Lecture Exam 3 Flashcards
Antibiotics
Antimicrobial agent that kills and interferes with the growth of microbes
Synthetic antibiotic
Not natural: made in the lab
Semi synthetic antibiotics
Natural product that is modified in the lab
Why was cantaloupe used to produce penicillin
It is cheep and easy to grow
- makes lots
Broad spectrum
Antibiotic works against many types of bacteria
Narrow spectrum
Antibiotic works only on a certain bacteria
Specific!!
Superinfection
Bacterial overgrowth
What causes a superinfection?
Disruption of a community
- overgrowth of a certain microbe
Magic bullet idea
Kill the bacteria w/o harking host cells
What is the technical term for “magic bullet”
Selective toxicity
Antimicrobial drugs
Kill or interfere with growth of microbes
Bacteriostatic
Reversibly stops bacteria from growing
- “static” like the tv is stuck
Bactericidal
Kills bacteria
- like suicide - kill oneself
What are the 5 mechanisms of action for Antimicrobial drugs ( inhibit what)
- Inhibit cell wall synthesis
- Inhibit protein synthesis (ribosome)
- Inhibit dna replication
- Injury the plasma membrane
- Inhibit metabolism
Transpeptidase
Enzyme that joins cross bridges on the cell wall
Penicillin
beta lactam ring = consistent part
Side chain = what makes them different (variable)
Competitive inhibitor
It competes w/ substrate to bind to active site
- able to bind to active site making it still a functional enzyme
Non competitive inhibitor
Binds outside of substrate- substrate still able to bind to active site
- makes it nonfunctional due to changing shape
Penicillin is a _______ inhibitor
Competitive
How does penicillin inhibit cell wall synthesis?
It inactivated transpeptidase, weakening the cell wall - resulting in the cell lyses (die)
What type of solution would the cell lyse in the presence of penicillin?
Hypotonic
Penicillinase
Breaks the beta-lactam ring of penicillin making the antibiotic not functional
What are the beta lactams we looked at?
- natural penicillin
Methicillin
Amoxicillin
Penicillin is most effective against
Gram positive : due to having difficult time getting through outer membrane of gram negative
Penicillin is a _______ spectrum
Narrow - work against gram positive only
Two semisynthetic penicillin
Methicillin & amoxicillin
Methicillin
Beta lactamase resistant - resistant against penicillinase
Amoxicillin
Fits through porins of gram negatives - can work against normal g+ / g-
Clavulanic acid
Non competitive penicillinase inhibitor
Amoxicillin with clavulanic acid
Allows it to inhibit cell wall synthesis of normal g+/g- and G+/G- w/ penicillinase present
Inhibitors of cell wall synthesis best kill
Only cells that are growing
Vancomycin
inhibits cell wall by binding to peptide chains & blocking transpeptidase activity
Vancomycin is _____ spectrum
Narrow
Mechanisms of inhibiting the ribosome
- blocks tRNA attachment
- Blocks the ability to form a peptide bond
- blocks translocation
- inhibits small & large subunits from interacting
- change shape of ribosome = change of function
Ribosome
Has large subunit - 50s
Small subunit - 30s w/ e site, p site, a site
What antibiotics target the ribosome
Chloramphenicol
Doxycycline
Streptomycin
Tobramycin
Azithromyosin
Linezolid
Doxyclycline
Long retention in the body
Streptomycin
Sometimes used for tuberculosis
Tobramycin is used for
Cystic fibrosis
Azithromycin is sometimes used for
Chlamydia
Linezolid is sometimes used against
MRSA
Antibiotics that target the ribosome are typically broad or narrow spectrum
Broad
What Antimicrobial drug inhibits rna synthesis
Rifampin
Rifampin is used to treat
Tuberculosis
Rifamycins antibiotic group
Inhibit mRNA synthesis by acting on bacterial rna polymerase
Rifampin directly inhibits…..
Transcription
What Antimicrobial drug inhibits dna synthesis
Fluoroquinolones
Fluoroquinolones antibiotic group
Inhibits bacterial DNA gyrase which can ultimately cause DNA breakage ( relieving tension in dna when dna is unwound during dna replication)
What 2 Antimicrobial drugs injure the plasma membrane
Polymyxin B
Daptomycin
Polymyxin
Inserts into membrane causing increased permeability (leaky cell)
- ## target more electronegative membranes
Polymyxin is effective against
Gram negatives only
Daptomycin
Insert into the membrane creating pores leading to leakiness
Daptomycin is effective against
Gram positive only
Antimicrobial drugs that inhibit metabolism
Sulfonamide
Trimethoprim
Sulfonamides (sulfa drugs)
Inhibits one step of folic acid synthesis
Trimethoprim
Inhibits another step of folic acid synthesis
Synergism
Effectiveness of 2 drugs is greater than one
Sulfonamides & trimethoprim are ______ inhibitors
Competitive
What are the 4 mechanisms of bacteria resistance to antibiotics
- Blocking entry
- Inactivating enzyme
- Altering molecule
- Efflux (kicking out) antibiotic
Superbug
Multi drug resistant bacteria
Example of a superbug
MRSA
What can staphylococcus aureus cause
Pimples
Pneumonia
Food poisoning
Infections caused by staphylococcus aureus
Skin and soft tissue
Breast implant infection
Endocarditis
Mutations that provide antibiotic resistance occur
Spontaneously
Natural selection
Passing down genetics
- surviving and reproducing
Mutations that allow an organism to survive/ reproduce are selected under certain selective pressure
True or False
True
Directional selection
Bacteria that are antibiotic resistance are able to survive and reproduce if treatment was stopped early
Advantageous mutations in bacteria can be passed how
Vertically and horizontally
What are the 3 ways horizontal gene transfer can occur
Transformation
Conjugation
Transduction
What are the 2 ways antibiotic resistant bacteria strains come about?
- overuse of antibiotics
- misuse of antibiotics
Overuse of antibiotics cases the high resistance bacteria to survive
True or False
True: ⬆️ antibiotic use = ⬆️ exposure of bacteria to antibiotic = ⬆️ likelihood antibiotic resistant bacteria will survive/ reproduce
What are some ways a person can misuse antibiotics
- used inappropriately (taking for their infections)
- treatment is not long enough
Treatment is too low of a dose
HAI - Hospital acquired infection
Infection patient gets while in the hospital
Hospital acquired infection is also known as
Nosocomial infection
CAI - community acquired infection
Infection acquired outside a healthcare facility
What three things should you consider with a hAI
Compromised hosts
Chain of transmission
Microbes present in healthcare - antibiotic resistant ones
Compromised hosts
Resistance to infection is impaired by disease, therapy or burns
- have suppressed immune system
What are some routes of transmission
Direct contact
Indirect contact
What a re some ways to prevent antibiotic resistant bacteria from spreading ?
- complete entire antibiotic dose
- do not use left over medication to treat other illness
- try to use narrow spectrum when possible
- don’t take it if it is not necessary
Pathology
The study of a disease and its…
Etiology
Cause of the disease ( the source)
Pathogenesis
How a disease develops ( structurally and functionally)