T2: ANTI-INFECTIVE AGENTS Flashcards
Is a general term for any medication that is effective against pathogens
ANTI- INFECTIVE
Although antibiotic is more frequently used, these term refers only to natural substances produced by microorganism that can kill other microorganism
ANTI-INFECTIVE
Medications that accomplish this goal by killing the bacteria.
BACTERIOCIDAL/BACTERICIAL
This drug will not kill the bacteria but instead slow their growth, depending on the body’s natural defense to dispose microorganism.
BACTERIOSTATIC
Microorganism have the ability to replicate extremely rapidly
MUTATION OR ERRORS IN GENETIC CODE
Occur spontaneously and randomly throughout the bacterial chromosomes
MUTATION OR ERRORS IN GENETIC CODE
Clients develop an infection that is resistant to conventional drug therapy.
ACQUIRED RESISTANCE
Are effective against many different species of pathogens
BROAD SPECTRUM ANTIBIOTIC
Effective against only one or a restricted group of microorganism
NARROW SPECTRUM ANTIBIOTIC
Process of growing the pathogen and identifying the most effective antibiotic.
CULTURE AND SENSITIVITY TEST
Appearance of secondary infection
SUPERINFECTION
Occur when microorganisms normally present in the body are destroyed
SUPERINFECTION
Normal microorganism, inhabit the skin, upper respiratory, genitourinary, and intestinal tract.
HOST FLORA
to kill enough bacteria, or to slow the growth of the infection, so that natural body defenses can overcome the invading agent
PRIMARY GOAL OF ANTIBIOTIC
caused by the acid-fast bacillus Mycobacterium tuberculosis or tubercle bacillus
TUBERCULOSIS
killing one person than any other infectious disease, including acquired
immunodeficiency syndrome (AIDS) –immune disorder characterized by opportunistic diseases
TUBERCULOSIS
Slow growing mycobacterium usuallybecome dormant, existing inside cavities.
TUBERCLES
Agents that treat tuberculosis
ANTI-TUBERCULAR DRUGS
first drug used to treat TB, and is given parenteral antibiotic
STREPTOMYCIN
first oral drug preparation effective against the tubercle bacillus and was
discovered in 1952
ISONIAZID (INH
was discovered in 1952
ISONIAZID (INH)
bacterial drug that inhibits tubercle cell wall synthesis and blocks pyridoxine (Vit. B6), which is used for intracellular enzyme production.
ISONIAZID (INH)
have a cell wall that is resistant to penetration by antibiotic
Mycobacteria
durgh therapy for this differs from that of most otherinfections
TUBERCULOSIS
medications reach the isolated microorganism in the tubercles at
6 to 12 months OF DURG THERAPY
is needed when the clients develop multidrug resistant
24 months of drug therapy
different combinations of drugs may be used. At least 2 and sometimes 4 or more antibiotics are administered concurrently.
6 to 24 months of drug therapy
- FIRST LINE DRUGS
- SECOND LINE DRUGS
TWO BROAD CATEGORIES OF ANTITUBERCULAR DRUGS
Are safer and generally the most effective
FIRST LINE DRUGS of Anti-tubercular Drugs
- Ethambutol (Myanbutol)
- Isoniazid (INH)
- Pyrazinamide (PZA)
- Rifampin (Rifadin, Rimactane)
- Rifapentine (Priftine)
- Streptomycin
Rifater: Combination of PZA with INH and rifampin
FIRST LINE DRUGS of Anti-tubercular Drugs
Combination of PZA with INH andrifampin
Rifater
- More toxic and less effective than firstline drugs
- Used when resistance develops
SECOND LINE DRUGS of Anti-tubercular Drugs
- Amikacin (Amikin)
- Capreomycin (Capastat sulfacte)
- Ciproflaxin (Cipro)
- Cyclosporine (Seromycin)
- Ethionamide (Trecator-SC)
- Kanamycin (Kantrex)
SECOND LINE DRUGS of Anti-tubercular Drugs
Is approved for tuberculosis prophylaxis in HIV positive patients for a short-term therapy of 2 months
COMBINATION OF INH and PZA
Recommended to HIV positive patient withpositive TB skin test as prophylactic for 2 months
RIFAMPIN AND PZA
- primary anti-tubercular drug used and may cause isoniazid-induced liver damage
ISONIAZID
Must be taken with Pyridoxine (Vit B6) to avoid deficiency and peripheral neuropathy
ISONIAZID
1) MYCOBACTERIUM LEPRAE
2) MYCOBACTERIUM AVIUM COMPLEX
TWO TYPES OF MYCOBACTERIA THAT INFECTS HUMANS
o Responsible for leprosy
o Treated with multiple drugs, usually beginning with Rifampin
MYCOBACTERIUM LEPRAE
o Causes infection of the lungs, most
commonly observed in AIDS
MYCOBACTERIUM AVIUM COMPLEX
- AZITHROMYCIN (ZITHROMAX)
- CLARITHROMYCIN (BIAXIN)
Effective drugs against MAC
- Isoniazid and Rifampin
- Isoniazid, Rifampin, and Ethambutol
- Isoniazid, Rifampin, and Pyrazinamide
MULTI DRUGS THERAPY
- well absorbed in the GI tract
- Administered IM
- Has low protein binding rate (10%)
ISONIAZID (INH)
- Has low protein binding rate (10%)
- metabolized in the liver and 75% of the drug is excreted in the urine
ISONIAZID (INH)
Inhibits cell wall synthesis of the tubercle bacillus
ISONIAZID (INH)
an adverse reaction to isoniazid, so ___________ is usually taken to decrease probability of neuropathy
Peripheral neuropathy; Pyridoxine (Vit B6)
Should not be taken with alcohol will increase incidence of peripheral neuropathy
ISONIAZID (INH)
decreases isoniazid absorption
Antacids
If this is taken with isoniazid, the effect of this will decrease
phenytoin
when you are taking anti TB drugs, Do not drink alcohol to prevent
peripheral neuropathy.
