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35 Cards in this Set

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Broad Spectrum Antibiotic

Effective on some Gram positive AND some Gram negative bacteria

AKA Antimicrobials

Drugs that act on bacteria

Narrow Spectrum Antibiotic

Effective on some Gram Positive OR some Gram negative bacteria

Bactericidal

Antibiotic that kills bacteria

Bacteriosatic

Antibiotic that inhibits replication of the bacteria

Mechanisms of Action (M of A)

1) Inhibits cell wall synthesis


2) Alter cell membrane permeability


3) Inhibits protein synthesis


4) Inhibits nucleic acid synthesis


5) Interference with metabolic pathway

Reasons Antibiotics Fail

1) Microbiological


2) Drug


3) Host

Microbiological

A) Well established Infection


B) Abscess w/ poor drainage or walled off


C) Foreign bodies mistaken for an infection


D) Neoplasia mistaken for an infection


E) Bacteria resistant to drug


F) Wrong ID of bacteria


G) Mixed infections (Anaerobic/Aerobic or GP/GN)

Failed Antibiotic (Reasoning)

Drug

A) Wrong spectrum for existing infection


B) Incorrect Dosage


C) Incorrect route


D) Treatment too short


E) Poor bioavailability


F) Drug incompatibilities


Failed Antibiotic (Reasoning)

Host

A) Elimination of competing Normal Flora


B) Immunosuppression

Failed Antibiotic (Reasoning)

Two Categories of Resistance

1) Natural Resistance


2) Acquired Resistance

Natural Drug Resistance

Examples:


Gram + bacteria is naturally resistant to Gram - narrow spectrum antibiotics


Mycoplasma is naturally resistant to penicillin

Acquired Drug Resistance

A) Repeated exposure of bacteria to antibiotics over time can cause a genetic mutation allowing bacteria to survive


B) Drug resistance is passed on genetically to future generations of bacteria

Examples of Bacteria that has become increasingly drug resistant

A) Staph. and Strep.


B) E. Coli, Salmonella, Proteus, Klebsiella


C) Mycobacterium


D) Pasturella (Bite wound)


E) Pseudomonas (Hospital Setting)

Antibiotics in Livestock Feed

A) Leads to antibiotic resistant bacteria in food animals


B) Can cause antibiotic resistant bacterial infections in people and pets in rural areas

How Bacteria becomes Resistant to Antibiotics

A) Can make an enzyme that inactivates or destroys antibiotic


B) Can change cell permeability so the drug cannot get in


C) Can modify site of antibiotic attachment


D) Can develop alternative metabolic pathways

Prevention of the development of drug resistant bacteria

A) Use NARROW SPECTRUM ANTIBIOTICS


B) Use -CIDAL DRUGS


C) Use ANTIBIOTICS ONLY FOR BACTERIAL INFECTIONS


D) Use CORRECT DOSE


E) DO CULTURE AND SENSITIVITY TEST

Antibiotic Susceptibility Testing

A) Kirby Bauer


B) Minimum Inhibitory Concentration (MIC)

Kirby Bauer Antibiotic Susceptibility Test

A) Mueller-Hinton agar


B) Apply a set concentration of bacteria to a plate then add paper discs with a set concentration of antibiotics


C) HAVE TO HAVE PURE CULTURE!!


D) Incubate 24 hours


E) Label on LID NOT AGAR SIDE


F) Measure diameter of the zone of inhibitories in mm


G) Results:


Susceptible= Antibiotic should work


Resistant= Antibiotic probably won't work


Intermediate= Gray zone

MIC Antibiotic Susceptibility Test

A) Determines minimum concentration of antibiotic that will work on bacteria


B) Dosage can be calculated from MIC


C) Good test to chose if using toxic antibiotic


D) Tubes containing Mueller-Hinton broth, add different amounts of antibiotics, put set concentration of bacteria in each tube, incubate


E) Results:


Clear tube = No growth


Cloudy tube = Bacterial Growth


F) MIC = Lowest concentration with no growth in tube

Non-Enteric GNRODS

Not in the family Enterobacteriaceae


Oxidase +

Types of Non-Enteric GNRODS

Brucella


Bordetella


Pasteurella


Moraxella


Fransciella


Pseudomonas


Campylobacter


Brucella

A) Small GNROD


B) Aerobic to Microaerophilic


C) Grows slow (5-7 days)


D) Tough bacteria:


Can remain viable up to 4 months in urine,


Milk, damp soil, placenta or aborted fetus


E) Can live INTRACELLULAR


F) Survives and multiplies inside phagocytes


G) Good at tissue invasion


H) Has an infinity for the reproduction tract

Brucella Canis

A) Dogs


B) Brucellosis


C) Contact with vaginal secretions, urine, nursing and breastfeeding


D) Abortions in the last trimester for females


E) Prostatitis, epididymitis and testicular atropy for males


F) Serology (Blood Test)


G) No reliable treatment


H) Screening by breeders.


