Lecture 10 Flashcards
What is the goal of antimicrobial chemotherapy?
administer a drug to an infected person that destroys the infective agent without harming the host’s cells (selective toxicity)
Chemotherapeutic drug
any chemical used in the treatment, relief, or prophylaxis of a diease
Prophylaxis
the use of a drug to prevent imminent infection of a person at risk
Antimicrobials
all inclusive term for any antimicrobial drug no matter its origin
Antibiotics
substances produced by the natural metabolic processes of some microorganisms that can inhibit or destroy other microorganisms
semisynthetic durgs
natural resources that are chemically modified in the lab
synthetic drugs
drugs produced by chemical reactions
Why are antibiotics produced and what are they derived from?
- are common metabolic products of aerobic bacteria and fungi
- produced to inhibit the growth of competing microbes in the same habitat
Derived from
bacteria in the genera Streptomyces and Bacillus
molds in the genera Penicillium and Cephalosporium
What is the kirby-baurer techinque testing for drug susceptibility?
surface of an agar plate is spread with bacteria
small discs containing a prepared amount of antibiotic are placed on the plate
zone of inhibition surrounding the discs is measured and compared with a standard for each drug
antibiogram provides data for drug selection
this method is less effective for anaerobic, fastidious, or slow-growing bacteria
What is the tube dilution test for testing for drug susceptibility?
more sensitive and quantitative than the Kirby- Bauer test
antimicrobial is diluted serially in tubes of broth
each tube is inoculated with a small uniform sample of pure culture
useful in determining the effective dosage and providing a comparative index against other antimicrobials
What is the therapeutic index?
-the ratio of the dose of the drug that is toxic to humans as compared to its minimum effective (therapeutic) dose
-the smaller the ratio, the greater the potential for drug reactions
Toxic dose ÷ MIC
The closer this is to 1, the more toxic it is.
What are the goals of antimicrobial drugs?
disrupt cell processes or structures of bacteria, fungi, or protozoa
inhibit virus replication
interfere with the function of enzymes required to synthesize or assemble macromolecules
destroy structures already formed in the cell
What is selectively toxic?
kill or inhibit the actions or synthesis of molecules in microorganisms but not vertebrate cells
What do drugs with excellent selective toxicity do?
block the synthesis of the bacterial cell wall (penicillins)
What drugs are most toxic to humans?
drugs that act upon a structure common to both the infective agent and the host cell (cell membrane)