Lecture 20 - Antimicrobial Drugs Flashcards
Methods Which Could be Used to Test for Herpes Simplex Virus
- Cell Culture (with host cells provided)
- Fluorescent Antibody (FA) Test
- PCR
- Serological Test for Antibodies
Chemotherapy
to treat a disease with chemicals that are taken into the body
Antimicrobial Drugs
chemotherapeutic agents used to treat infectious diseases
First Step in Determining How to Treat a Disease
determine if the disease is infectious or noninfecious
-cidal
to kill
-static or -stasis
to stop/stand still
Bacteriocidal Drugs
drugs that kill bacteria
Bacteriostatic Drugs
drugs that halt/slow the growth of bacteria so that the immune system can do the rest
synthetic drugs
drugs made in a lab
antibiotics
antimicrobial drug derived from the natrual processes of bacteria or fungi to harm other microbes
Where are streptomyces often found?
in soil
Are streptomyces bacteria or fungi?
Bacteria
Paul Erlich
- Coined the term “chemotherapy”
- Developed Salvarsan (the “magic bullet”) to treat Sypilis
Salvarsan was a derivative of _____.
arsenic
Gerhard Domagk
discovered Prontosil, a red dye and sulfa- derivative, to protect against staph and strep infections
Class of Drugs Often Used to Treat UTI
Sulfa- medications
Discovered Lysozyme
Alexander Flemming
Discovered Penicillin
Alexander Flemming
aplastic anemia
occurs when the body does not produce enough formed elements (platelets, RBC, WBC, etc)
Theraputic Index
the ratio of the dose of a drug which is toxic in the body to the dose that is toxic to the microbe
7 Criteria for an Effective Antimicrobial Drug
- should be selectively toxic
- should not produce hypersensitivity reactions
- should be soluble in body-tissues
(fatsoluble) - should not be degraded or excreted from the body too quickly
- should have a long shelf-life
- use of the drug should not lead to resistant strains of the microbe
- should not elimate normal flora of the host
1st Criteria for an Effective Antimicrobial Drug
the drug should be selectively toxic
2nd Criteria for an Effective Antimicrobial Drug
the drug should not produce a hypersensitivity reaction
Penicillin belongs to which group of antibiotics?
Beta Lactams
Two Divisions of Beta Lactams
Penicillins & Cephalosporins
3rd Criteria for an Effective Antimicrobial Drug
Should be soluble in body tissues.
#Fat-Soluble
4th Criteria for an Effective Antimicrobial Drug
should not be degraded or excreted from the body too quickly
5th Criteria for an Effective Antimicrobial Drug
should have a long shelf-life
6th Criteria for an Effective Antimicrobial Drug
use of the drug should not lead to resistant strains of the microbe
7th Criteria for an Effective Antimicrobial Drug
should not elimate normal flora of the host
excipients
inactive ingredients in a drug that help the active ingredients last longer
Can antibiotics treat viruses?
No
Broad Spectrum Drugs
antibiotics that are effective in treating a wide range of pathogens
Isoniazid is effective in treating ______.
Mycoplasma
Are sulfonamides bacteriostatic or bacteriocidal?
Bacteriostatic
Is clindamycin bacteriostatic or bacteriocidal?
Bacteriostatic
Are tetracyclines bacteriostatic or bacteriocidal?
bacteriostatic
Are penicillins bacteriostatic or bacteriocidal?
bacteriocidal
Is Isoniazid bacteriostatic or bacteriocidal?
bacteriocidal
Is metronidazole bacteriostatic or bacteriocidal?
bacteriocidal
Is rifampin bacteriostatic or bacteriocidal?
bacteriocidal
Is vancomycin bacteriostatic or bacteriocidal?
bacteriocidal
Are aminoglycosides bacteriostatic or bacteriocidal?
bacteriocidal
Are quinolones bacteriostatic or bacteriocidal?
