Unit 4 Exam Flashcards
What did Ehrlich do?
German scientist using arsenic for chemotherapy
What did Fleming do?
founder of penicillin (chemo - fungus)
chemotherapeutic agents
drugs used to treat diseases
antimicrobial agents
antibacterial/antibiotic
broad spectrum drug + example
used to treat many infections -oflaxacin
narrow spectrum drug + example
specific to treat illness - clindamycin
bacteriostatic
lowers the levels of bacteria (keeps levels static)
bactericidal
kills off bacterial completely
antibiotics need to be
- nontoxic to the host
- able to reach the site of infection
- hypoallergenic
- effective always, no resistance
- not readily metabolized by host
(mode of antibacterial agents) inhibition of cell wall synthesis
penicillin - stops cell walls by inhibiting peptidoglycan synthesis
(mode of antibacterial agents) disruption of cell membrane function
(anti fungal) - polymyxin, bacitracin, neomycin - inhibits ergosterol (like cholesterol in humans) synthesis, causes Mac attack
inhibition of protein synthesis
streptomycin - inhibit protein synthesis by replacing tRNA
inhibition of nucleic acid synthesis
quinolones - structurally similar to nucleotides, takes place of nucleotide + stops synthesis
interference with metabolic reactions
sulfonamides - competitive inhibition, sulfa drugs - bacteria make folic acid naturally, these drugs blocks the synthesis of folic acid
opportunistic infections lead to
superinfections
superinfection
an infection occurring on top of or after an earlier infection, especially after broad spectrum antibiotics
E-test
determine the minimum inhibition concentration or MIC
Kirby-bauer disk diffusion is used for
determining the antibiotic to use
antibiotics that work together
synergy
antibiotics that interfere with one another
antagonism
side effects of antimicrobials
liver/kidney damage, hearing impairment, interactions, allergic responses
long term use of penicillin allows
colonization of gut with resistant gram - and fungi such as Candida
antibiotics ____ mutations
do not induce
R plasmids can be used to
transfer antibiotic resistance
HA
hospital acquired
CA
community acquired
CA and HA are
nosocomial infections