Drugs for bad bugs Flashcards
1
Q
Define bacteriostatic
A
Agent prevents growth of bacteria
2
Q
Define bactericidal
A
Agent kills bacteria
3
Q
Factors limiting drug efficacy
A
- genetic drug resistance
- phenotypic drug tolerance
- intrinsic drug resistance
4
Q
Factors influencing intrinsic drug resistance
A
- permeability
- efflux
- enzymatic modification/ degradation
5
Q
Factors influencing genetic drug resistance
A
- resistance elements
- mutations
6
Q
How is genetic resistance acquired?
A
- HGT
- de novo mutation
7
Q
Describe resistance in Mtb
A
- driven by chromosomal rearrangements and point mutations
- no evidence of HGT or plasmids
8
Q
First line treamtent for Mtb
A
2 months
- Isoniazid
- Rif
- Ethambutol
- Pyrazinamide
- Streptomycin
4 months
- Isoniazid
- Rif
9
Q
Name an emerging drug-resistant Mtb strain in WC
A
DRF150
10
Q
How to measure fitness
A
- growth in vitro
- competition in vitro
- competition in vivo