Drugs for bad bugs Flashcards

1
Q

Define bacteriostatic

A

Agent prevents growth of bacteria

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2
Q

Define bactericidal

A

Agent kills bacteria

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3
Q

Factors limiting drug efficacy

A
  • genetic drug resistance
  • phenotypic drug tolerance
  • intrinsic drug resistance
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4
Q

Factors influencing intrinsic drug resistance

A
  • permeability
  • efflux
  • enzymatic modification/ degradation
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5
Q

Factors influencing genetic drug resistance

A
  • resistance elements

- mutations

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6
Q

How is genetic resistance acquired?

A
  • HGT

- de novo mutation

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7
Q

Describe resistance in Mtb

A
  • driven by chromosomal rearrangements and point mutations

- no evidence of HGT or plasmids

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8
Q

First line treamtent for Mtb

A

2 months

  • Isoniazid
  • Rif
  • Ethambutol
  • Pyrazinamide
  • Streptomycin

4 months

  • Isoniazid
  • Rif
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9
Q

Name an emerging drug-resistant Mtb strain in WC

A

DRF150

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10
Q

How to measure fitness

A
  • growth in vitro
  • competition in vitro
  • competition in vivo
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