Chap 20- Antimicrobial Med History Flashcards

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1
Q

person who was interested in how cells take up dyes; searched for “magic bullet”/ cure to syphillis

A

Paul Ehrlich

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2
Q

terms used to describe meds that would kill pathogen w/o harming human host

A

Magic Bullet - Ehrlich’s terms

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3
Q

antibiotic or other chemical that acts by inhibiting or killing microbes and is used to treat an infectious disease;

A

antimicrobial meds/ drugs

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4
Q

discovered antimicrobial medication penicillin via staphylococcus mold secreting a substance that killed bacteria (aka penicillin)

A

Alexander Flemming

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5
Q

The use of drugs to treat a disease

A

chemotherapy

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6
Q

Interfere with the growth of microbes within a host​

A

antimircrobial drugs

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7
Q

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

A

antibiotic

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8
Q

How are new antimicrobial drugs developed?

A

altering structures of base drug yields new medications (penicillin yielding the –cillin fam from 1950s +)

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9
Q

Why is the development of new drugs costly?

A

FDA requirements/ strict testing; drug becomes more resistant w/ more use

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10
Q

Were common diseases fatal before discovery of peniciilin?

A

Yes, Dr.s could identify disease but had nothing to treat it, 1940s

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11
Q

Why are new meds in constant need of development?

A

Misuse of antimicrobial meds and microbial resistance to drug effectiveness after use

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12
Q

antimicrobial meds are selectively toxic meaning

A

they cause more harm to microbe than human host

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13
Q

toxicity of a given medication is relative & is expressed as the

A

therapeutic index

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14
Q

therapeutic index calculated as

A

lowest dose toxic to patient DIVIDED BY dose typically used for therapy

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15
Q

If meds are too toxic for systemic use, they may be used how??

A

Topically

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16
Q

inhibit bacterial growth

A

bacteriostatic

17
Q

chemicals that kill bacteria

A

bactericidal

18
Q

spectrum of activity for antibiotics

A

broad spectrum (affects wide range) vs narrow spectrum (affects limited range)

19
Q

medications that interfere with others

A

antagonistic medications

20
Q

medications that enhance one another

A

synergistic

21
Q

Adverse affects of antimircobial meds

A

allergic reactions, toxic effects, dysbiosis (imbalance in microbiome)

22
Q

Resistance due to inherent characteristics of an organism

A

intrinsic resistance

23
Q

Example of organism w/ intrinsic resistance? Why

A

Mycoplasma; they lack cell wall are intrinsically resistant to penicillian & any other antimicrobial that interferes with peptidoglycan synthesis

24
Q

Why are many gram negative bacteria resistant to meds?

A

their outer membrane prevents molecules from entering