Lec 5-3 - Antimicrobial Agents Flashcards
ability to kill susceptible microbes
bactericidal
ability to inhibit essential metabolic pathways and block the growth of the microbe
bacteriostatic
minimum concentration required to inhibit bacteria growth
MIC
minimum concentration to kill 99.9% bacteria
MBC
method to find mic or mbc by serial dilution of antibiotics mixed with constant amount of inoculum
tube dilution
the range of activity of each antibiotic
spectrum
drug with more selectivity
narrow spectrum
drug that reacts against a lot of bacteria types
broad spectrum
this is when there is a lack of definite diagnosis so braod spectrum antibiotics are often used for treatment but can lead to resistance
empiric therapy
therapy when a narrow spectrum is chosen
selective therapy
effect when a bacteriostatic and bactericidal antbiotic interact and help each other
synergy
effect when a bacteriostatic and bactericidal antibiotic are added together and slow each other down
antagonism
beta lactam antibiotics attack blank of prokaryotes
cell wall (peptidoglycan)
these play essential role in cell wall synthesis and are the target of penicillin
penicillin binding proteins
these bind to 30s or 50s ribosomes and prevent subsequent protein synthesis
aminoglycosides
these bind to 30s ribosome subunits and prevents tRNA from entering the acceptor sites on the ribosome
tetracyclines
these bind to 23s rRNA in ribosome and block translocation strep in protein synthesis
macrolides
these block action of peptidyl transferase and prevent peptide bond synthesis so it blocks the action of individual proteins
chloramphenicol
these target dna gyrase or topoisomerase
quinolones/levofloxacin
these target dna directly and also target healthy cells
metronidazole
these target dna dependent rna polymerase
rifampin
a target site for some antibiotics is to this because many bacteria synthesize it and is from PABA and glutamate
folic acid
resistance present before contact with antibiotics
intrinsic
resistance developed from exposure to antibiotics
acquired
intrinsic resistance is a result of blank
point mutations
acquired resistance is a result of blank
acquiring dna from different species
a superbug is resistant to blank
multiple antibiotics
major mechanisms of resistance
enzyme degradation, changing target, reduced permeability
new antibiotic that nothing could develop resistance to
teixobactin
teixobactin is most effective against blank bacteria
gram positive
smaller MIC means blank antiobiotic
better (takes less to work)
example of antibiotic resistance that is inactivated
beta lactam, aminoglycosides
example of antibiotic resistance that is actively effluxed
tetracycline
example of antibiotic resistance that has target modified
vancomycin