Lecture 10: Antibiotics and resistance Flashcards

1
Q

what is the major way in measuring antibacterial activity?

A

zone of inhibition

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2
Q

what are aminoglycosides?

A

antibiotics that contain sugars bonded by a glycoside linkage BUT are neuro/nephrotoxic so are reserves for if all else fail

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3
Q

what are some examples of aminoglycosides?

A

streptomycin and kanamycin

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4
Q

what are macrolides?

A

antibiotics that contain lactone rings bonded to sugars and target the 50s subunit of ribosomes

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5
Q

what are tetracyclines?

A

antibiotics that contain 4 rings and target the 30s unit of ribosomes

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6
Q

what is the name of natural penicillin?

A

benzylpenicillin (penicillin G)

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7
Q

what are the 3 artificial penicillins?

A

methicillin, oxacillin, and ampicillin

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8
Q

what are B-lactam antibiotics?

A

include penicillins, cephalosporins and cephamycins

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9
Q

which type of bacteria are pencillins mostly effective toward?

A

gram positive

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10
Q

where do penicillins target?

A

cell wall synthesis by binding to the Penicillin Binding Proteins (PBPs) weakening the peptidoglucan layer

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11
Q

what do quinolones do?

A

inhibit DNA gyrase by binding to the subunit A and acting as an non-competitive inhibitor

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12
Q

what is vancomycin?

A

antibiotic that inhibits cell wall biosynthesis and used for the treatment of C.difficile

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13
Q

what is methicillin?

A

an antibiotic that inhibits cell wall biosynthesis

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14
Q

why are some antibiotics inaffective against gram negative bacteria?

A

cannot diffuse across the outer membrane so cant access the peptidoglucan

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15
Q

what are the 2 pathogens resistant to all known antimicrobials?

A

MRSA and carbapenem resistant K.pneumoniae

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16
Q

what are the 5 mechanisms that are possible reasons for antibiotic resistance?

A

organism:
- lacks the antibiotic target structure
- impermeable to antibiotic
- inactivate antibiotic
- modify antibiotic target
- pump out antibiotic (efflux)

17
Q

where are drug resistance genes located?

A

R plasmids