I) No immunizations for dogs


Brucella Abortus

A) Small GNROD


B) Host = Nature


C) Bangs Disease (disease name) in cattle


D) Brucellosis in all species


E) Undulant (feeling of up and down motion) fever in humans


F) Cattle & related animals (Buffalo, elk, moose and antelope) Also people


G) Ingestion (MOST IMPORTANT)


Eating aborted fetus/placenta or


urine on


Grass


H) Bacteria goes to reproductive tract tissue


I) Abortion Storms - usually in last trimester


Mastitis - transmitted in milk


Testicular abnormalities/prostatitis


Infertility/conception failures


J) Can be cultured - grows slowly, aerobic to microaerophilic


K) Serology (Blood Test)


Brucellosis test done usually at breeding


age, sell, transport or slaughter


L) No treatment (To be slaughtered)


M) Most states have strict eradication program in place


N) Two forms of eradication:


Immunize - RB51 - Females 4-12 months


Ear tattoo, Right ear orange tag


Testing - Serology - Silver metal ear tag

Brucella Suis

A) Swine


B) Similar to abortus but very low incidence in the US


C) Testing is the only control


D) No immunization available

Brucella Ovis

A) Sheep


B) Similar bacterial characteristics as abortus


C) Effects rams more than ewes


D) Severe orchitis, epididymitis and impaired fertility


E) Immunize and test males not females

Brucella Melitensis

A) Sheep, goats, camels, llamas


B) Increasing cases in Texas


C) Human cases reported more in lab workers

Bordetella Bronchiseptica

A) Pili


B) Reservoir: Upper respiratory tract in dogs, cats, swine and many other species


C) Infectious teach so bronchitis - All Animals


D) Kennel cough - Dogs


E) Atrophic Rhinitis - Pigs


F) Affected: Dogs, cats, pigs, lab animals, wildlife


G) Inhalation, very contagious


H) Pathology:


Dog - Destroys ciliated epithelium, decrease


respiratory clearance


Cat - URI


Pig - Destroys nasal turbinated


I) Treatment:


Dog & Cat - Antibiotics


Pigs - None effective


J) Prevention:


Dogs - Intra nasal bacteria or Sub-Q vaccine


Cats - New bacteria available


Pigs: Immunize pregnant sows w/ bacterin

Pasteurella

A) Non enteric GNROD


B) Resistant to antibiotics


C) Normal flora in oral cavity and respiratory tract in many species especially cats and rats

Pasteurella Hemolytica

A) Oxidase Positive


B) Reservoir - normal flora of nasopharynx in cattle


C) Shipping Fever


D) Inhalation of an organism


E) Pasteurella rarely causes infection by itself:


Stress


Virus present


Bacteria


F) Typically diagnosed clinically


G) Antibiotics


H) Vaccinate for respiratory virus, decrease stress, Pasteurella bacterin


bacterin


Pasteurella Multocida

A) Normal flora of nasopharynx and oral cavity in many species


B) Disease name:


Snuffles - Rabbits


Avian cholera - birds


URI, Bite wound abscesses - dogs & cats


Septicemia - humans


C) Affected: dogs, cats, rabbits, humans


D) Acquired: wounds, inhalation


E) Antibiotics, can be fatal if not treated right away

Moraxella Bovis

A) Gram negative coccobacillus


B) Normal flora on conjunctive, nasopharynx in cattle


C) Infectious bovine kerato aka pink eye


D) Damage to MM of eye


E) White face cattle ➡solar radiation issues


F) Antibiotics, patches


G) Prevent eye damage


H) Possibility to be zoonotic

Franciscella turlarensis

A) Rodent, rabbit,other wildlife


B) Tularensis or Rabbit fever


C) Affected: Humans, dogs, cats


D) Transmission through ticks, inhalation, injection


E) Serology


F) Antibiotics


G) Don't play with wild rabbits

Pseudomonas aeruginosa

A) odor smells sweet fruity, corn tortillas


B) Ubiquitous


C) Unsanitary moist environment


D) Problem in hospitals


E) Opportunistic


F) Affects all