Prevention and Treatment of Infections Flashcards

1
Q

Father of microbiology

A

Antonie van Leeuwenhoek

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2
Q

Communicable Disease

A

disease spread from one person to another

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3
Q

Contagious Disease

A

readily spread between people

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4
Q

First Line of Defense Against Infectious Disease

A

brain

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5
Q

Pathogen Level Infection Control

A

hand hygiene most important control measure

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6
Q

Procedures of Pathogen Level Control

A

Sterilization, disinfection, decontamination, antisepsis

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7
Q

Sterlilization

A

a validated process used to render a product free of all forms of microorganisms, including endospores

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8
Q

Disinfection

A

elimination of most pathogens, excluding spores

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9
Q

Decontamination

A

reduction of pathogenic microorganisms to a level where the items are safe to handle

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10
Q

Antisepsis

A

disinfection of living tissue or skin for the removal of transient micorflora

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11
Q

Host Level Infection Control

A

innate and adaptive immune systems. Control- immunization

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12
Q

Passive Immunization

A

administration of antibodies. Immunity does not last long and can lead to antibody-mediated anaphylaxis

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13
Q

Active Immunization

A

vaccination- the administration of components of a pathogen to induce host immune response

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14
Q

Vaccines

A

harmless components of the infectious agents when introduced into the host to induce a specific defense response without having to go through the disease. Cheaper than diagnosis and treatment- reduce human suffering from diseases which don’t have a cure

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15
Q

Types of Vaccines

A

inactivated, live-attenuated, recombinant, toxoid, vector, mRNA

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16
Q

Inactivated Vaccine

A

killed version of the germ that causes disease

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17
Q

Live-Attenuated Vaccine

A

weakened version of the virus

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18
Q

Recombinant Vaccine

A

produced through recombinant DNA technology

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19
Q

Toxoid Vaccine

A

made from a toxin that has been made harmless

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20
Q

Vector Vaccine

A

modified version of a different virus

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21
Q

mRNA Vaccine

A

introduce mRNA that correspond to a viral protein

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22
Q

Environmental Level Infection Control

A

knowledge of maintenance of the pathogens in the environment and their transmission modes. Water, soil, air, food, vectors, fomites

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23
Q

Antimicrobials

A

drugs that destroy microbes, prevent their multiplication or growth or prevent their pathogenic effect. Can be of natural, semisynthetic, or synthetic origin

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24
Q

Antibiotic

A

substance produced by microorganisms that at a low concentration inhibits or kills other microorganisms

