Microbiology SGL5 Flashcards
Antibiotic
Medicine used to prevent or treat bacterial infection
Mechanism that mediate bacterial resistance to drug
- Enzymes that inactivate the drug
- modified target the drug has reduced affect against
- reduce permeability of drug through cell membrane
- export drug using multidrug-resistance pump
Most drug resistance is due to
1-genetic change in the organism: -chromosomal mutation -acquisition of plasmid or transposon 2-non genetic changes E. G. Bacteria within an abscess
Chromosome mediated resistance
-Change the target of the drug
-Change the membrane
Chromosomal mutation occur at low frequency and is less of a clinical problem
Plasmid mediated resistance
-resistance by encoding enzymes that deactivate the drug
-occurs at higher frequency
R plasmid usually carry the gene
-they’re more clinically important
Plasmid mediated resistance
Occurs in many different species, especially gram negative Rod
Frequently mediated resistance to multiple drugs
Have higher rate of transfer from one cell to another usually by conjugation
Non genetic resistance
Bacteria inside abscess antibiotic can’t penetrate effectively
Bacteria in resting state
Some strain survive as Protoplast
Early generation of cephalosporin
Poor penetration into spinal fluid
The minimal inhibitory concentration
The lowest concentration of drug that inhibits the growth of bacteria isolated