Final Flashcards
The use of drugs to treat a disease
chemotherapy
interfere with the growth of microbes within a host
Antimicrobial drugs
of biological origin. produced by a microb, inhibits other microbes
Antibiotic
synthetic chemicals
chemotherapeutic agent
Today distinction -> many newer antibiotics are biological products that are
chemically modified or
chemically synthesized
ddrugs kills pathogens without damaging the host
selective toxicity
ratio between toxic dose and therapeutic dose or ration of LD50 to ED50
therapeutic index
high therapeutic index
less toxic
bacteriostatic vs. bactericidal - range of activity of an antimicrobial against bacteria
antimicrobial action
broad-spectrum vs. narrow spectrum
activity spectrum
BBB, unstable in acid; half-life duration
tissue distribution, metabolism, and excretion
combinations of two antibiotics that have enhanced bactericidal activity when tested together compared with the activity of each antibiotic; to prevent the emergence of of resistant organisms during therapy
antibiotic synergism
combination of antiobiotics in which the activity of one antibiotic interferes with the activity of the other
antibiotic antagonism
Ideal drug
There is no ideal drug but selective toxicity lack of side effect bactericidal vs. bacteriostatic favorable pharmacokinetics spectrum of activity little resistance development
selective toxicity
against target pathogen but not against host
LD high vs. MIC and/or MBC(low)
Lack of side effects
therapeutic index:effective to toxic doees ratio
favorable pharmacokinetics
reach target site in body with effective concentration
spectrum of activity
broad vs. narrow
susceptibility test
- broth dilution
- agar dilution
- agar diffusion –> kirby-bauder disk diffusion test
zones of inhibition depend upon
pH of environment media components (agar depth, nutrients) stability of drug size of inoculum length of incubation metabolic activity of organism
- inhibition of cell wall synthesis
penicillins, cephalosporins, bacitracin, vanomycin
- inhibition of protein synthesis
chloramphenicol, erythromycin, tetracyclines, streptomycin
- inhibition of nucleic acid replication and transcription
quionolones, rifampin
- injury to plasma membrane
polymyxin B
- inhibition of synthesis of essential metabolites
sulfanilamide, trimethoprim
antimicrobials of class 1 (wall)
beta lactam drugs
non-beta latam drugs