to chemotherapeutic agents
disc-diffusion method - shows inhibition
4 methods of resistance to antibiotics
- blocking entry
- inactivating enzymes
- alteration of target molecule
- efflux of antibiotic
5 ways antibiotics are misused
- using outdated or weakened antibiotics
- using for inappropriate conditions (viruses)
- use in animal feed
- failing to complete prescribed regimen
- use someone else’s leftovers
synergism
occurs when the effect of 2 drugs together is greater thanthe effect of either alone
antagonism
occurs when the effect of 2 drugs together is less than the effect of either alone
superinfection
overgrowth of microbes
antimicrobial drugs- eukaryotes- fungi
ketoconazole
antimicrobial drugs- eukaryotes- protozoa
mefloquine (malaria)
antimicrobial drugs- eukaryotes- helminths
niclosamide-tapeworms
praziquantel- flukes
antimicrobial drugs- eukaryotes- viruses
acyclovir
antimicrobial drugs- prokaryotes- mycobacteria
isoniazid
streptomycin
tetracycline
antimicrobial drugs- prokaryotes- gram-negative bacteria
streptomycin
tetracycline
antimicrobial drugs- prokaryotes- gram-positive bacteria
penicillin G
tetracycline
antimicrobial drugs- prokaryotes- chlamydias, rickettsias
tetracycline