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20 Cards in this Set

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