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51 Cards in this Set
- Front
- Back
what does MIC stand for
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minimum inhibitory concentration
this is the lowest concentration of a drug that prevents growth |
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what does MLC stand for
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minimum leathal concentration of a drug that kills
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what is a chemotherapeutic agent
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any chemical that is used to treat a desease
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what is an antimicrobial drug
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any chemical used to treat a microbial infection
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antibiotics
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antimicrobial drugs naturally produced by microorganisms
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what is selective toxicity
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antimicrobial drugs must be selectively toxic againt microorganisms and not permanently harm the human host
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what is the therapeutic dose
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the level required for treatment
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what is the toxic dose
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the level at which the drug is toxic to the host
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what is the therapeutic index
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toxic dose/therapeutic dose
the larger this is, the better (more selective) the antimicrobial drug |
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what is the mechanisms of action of beta-lactam drugs
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inhibit cell wall synthesis
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what are two beta lactam drugs
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penicillins and cephalasporins
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what is the specific mechanism of action in beta-lactam drugs
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inhibiting the cross-linking of petidoglycan via the tetrapeptide chain
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Beta-lactam drugs are only effective in these type of cells
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cells that are actively synthesizing their cell walls. When the cell is actively growing
best time to treat is during initial log |
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gram negative bacteria are more likely to produce this enzyme that can inactivate antibiotics
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beta-lactamases (penicillinases)
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other than this, beta-lactam antibiotics tend to have very few side effects
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allergic reactions
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because the peptidoglycan layer of gram negative bacteria is protected by this they tend to be more innately resistant to this type of antibiotic
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protected by outer membrane
beta-lactam antibiotics |
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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 |
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what is the
Source effective against Examples for Broad-spectrum penicillins |
Partially synthetic
G+ and G- bacteria ampicillin and amoxicillin |
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what is the
Source effective against Examples for extended-spectrum penicillins |
partially synthetic
some tough G- bacteria (Pseudomonas) Ticarcillin and Piperacillin |
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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 |
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because vacomycin cannot do this it is not a possible treatment for gram negative bacteria
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cannot cross the outer membrane
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this is good for treating G+ infections if the beta lactam antibiotics are ineffective
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Vancomycin
example = antibiotic resistant Staphylococcus aureus |
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how is vancomycin administered
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intravenously (parenterally)
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what is the mechanism of action of Vancomycin
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binds to the peptide side chain of NAM and stops synthesis of peptidoglycan
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what is the mechanism of action of Bacitracin
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Inhibits cell wall synthesis by interfering with the transport of peptidoglycan precursors across the cytoplasmic membrane
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when is bacitracin used
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only in topical ointments
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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) |
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can you take the aminoglycoside antibiotic neomycin orally
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no, it is non-selective
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do the aminoglycosides have a high or low therapudic index
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low
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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 |
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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 |
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what is the Mechanism of action for Aminoglycosides
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bind to 30S ribosomal subunit causing it to mis-translate proteins
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what is the Mechanism of action for tetracyclines
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reversibly bind to the 30s ribosomal subunit and stop protein synthesis
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what is the Mechanism of action for macrolides
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reversibly bind to the 50S ribosomal subunit and stop protein synthesis
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what are aminoglycosides effective against
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mainly G- that respire (proteus, Escherichia, and Klebsiella)
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what are the tetracyclines effective against
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Certain G+ and G- (rickettsias and chlamydiae)
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what is macrolides effective against
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variety of bacteria, mostly G+, but also those that cause walking pneumonia
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what is an example of an aminoglycoside
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stretomycin
Gentamicin Neomycin (DO NOT TAKE ORALLY) |
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what is an example of an tetracycline
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tetracycline and doxycycline
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what is an example of an tetracycline
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erythromycin and Azithromycin
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what type of antibiotic are the aminoglycosides, tetracyclines and macrolides
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they all inhibit protein synthesis
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what class of antibiotics inhibit protein synthesis
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aminoglycosides, tetracyclines and macrolides
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the plasma in micoplasma means
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that the bacteria has no cell wall
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what does arbo mean?
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arthropod born bacteria
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what class of antibiotics inhibit nucleic acid synthesis
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quinolones
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what is the mechanism of action of the quinolones
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inhibit DNA topoisomerases and gyrases
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what are the quinolones effective against
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wide variety of G+ and G-
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what is an example of a quinolone
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Ciprofloxacin (cipro)
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what is an example of an antibotic that interferes with cell membrane integrity
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Polymyxin B
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where should polymyxin B be used
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only topically because it can damage eukaryotic cells
active ingrediant in topical first aid creams |
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what type of cells are easier to kill/inhibit with antibiotics
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grame positive because of the exposed peptidoglycan layer.
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