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51 Cards in this Set

  • Front
  • Back
what does MIC stand for
minimum inhibitory concentration

this is the lowest concentration of a drug that prevents growth
what does MLC stand for
minimum leathal concentration of a drug that kills
what is a chemotherapeutic agent
any chemical that is used to treat a desease
what is an antimicrobial drug
any chemical used to treat a microbial infection
antibiotics
antimicrobial drugs naturally produced by microorganisms
what is selective toxicity
antimicrobial drugs must be selectively toxic againt microorganisms and not permanently harm the human host
what is the therapeutic dose
the level required for treatment
what is the toxic dose
the level at which the drug is toxic to the host
what is the therapeutic index
toxic dose/therapeutic dose

the larger this is, the better (more selective) the antimicrobial drug
what is the mechanisms of action of beta-lactam drugs
inhibit cell wall synthesis
what are two beta lactam drugs
penicillins and cephalasporins
what is the specific mechanism of action in beta-lactam drugs
inhibiting the cross-linking of petidoglycan via the tetrapeptide chain
Beta-lactam drugs are only effective in these type of cells
cells that are actively synthesizing their cell walls. When the cell is actively growing

best time to treat is during initial log
gram negative bacteria are more likely to produce this enzyme that can inactivate antibiotics
beta-lactamases (penicillinases)
other than this, beta-lactam antibiotics tend to have very few side effects
allergic reactions
because the peptidoglycan layer of gram negative bacteria is protected by this they tend to be more innately resistant to this type of antibiotic
protected by outer membrane

beta-lactam antibiotics
what is the
Source
effective against
Examples

for natural penicillins (beta-lactame antibiotics)
peniciilium, chrysogenum

G+ bacteria and some G- Cocci

Penicillin G, Penicillin V
what is the
Source
effective against
Examples

for Broad-spectrum penicillins
Partially synthetic

G+ and G- bacteria

ampicillin and amoxicillin
what is the
Source
effective against
Examples

for extended-spectrum penicillins
partially synthetic

some tough G- bacteria (Pseudomonas)

Ticarcillin and Piperacillin
what is the
Source
effective against
Examples

for cephalosporins
Acremonium, Cephalosporium (more recent derivaties are partially synthetic)

some G+ and more recent derivatives are effective against G-

Cephalexin and Cefepime
because vacomycin cannot do this it is not a possible treatment for gram negative bacteria
cannot cross the outer membrane
this is good for treating G+ infections if the beta lactam antibiotics are ineffective
Vancomycin

example = antibiotic resistant Staphylococcus aureus
how is vancomycin administered
intravenously (parenterally)
what is the mechanism of action of Vancomycin
binds to the peptide side chain of NAM and stops synthesis of peptidoglycan
what is the mechanism of action of Bacitracin
Inhibits cell wall synthesis by interfering with the transport of peptidoglycan precursors across the cytoplasmic membrane
when is bacitracin used
only in topical ointments
what is the
mechanism of action
effective against
and example

for Aminoglycosides
bind to 30S ribosomal subunit causing it to mis-translate proteins

mainly G- that respire (proteus, escherichia, Klebsiella)

streptomycin, gentamicin, neomycin (do not take orally, non selective)
can you take the aminoglycoside antibiotic neomycin orally
no, it is non-selective
do the aminoglycosides have a high or low therapudic index
low
what is the
mechanism of action
effective against
and example

for tetracyclines
reversibly bind to the 30s ribosomal subunit and stop protein synthesis

certain G+ and and G- (rickettsia and chlamydiae)

tetracycline and doxycycline
what is the
mechanism of action
effective against
and example

for macrolides
reversibly bind to the 50S ribosomal subunit and stop protein synthesis

a variety of bacteria, mainly G+, but also those that cause walking pneunomia

erythromycin
azithromycin
what is the Mechanism of action for Aminoglycosides
bind to 30S ribosomal subunit causing it to mis-translate proteins
what is the Mechanism of action for tetracyclines
reversibly bind to the 30s ribosomal subunit and stop protein synthesis
what is the Mechanism of action for macrolides
reversibly bind to the 50S ribosomal subunit and stop protein synthesis
what are aminoglycosides effective against
mainly G- that respire (proteus, Escherichia, and Klebsiella)
what are the tetracyclines effective against
Certain G+ and G- (rickettsias and chlamydiae)
what is macrolides effective against
variety of bacteria, mostly G+, but also those that cause walking pneumonia
what is an example of an aminoglycoside
stretomycin

Gentamicin

Neomycin (DO NOT TAKE ORALLY)
what is an example of an tetracycline
tetracycline and doxycycline
what is an example of an tetracycline
erythromycin and Azithromycin
what type of antibiotic are the aminoglycosides, tetracyclines and macrolides
they all inhibit protein synthesis
what class of antibiotics inhibit protein synthesis
aminoglycosides, tetracyclines and macrolides
the plasma in micoplasma means
that the bacteria has no cell wall
what does arbo mean?
arthropod born bacteria
what class of antibiotics inhibit nucleic acid synthesis
quinolones
what is the mechanism of action of the quinolones
inhibit DNA topoisomerases and gyrases
what are the quinolones effective against
wide variety of G+ and G-
what is an example of a quinolone
Ciprofloxacin (cipro)
what is an example of an antibotic that interferes with cell membrane integrity
Polymyxin B
where should polymyxin B be used
only topically because it can damage eukaryotic cells

active ingrediant in topical first aid creams
what type of cells are easier to kill/inhibit with antibiotics
grame positive because of the exposed peptidoglycan layer.