- hepatotoxicity,
- Px may develop headache
- blood dyscrasias
- paresthesia
- GI distress
- ocular toxicity
INH, Rifampin, Streptomycin
turns body fluids orange
Rifampin SIDE EFFECT
may develop
1. dizziness,
2. confusion
3. hallucination
4. joint pains
Ethambutol SIDE EFFECTS
- ototoxicity
- optic nerve toxicity
- encephalopathy
- angioedema
- CNS and respiratory depression
- nephrotoxicity
- ototoxicity
Streptomycin
For Anti-tubercular Drugs, Assess for the presence of or history of a positive
- tuberculin skin test
- sputum
- culture, or a close contact to a person recently infected with TB
For Anti-tubercular Drugs, Assess for the presence of or history of
- alcohol abuse
- AIDS
- liver disease
- kidney disease because many antituberculosis drugs are contraindicated in those conditions
Use caution in clients with
1. renal dysfunction
2. pregnancy and lactation
3. w/ hx of convulsive disorder
4. chronic liver disease or alcoholism
Anti-tubercular drugs
contraindicated in clients with optic neuritis
Ethambutol (Myambutol)
interact with oral contraceptives and decrease their effectiveness, female clients with childbearing potential should use an alternative form of birth control
Antituberculotic drugs
if taking Antituberculotic drugs, report
- yellow eyes and skin,
- loss of appetite
- dark urine
- unusual tiredness
If taking isoniazid, avoid foods containing
tyramine
- age cheese
- smoked and pickled fish
- beer
- red wine
- bananas
- chocolate
EX of tyramine
Single-celled or multicellular organisms whose primary role on the planet is to serve as decomposers of dead plants and animals, returning their elements to the soil for recycling.
FUNGI
- mushrooms, yeast, and molds
- Also known as Dermatophytes
FUNGI
Cause superficial fungal infections involving the integumentary system, including the mucous membranes, hair, nails, and moist skin areas, and the respiratory tract.
FUNGI
Serve as a route for invasive fungi to enter the body and infect internal organ.
LUNGS
1) OPPORTUNISTIC INFECTION
2) NON-OPPORTUNISTIC INFECTION
CLASSIFICATION OF FUNGAL INFECTION
Usually occur in the immunocompromised or debilitated population (patient who have cancer or AIDS) or those taking antibiotic, corticosteroid, chemotherapy, or other immunosuppressives.
OPPORTUNISTIC INFECTION
part of the normal flora of the mouth, skin, intestines, and vagina.
CANDIDA
- Aspergillosis
- Cryptococcosis
- Mucor mycosis
EX OF OPPORTUNISTIC INFECTION
- Sporotrichosis
- Blastomycosis,
- Histoplasmosis
- Coccidioidomycosis
can occur in any individual.
EX of NON-OPPORTUNISTIC INFECTION
fungal disease
MYCOSES
Affect the scalp, skin, nails, and mucous membranes such as oral cavity and vagina
SUPERFICIAL MYCOSES
Mycoses in this type are often treated with topical drugs because the incidence of side effect is much lower using this route of administration
SUPERFICIAL MYCOSES
Superficial fungal infections are sometimes called
Dermatophytic
Are those affecting internal organs, typically the lungs, brain, and digestive organs
SYSTEMIC MYCOSES
affects multiple body system and are sometimes fatal to client with suppressed immune system
SYSTEMIC MYCOSES
require aggressive oral and parenteral medications that produce more adverse effects than the topical agents
SYSTEMIC MYCOSES
o Are used to treat fungal infections
o They are fungistatic or fungicidal depending upon the susceptibility of the fungus and the dosage.
ANTI-FUNGAL DRUGS/ANTIMYCOTIC
.
1. Polyenes (Amphoteracin B and nystatin)
2. Azoles (Ketoconazole)
3. Antimetabolites (Flucystosine)
4. Echinocandins (Caspofungin)
5. Antiprotozoals (Atovaquone)
6. Amphotericin B (Fungizone, Abelcet, Amphotec)
7. Anidulafugin (Eraxis)
8. Caspufungin Acetate (Cancidas)
9. Flucytosine (5-fluorocytosine, Ancobon)
10. Micafungin (Mycamine)
ANTI-FUNGAL DRUGS