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20 Cards in this Set
- Front
- Back
Drugs
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chemicals that affect physiology
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Chemotherapeutic Agents
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Drugs that act against diseases; includes antibiotics designed to treat infections
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Most Antimicrobial Agents come from
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Metabolites produced by fungi and bacteria
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Salvarsan (Arsphenamine)
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1910 Paul Ehrlich - first chemotherapeutic agent; used to treat syphilis
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Penecilin
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1929 Alexander Fleming - produced by penecillium mold not used till 1940's
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Sulfanilmide
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1932 - Gerhard Domagk first widely available antimicrobial agent that inhibits metabolic synthesis of DNA and RNA nucleotides
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Key factor in effective antimicrobial action in the body is?
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Selective Toxicity - kill the pathogen but not the host.
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Beta-Lactams
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prevents cross linkage of NAM subunits by binding to enzymes that cross-link. Cause weak cell walls and cell to lyse.
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Cell wall inhibitors
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prevent bacteria from crosslinking NAM subunits in newly deposited cell wall material (effective only for growing cells) such as penicillin
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Semisynthetic derivatives of Betalactams
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more stable in acidic environments, more readily absorbed, less susceptible to deactivation, active against more bacteria
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Protein Synthesis Inhibitors
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Drugs take advantage of eukaryotic and prokaryotic ribosome size difference by targeting and inhibiting translation
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Protein Synthesis Inhibitors Include:
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aminoglycosides (streptomycin), tetracyclines, chloramphenicol, macrolides (erythromycin)
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Cytoplasmic Membrane Disruption
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Some drugs become incorporated into the cytoplasmic membrane and damage its integrity
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Amphoteracin B
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Antifungal agent that attaches to egresterol found in fungal membranes
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Antimetabolic Agents
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Drugs that target differences of metabolic processes of pathogen and host
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Sulfa Drugs
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inhibit metabolic pathways used for biosynthesis of DNA and RNA nucleotides
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Administration of drugs
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Intravenous achieves highest level of drug in body and is fastest (through bloodstream or catheter)
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Bacteria acquire drug resistance in two ways:
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spontaneous mutations of chromosomal genes and acquisition of antibiotic resistant plasmids via transformation, transduction, and conjugation
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Bacterial resistance mechanisms
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Beta Lactamase enzyme, conugation, change metabolic chemistry, change cell wall/membrane, Drug pumps
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Methods to delay resistance
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high concentrations, long enough time, kill sensitive cells, use drugs in combination.
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