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25
Classification of Antimicrobial Agents
chemical family structure, mode of action, type of antimicrobial activity, spectrum of antimicrobial activity
26
Antimicrobial Classes based on mode of action
target cell wall/cell membrane, target nucleic acid synthesis, target protein synthesis
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Target Cell Wall
beta lactams (penicillin, ampicillin), glycopeptides (vancomycin)
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Target Nucleic Acid Synthesis
sulfonamides/trimethropin-Folic acid synthesis (purine metabolism) fluoriqionolona (enrofloxacin, ciprofloxacin) Rifampin (RNA)
29
Target Protein Synthesis
tetracyclines, macrolides, aminoglycosides, chloramphenicol
30
Broad-Spectrum Antibacterials
active against both gram-positive and gram-negative bacteria (tetracyclines, chloramphenicol, fluoroquinolone, cephalosporins)
31
Narrow Spectrum Antibacterials
have limited activity and are primarily only useful against particular species of microorganisms
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Bactericidal
kills bacteria
33
Bacteriostatic
inhibits bacteria
34
Why use antibiotics in animals
1. reduction of animal pain and suffering 2. Protection of livelihood and animal resources 3. assurance of continuous production of foods of animal origin 4. prevention or minimizing shedding of zoonotic bacteria into the environment and the food chain 5. Containment of potentially large-scale epidemics that could result in severe loss of animal and human lives
35
Non-therapeutic use of antibiotics
growth promotion in meat industry. Prophylaxis (prevention), metaphylactic (control)
36
Antimicrobial Susceptibility Testing
laboratory test to determine whether a bacteria is susceptible to a particular antimicrobial agent. Performed for selecting an antimicrobial for treatment or tracking of antimicrobial resistance
37
Methods of Antimicrobial Susceptibility Testing
broth/agar dilution test | Disk diffusion test
38
Minimum Inhibitory Concentration
minimum amount of drug required to inhibit bacterial growth. Drugs with lower MIC values are better choices for treatment
39
Minimum Bactericidal Concentration
amount required to completely kill bacteria
40
Susceptibility Break Point
drug concentration above which an organism is considered resistant and ot or below this value organism is susceptible to that drug
41
Break Point Values
susceptible, intermediate, resistant
42
Disk Diffusion
Kirby Bauer Test. Standardized bacterial inoculum spread on agar plate. Single concentration antimicrobial disks are placed on plate and incubated. Growth inhibition zone diameter is measured
43
Broth Dilution Test
add multiple dilutions of antimicrobial agents in the tubes. Add a standardized inoculum of bacteria. Measure the MIC.
44
E-Test Gradient Diffusion Test
uses diffusion and dilution MIC values can be obtained via gradient of concentration of antimicrobial
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Susceptible
high likelihood of therapeutic success
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Intermediate
uncertain therapeutic outcome
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Resistant
high likelihood of therapeutic failure
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Pharmacodynamics
effect of the drug on the body; mechanism of action and efficacy
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Pharmacokinetics
fate of the drug in the body (absorption, transformation, distribution, elimination)
50
Post-Antibiotic Effect
suppression of bacterial growth that persists after brief exposure of organisms to antimicrobials. May have a clinical impact on antimicrobial dosing regimens.
51
Why use antimicrobial combinations
1. to obtain antimicrobial synergism 2. to treat polymicrobial infections 3. To decrease the emergence of antimicrobial resistance 4. To reduce drug toxicity
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What determines what drug to use?
location of infection, cost of therapy, pharmacodynamics and pharmacokinetics of drug, condition of the patient
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Four-Quadrant Therapy
used when the consequences of treatment failure is detrimental. Is effective against all likely bacteria. Maximizes the effect of antimicorbial therapy when the pathogen is unkown
54
Beta Lactam Antimicrobials
penicillin, ampicillin, cephalosporins, sublactams, carbapenems, monobactams
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Beta Lactam Mechanism of Action
inhibit cell wall synthesis (peptidoglycan synthesis)
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Beta Lactam Spectrum of Activity
differ in their spectrum of activities
57
Beta Lactam type of antibacterial activity
bactericidal
58
Beta Lactam Adverse Effects
penicillin allergy and anaphylxis
59
Tetracyclines
oxytetracycline, doxycycline, minocycline
60
Tetracycline Mechanism of Action
inhibit protein synthesis (bind to 30s ribosome)
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Tetracycline Spectrum of Activity
broad spectrum
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Tetracycline type of antibacterial activity
bacteriostatic
63
Tetracycline Adverse effects
irritant, cardiovascular effects, tooth discoloration, alteration of intestinal flora and enterocolitis, nephrotoxicity
64
Aminoglycosides
gentamicin, amikacin, tobramycin
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Aminoglycosides mechanism of action
inhibit protein synthesis (30s ribosome)
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Aminoglycoside spectrum of activity
broad spectrum
67
Aminoglycoside type of antibacterial activity
bactericidal
68
Aminoglycoside adverse effects
nephrotoxicity, ototoxicity/cranial nerve VII toxicity/vestibular or cochlear damage
69
Fluoroquinolones
enrofloxacin, ciprofloxacin
70
Fluoroquinolone Mechanism of action
inhibit DNA gyrase
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Fluoroquinolone spectrum of activity
broad spectrum
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Fluoroquinolone type of antibacterial activity
bactericidal
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Fluoroquinolone adverse effects
arthropathy, ocular toxicity in cats
74
Macrolides
erythromycin, azithromycin, clarithromycin
75
Macrolides mechanism of action
inhibit protein synthesis (50s ribosome)
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Macrolides spectrum of activity
broad spectrum
77
Macrolides type of antibacterial activity
bacteriostatic
78
Macrolides adverse effects
GI effects
79
Sulfa or potentiated sulfa drugs
sulphonamide, sulfamethoxazole, sulfadiazine
80
Sulfa mechanism of action
inhibit folic acid synthesis and subsequently prevents nucleic acid synthesis pathway
81
Sulfa spectrum of activity
broad spectrum
82
Sulfa type of antibacterial activity
bacteriostatic
83
Sulfa adverse effects
allergic reactions in dogs, keratoconjuctivitis sicca in dogs
84
True antibiotic examples
penicillin, tetracycline, streptomycin
85
Semi-synthetic antimicrobial examples
ampicillin, amikacin
86
Synthetic antimicrobial examples
sulfonamide, enrofloxacin, marbofloxacin
87
What are the main factors you need to consider when implementing an antimicrobial therapy?
the drug, microbiology, and patient
88
How do you interpret antimicrobial susceptibility results?
based on published reference breakpoints