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39 Cards in this Set

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What are the targets for antimicrobial drugs?

Inhibits cell wall synthesis


Inhibits RNA and DNA structure and function


Inhibits protein synthesis


Interferes with cell membrane structure and function


Inhibit folic acid synthesis (metabolism)

How do beta lactams work?

Inhibit and enzyme called transpeptidase. This enzyme is a penicillin binding protein that keeps the penicillin chains bound together as the cell wall expands.


Beta lactams bind to the active site of transpeptidase (the part the protein that’s doing the job). This binding is irreversible.


This inhibits cell wall synthesis and causes breaks that will lead to the cells contents leaking out through the cracks in the cell wall.

Penicillin

Beta lactams


Broad spectrum


Inhibits cell wall synthesis

Carbapenems

Beta lactam


Inhibits cell wall synthesis

Streptomycin

Antibiotic


Binds to 30s rRNA, causing misreading of mRNA and ultimately, bad proteins

Erythromycin

Inhibit translocation of subunit during translation. Target 50s.

Polymyxin B

Narrow spectrum antibiotic


Only works on gram negative because it can’t get through the thick layers of peptidoglycan in gram +.


Creates leaky cell membranes so important parts leak out of cell and messes up osmotic pressure.

Rifampin

Narrow spectrum antibiotic


Only works on gram +.


Can’t cross outer membrane of gram -.


Inactivates RNA polymerase.

Ciprofloxacin

Broad spectrum antibiotic


Blocks DNA replication

Ciprofloxacin

Broad spectrum antibiotic


Blocks DNA replication

Tetracycline

Antibiotic


Blocks attachment of tRNA and stops protein synthesis

Ciprofloxacin

Broad spectrum antibiotic


Blocks DNA replication

Tetracycline

Antibiotic


Blocks attachment of tRNA and stops protein synthesis

Vancomycin

Narrow spectrum antibiotic


Too large to diffuse through outer membrane of gram -.


Binds to peptidoglycan and prevents cross bridges, inhibiting cell wall synthesis.

Acyclovir

Terminates DNA replication in herpesvirus

Acyclovir

Terminates DNA replication in herpesvirus

Oseltamavir

Blocks neuraminidase enzyme on influence, prevents the release of viral particles

Acyclovir

Terminates DNA replication in herpesvirus

Oseltamavir

Blocks neuraminidase enzyme on influence, prevents the release of viral particles

AZT

Thymidine analogue


Used by HIV’s reverse transcriptase instead of thymidine during DNA synthesis, halts DNA synthesis

Ribivarin

Prevents nucleic acid synthesis for RNA viruses like HCV or RSV

What are mechanisms of antimicrobial resistance?

Efflux pump: when things get into the bacterium, it pumps it right back out of it


Blocked penetration: the bacteria has found a way to prevent antibiotics from even getting in


Inactivation of enzymes: bacteria will make enzymes that inactivate antibiotics (beta lactamase breaks the beta lactam ring)


Target modification: the bacteria changed where the antibiotic used to bind. The process happens gradually as mutations begin to accumulate.

What are the commonly used physical methods to control microbes?

Moist heat


Dry heat


UV radiation


Osmotic pressure


Filtering

How is moist heat used to control microbes?

Pasteurization: used to remove pathogenic bacteria without altering certain chemical properties of liquid. Heating liquid and cooling it quickly. Does not sterilize.


Boiling: heating liquid up to boiling. Does not sterilize.


Autoclaving: combination of boiling temperatures and high pressures. DOES sterilize.

How is moist heat used to control microbes?

Pasteurization: used to remove pathogenic bacteria without altering certain chemical properties of liquid. Heating liquid and cooling it quickly. Does not sterilize.


Boiling: heating liquid up to boiling. Does not sterilize.


Autoclaving: combination of boiling temperatures and high pressures. DOES sterilize.

How does dry heat control microbes?

Flaming: exposing objects directly to a flame reduces microbes to ash. DOES sterilize.


Baking: hot air oven. Requires 2-4 hours. DOES sterilize.

How does UV radiation control microbes?

It exposes items to UV rays which damages DNA.


Only works on surfaces directly exposed to UV radiation.


does not sterilize.

How does UV radiation control microbes?

It exposes items to UV rays which damages DNA.


Only works on surfaces directly exposed to UV radiation.


does not sterilize.

How does osmotic pressure control microbes?

Adding high amounts of salt or sugar to a liquid.


Does not sterilize, but does inhibit growth.

How does filtering control microbes?

Liquid is strained through a filter with holes too small to allow microbes to pass.


Effective in removing bacteria (including endospores). Extremely small pore sizes will work on viruses.


DOES sterilize.


Used on liquids that can’t be heated.

What are some chemical methods to control microbes?

Peroxygens


Hexachlorophene


Iodine


Silver nitrate


Isopropanol


Chlorine

PHISIC

How do peroxygens control microbes?

They produce free radicals that damage cells.

How do peroxygens control microbes?

They produce free radicals that damage cells.

How does hexachlorophene control microbes?

It targets membranes/respiration.


Most effective on gram +.

How does iodine control microbes?

It’s a halogen.


It interferes with bonding in proteins. Can kill all microbes and endospores slowly.


Antiseptic.

How does silver nitrate control microbes?

It’s a heavy metal. Inactivates enzyme activity.


Can kill most bacteria and viruses but not endospores.

How does chlorine control microbes?

Halogen.


It denatures cellular enzymes.


Kills all microbes and endospores slowly.

How does chlorine control microbes?

Halogen.


It denatures cellular enzymes.


Kills all microbes and endospores slowly.

How does isopropanol control microbes?

Alcohol.


Dissolved membranes and can Denature proteins with extended exposure.


Works on most bacteria and enveloped viruses.


Antiseptic.