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24 Cards in this Set

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What is an antibiotic?
A substance PRODUCED BY A MICRO-ORGANISM that kills or inhibits other microorganisms.
What is an antibacterial?
A synthetic agent which has activity against bacteria.
Sulphonamide and Fluoroquinolones are examples of what?
Antibacterials.
What is an antimicrobial?
Any substance, natural to synthetic, that kills or inhibits growth of a micro-organism (without damaging the host.)
What is the mechanism of action for Tetracycline?
Inhibits bacterial protein synthesis -
What antimicrobials act by inhibiting bacterial protein synthesis?
Tetracycline,
Macrolides (Tylosin, Tilmicosin, Spiramycin, Tulathromycin, Erythromycin)
Chloramphenicol
Which antimicrobials are bacteriostatic?
Those that inhibit protein synthesis:
Macrolides & Lincosamides, Chloramphenicol, Tetracyclines,

The antimetabolites:
Sulphonamides & Diaminopyrimidines,
What are the 5 antimicrobial mechanisms of action?
1) Inhibit protein synthesis,
2) Inhibit nucleic acid synthesis,
3) Disrupt cell walls,
4) Disrupt cell membranes,
5) Interfere w/ metabolic pathways
Which antimicrobials act by interfering with bacterial metabolic pathways?
Sulfonamide & Trimethoprim

Disrupt Folic Acid synthesis, by out competing PABA and Dihydrofolate reductase (DHFR) respectively.
How is antimicrobial resistance
1) Inherent resistance,
2) Chromosomal mediated resistance,
3) Transferable drug resistance:
a) conjugation mediated by plasmids,
b) transduction / viral transfer,
c) transformation / direct uptake of DNA from environment
What is the limiting factor of aminoglycoside function?
Oxygen - absolutely necessary to work / natural anaerobic resistance.
What is the limiting factor of nitroimidazole function?
Requires an anaerobic environment / natural aerobic resistance.
What organisms are naturally resistant to B-lactams?
a) Mycoplasms because they have no cell wall,

b) Gram-ve
Against which 5 antibiotics are plasmid mediated resistance by conjugation commonly given?
Sulphonamide, Streptomycin, Beta-lactam, Tetracycline, Chloramphenicol
What is MIC?
The minimal inhibitory concentration:

the highest dilution at which there is no growth after incubation, a quantitative value that defines susceptibility under laboratory conditions and is used to determine drug dose.
What are the two kinds of post antibiotic effect?
Time dependent: macrolides, lincosamides, B-lactams

Concentration dependent: Metronidazole, Fluoroquinolones, Aminoglycosides
Which antimicrobials are bactericidal?
Beta lactams, aminoglycosides, nitrofurans, cephalosporins, Nalidixic Acid & Fluoroquinolones,
What is a potential negative side effect of prolonged use of diaminopyrimidines?
Erythrocyte dysfunction associated with folic acid deficiency. (Treatable)
Name some fluoroquinolones licenced for use in vet med and the animals on which they are commonly used.
Enrofloxacin - cats, dogs, exotics, pigs, poultry, cattle

Marbofloxacin - cats, dogs, pigs, cattle

Ibafloxacin - cats & dogs

Orbifloxacin - dogs

Difloxacin - dogs & poultry

Danofloxacin - food-producing animals
When is fluoroquinolone use contraindicated?
In young, growing animals b/c of weigh-bearing cartilage erosion;

with other drugs metabolised by the liver, ex: methylxanthines;

potentially neurotoxic in cats - at high end/OD may cause blindness, seizures, coma
Summarize the use of fluoroquinolones.
Excellent for infections due to gram-ve aerobes (eg. P. aeruginosa), good for UTIs, good penetration into tissues, good in respiratory & enteric infections in ruminants / pigs / poultry, long t1/2 & PAE for once-a-day dosing, SHOULD NOT BE FIRST LINE AGENTS.
Summarize the use of Lincosamides in animals.
Gram+ve infections, particularly penicillin-resistant organisms or in penicillin-sensitive animals,
anaerobic infections,
osteomyelitis, dermatitis (Staphs),
treatment & prevention of swine dysentery,
treatment of intestinal spillage during surgery,
Clindamycin - potentially useful in Toxoplasma infections
What is the use of Tylosin?
1) treating leptospirosis and potentially rickettsia infections,
2) mastitis (because of its short withdrawl period),
3) bovine pneumonia, footrot, mastitis,
4) management of mycoplasma in poultry

Note: Should NOT be used in horses!
What are potential treatments of swine dysentery?
Tiamulin,
Lincomycin

NOTES: Do not use Tiamulin w/ ionophores, as myocardial toxicity from Ca++ influx. One-way cross resistance w/ Tylosin. Also, skin lesions have been reported.