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14 Cards in this Set

  • Front
  • Back
when was Penicillinase first reported?
in 1940
what facilitates increase in resistant strains of bacteria?
agriculture
medical overuse of antibiotics
chronic disease
what are the mechanism of transfer of resistance?
F factors
Resistance Factors
Transposons
what is the procedure of transfer of resistance?
Transformation
Transduction
Conjugation
how is resistance conveyed by microbes that have become resistant to Penicillin and Cephalosporin?
beta-lactamase, hydrolyze beta-lactam ring to acid to inactivate most common natural and semisynthetic beta-lactams
how are microbes resistant to aminoglycosides such as streptomyocin, gentamycin?
inactivated by either acylation or phosphorylation
what are the mechanisms of action for resistance?
1. increased destruction of drug
2. alteration in antibiotic receptor
3. increased production of metabolite to overcome antibiotic analog
4. lack of sensitive pathway
5. intrinsic insensitivity
what occurs if a microbe alters the receptor that the antibiotic binds to?
RESISTANCE
antibiotic is no longer permeable to cell
what may have occurred in the microbe that has altered the antibiotic receptor?
may be due to changes in transport system, binding proteins, cell wall or cell membrane
Efflux which expedites transport of antibiotics out of cell
If there is a mutation or genetic exchange in a microbe what might this lead to?
RESISTANCE
may lead to altered active site and no longer be recognized by target enzymes or substrate
Describe a microbe that has developed resistance to Streptomycin.
Streptomycin binds to 30S ribosome resulting in wrapped ribosome leading to misreading of RNA
Resistant ribosomes no longer bind or may even become dependent on streptomycin
how is resistance to Sulfa gained?
PABA and sulfa analog are similar
Enzyme recognizes Sulfa as substrate and makes non-metabolized intermediate
Increased production of metabolite
Resistance is due to overproduction of Pteridine
True or False
Sulfa drugs are ineffective against bacteria not synthesizing folic acid
True
what type of mechanism is used by Pseudomonas for resistance to antibiotics?
Intrinsic insensitivity
Lack of permeability of antibiotic into cell
-altered or ineffective transport or porin system
Porins limit uptake to molecules of <600 daltons (Efflux system)