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40 Cards in this Set

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Antimicrobial Chemotherapy

administer a drug to an infected person that destroys the infective agent without harming the host's cells.

Antibiotics

substances produced by the natural metabolic processes of some microorganisms that can inhibit or destroy other microorganisms


**come primarily from aerobic spore-forming bacteria and fungi**

Paul Ehrlich

early concepts of chemotherapy

Prophylaxis

Drugs administered to prevent an infection from happening

Combined Therapy (combination therapy)

more than 2 drugs at a time to treat an infection

Synergy (synergistic effect)

drugs used together to enhance each other's actions for best therapeutic affect



microbes for antibiotics and chemotherapy terminiology

narrow- spectrum

drugs effective on small range of cell types

medium-spectrum

effective on gram + and gram - bacteria but not all types

broad-spectrum

large varieties of bacteria - most gram + and gram - as well as richettsias, mycoplasms and spirochetes

drugs and effects on microbial groups

Spectrums (pg. 357)

antimicrobials and cell wall effects

Penicillin & bacterial cell walls (pg. 359)

Prokaryotic ribosome inhibition (pg. 340).

competitive inhibiton

mimic normal substrate of enzyme


sulfonimides/ trimethoprim

sulfonimides/trimethoprim

mammals do not produce folic acid - obtain it as a derivetive of food


allows inhibition of bacterial cells and protozoan parasites (synthesize folic acid)

sulfonimide action

beta lactam

interferes with proteins involved in cell wall leading to lysis of cells

penicillin

treat large groups of bacterial infections


both synthetic and naturally derived

cephalosporin

versatile, broad spectrum - less allergic effect than penicillins


parenteral med



parenteral medications

injection route of medications (in muscles or veins)

structure of cephalosporins

polymixins

narrow-spectrum peptide antibiotic


B & E - used routinely



fluoroquinolones

synthetic


related to quinines


broad-spectrum


highly potent


absorbed by intestines



aminoglycosides

broad-spectrum


inhibit protein sysnthesis

tetracyclines

bind to ribosomes, block protein synthesis


broad spectrum

antibiotic structures

azoles

broad-spectrum antifungals


inhibit ergosterol & cell membrane synthesis

antiviral drug cycles

anti-HIV drugs

Interferons

glycoprotein primarily by fibroblasts

Drug resistance

toleration of drug that

transfer of drug resistance (pg. 373)

Aquired drug resistance ( Pg. 374)

Natural selection of drug resistance (pg. 375)

Helpful strategies to limit drug resistance

toxicity




allergy




disruption of normal flora

damage to a major organ from the effect of a drug




drug acts as antigen causing hypersensitivity




destruction of normal microbes in normal body chemistry



superinfection

when resistant microbes take over the body!

major adverse toxic reactions