Chapter 10 Flashcards
Use of a drug to prevent infection of a person at risk
Prophylaxis
Natural metabolic processes of some microorganisms
Antibiotics
Narrow spectrum
limited spectrum (only gram positive
Broad spectrum
Extended spectrum (against both gram positive and gram negative)
Kirby-bauer
Zone of inhibition surrounding the discs is measured and compared with standard for each drug
Tube dilution test
More sensitive and quantitative than the Kirby-bauer test
MIC
Smallest concentration that works
In vivo and in vitro activity of a drug are always the same (T/F)
False, they are not always correlated
Therapeutic Index
The ratio of the drug that is toxic to humans as compared to its minimum effective therapeutic dose (TOXIC/ MIC)
(T/F) The highest therapeutic index has the widest margin of safety
True
Before prescribing antibiotic the physician must take a careful history of
Underlying liver or kidney disease
Humans lack which chemical and how is this beneficial?
Lack chemical peptidoglycan which makes unaffected by the drug
(T/F) As characteristics of infectious disease are more and more similar to the host cell, selective toxicity becomes easier to achieve
False, it becomes more difficult to achieve
(T/F) Bacteria in biofilms behave differently when they are free-living
True
The challenge of antielminthic drug therapy
Their physiology is much more similar to humans