bacteriocidal
5 Ways Antimicrobial Drugs Work
- inhibit peptidoglycan/cell-wall synthesis
- inhibit protein synthesis
- inhibit nucleic acid transcrption and replication
- damage the plasma membrane
- inhibit synthesis of essential metabolites
1st Way Antimicrobial Drugs Work
inhibit peptidoglycan/cell-wall synthesis
2nd Way Antimicrobial Drugs Work
inhibit protein synthesis
3rd Way Antimicrobial Drugs Work
inhibit nucleic acid transcrption and replication
4th Way Antimicrobial Drugs Work
damage the plasma membrane
5th Way Antimicrobial Drugs Work
inhibit synthesis of essential metabolites
3 Groups of Drugs Which Inhibit Cell Wall Synthesis
- Beta-Lactams (Penicillins & Cephalosporins)
- Bacitracins
- Vancomysin
4 Types of Drugs Which Inhibit Protein Synthesis
Chloramphenicol
Erythromycin
Tetracyclines
Streptomycin
Drug Which Causes Damage to the Plams Membrane of Bacteria
Polymyxin B
2 Types of Drugs Which Inhibit Synthesis of Essential Metabolites in Bacteria
Sulfanamides
Trimethroprim
2 Types of Drugs Which Inhibit Nucleic Acid Transcription and Replication
Quinolones
Rifampin
Are antimicrobial drugs which inhibit cell wall synthesis more effective against Gram-Postive or Gram-Negative bacteria?
More effective against Gram-Positive because they have a thick wall of peptidoglycan.
Less effective against Gram-Negative because of the outer membrane.
How do tetracyclines work?
Inhibits protein synthesis by preventing attachment of tRNA to mRNA-ribosome complex
How does erythromycin work?
Inhbits protein synthesis by preventing movement of ribosome along the strand of mRNA
How does chloraphenicol work?
Inhibits protein synthesis by binding to 50S portion of ribosome and preventing formation of peptide bond
Why are antimicrobial drugs which inhibit protein synthesis effective against bacteria, but do not harm us?
bacteria have different sized ribosomes and ribosome subunits than we do
How do Quinolones work?
Inhibit DNA replication by targeting the enzymes Gyrase and Topoisomerase IV.
How does Rifampin work?
Inhibits Transcription of DNA into RNA by targeting the enzyme RNA Polymerase
How do Polymixins and Amphotericin B work?
they interfere with the cell membrane by binding to sterols and lodging themselves in the plasma membrane and disrupt the structure enough
Pseudomonas can be treated with
Amphotericin B
How do Sulfa- Drugs work?
Sulfa- Drugs inhibit the synthesis of folic acid, an essential metabolite by binding to the enzyme’s active site so that PABA cannot.
Why is it hard to find effective antiviral drugs?
viruses require a host cell for replication and we do not want to take a drug that will damage our own cells
2 Drugs Used to Treat Influenza Virus
- Amantadine
- Neuraminadase Inhibitors (i.e. Oseltamivir AKA Tamiflu)
How does Amantadine work to treat influenza virus?
inhibits uncoating of the virus
How does Tamiflu work to treat influenza virus?
blocks the release of the virus from the host cell
Antiviral Drug Used to treat Herpes
Acyclovir
How doe Acyclovir work?
acyclovir is false nucleotide resembling guanine to sude down the synthesis of herpes
Drug used to treat viral hepatitis?
Alpha Interferon
Topical Cream Used to Treat Genital Wart and Some Skin Cancers
Imiquimod
How does Imiquimod Work?
stimulates the production of interferons
Drug Used to Treat HIV
Azidothymidine (AZT)
How does Azidothymidine work?
interferes with reverse transcriptase
Used to Treat Malaria
Chloroquine
3 Drugs Used to Treat Protozoans
Chloroquine
Metronidazole
Tinidazole
2 Drugs Used to Treat Tapeworms & Flukes
Praziquantel
Niclosamide
2 General Antihelminthic Drugs
- Mebendazole
- Albendazole
3 Methods to Test Effectiveness of Antimicrobial Drugs
- Kirby-Bauer Disk-Diffusion Method
- E Test (to test multiple concentrations of a drug)
- Broth Dilution Test with a Sub Culture
MIC
Minimum Inhibitory Concentration
MBC
Minimum Bacteriocidal Concentration
7 Ways Microbes Become Resistant to Antimicrobials
- Blocking Entry of the Drug
- Inactivating Enzymes
- Pushing the Antibiotic Out
- Alteration of the Target Molecules
- Conjugation
- Mutation
- Mistakes in Replication