class #5- antibiotics and resistance Flashcards

1
Q

what is an antibiotic

A

a compound known to exhibit growth-inhibiting properties, they are chemical and biological compounds

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2
Q

what is antibiotic resistance

A

The ability of an organism to grow and/or exist in the presence of antibiotics (bacteria change over time and no longer respond to meds)

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3
Q

what are some reasons for the rise of antimicrobial resistance

A

-over-prescription
-don’t take enough antibiotics
-antibiotics in food supply
-no new antibiotics

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4
Q

why have there been no new drugs within the past 50 years

A

drug development cannot keep up with new infections and antibiotic resistance

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5
Q

how do bacteria become genetically resistant to antibiotics?

A

-spread of resistance genes through genetic transfer events (conjugation, transformation, mutation)

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6
Q

what are some global threats discussed in this lecture

A

-MRSA (Methicillin resistant Staphylococcus aureus)
-VRE (Vancomycin Resistant Enterococci)
-Multidrug and extremenly resistant M. tuberculosis (XDR)

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7
Q

what does MRA stand for

A

multidrug-resistant

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8
Q

what does XDR stand for

A

extensively drug resistant

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9
Q

what is MRSA

A

Methicillin resistant Staphylococcus aureus- bacteria responsisble for difficult-to-treat infections in humans

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10
Q

what is VRE

A

Vancomycin Resistant Enterococci - responsible for hard to clear infections, can lead to complications and death

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11
Q

what are multidrug and extremely resistant M. tuberculosis strains

A

a pressing issue in developing countries, the latent/dormant phase results in carrier state. also a co-infection with HIV

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12
Q

what do antibiotics secrete

A

synthesize and secrete molecules that inhibit growth of other bacteria

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13
Q

what makes relevant and appropriate target for inhibition

A

bacterial features that are unique - protein translation, cell wall, outer membrane, DNA replication

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14
Q

what are the classes of antibacterial compounds

A

-methicillins
-protein synthesis inhibitors
-DNA/RNA inhibiting/altering

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15
Q

what is a beta-lactam antibiotic

A

modified antibiotics, they block cell wall biosynthesis by inhibiting the transpeptide linkage to peptidoglycan & results in weakened cell wall … easier for immune system to kill bacteria

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16
Q

what do bacteria fight back with

A

b-lactamases

17
Q

what are b-lactamases

A

enzymes that are secreted by bacteria to cleave the b-lactam ring compounds

18
Q

what did chemists respond to b-lactamases with

A

clavulanic acid

19
Q

what is clavulanic acid

A

A b-lactamase inhibitor compound that is added to antibiotics

20
Q

what are resistance mechanisms that bacteria use

A

dont let drug in, pump the drug out, inactive drug (b-lactamases chop up b-lactams), or mutate the target

21
Q

what are biofilms

A

extracellular goo that protects bacteria from antibiotics

22
Q

what are biofilms made up of

A

polysaccharides, protein, lipids, DNA, or a mix

23
Q

what is a biofilm capsule

A

a slimy hydrophobic sticky covering to cells

24
Q

what is an efflux pump

A

an active transporter in cells that moves out unwanted material

25
function of efflux pump
a method to remove toxic compounds from the cell thereby promoting survival
26
what is combination therapy
treat with multiple antimicrobial agents to reduce the occurrence of surviving antibiotic resistant bacterial strains
27
what is phage therapy
the therapeutic use of bacteriophages for the treatment of pathogenic bacterial infections
28
what are microbiomes
combinations of all microbes that naturally live on or inside our bodies
29
examples of microbiomes
bacteria, fungi, viruses, and their genes
30
what is Clostridium dificille
an anaerobe, spore-former that causes severe diarrhea