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35 Cards in this Set

  • Front
  • Back
Chemotherapy
The use of drugs to treat a disease
Antimicrobial drugs
Interfere with the growth of microbes within a host
Antibiotic
Substance produced by a microbe that, in small amounts, inhibits another microbe
Selective toxicity
A drug that kills harmful microbes without damaging the host
What is Antibiotic Source of Bacitracin?
Bacillus subtilis
-Gram-positive rods
What is Antibiotic Source of Streptomycin?
Streptomyces griseus
-Actinomycetes
What is Antibiotic Source of penicillin?
Penicillium notatum
-Fungi
Broad-spectrum:
both G- & G +
Superinfection:
overgrowth -or resistance
Bactericidal:
kill microbes directly
Bacteriostatic:
prevent microbes from growing
Inhibition of cell wall synthesis:
Penicillins
Cephalosporins
bacitracin
Vancomycin
Inhibition of protein synthesis:
Chloramphenicol
Erythoromycin
Tetracyclines
Streptomycin
Inhibition of nucleic acid replication and transcription:
Quinolones
Rifampin
Injury to plasma membrane:
Polymyxin B
Inhibition of synthesis of metabolites:
Sulfanilamide
Trimethoprim
Antibacterial Antibiotics Inhibitors of Cell Wall Synthesis
Penicillin
Natural penicillins: from molds
Semisynthetic penicillins: ampicillin
Antibacterial Antibiotics Inhibitors of Cell Wall Synthesis
Polypeptide antibiotics-
Bacitracin
-Topical application
-Against gram-positives
Vancomycin
-Glycopeptide
-Important "last line" against antibiotic resistant S. aureus
-MRSA
Antibacterial Antibiotics Inhibitors of Protein Synthesis
Tetracyclines
-Broad spectrum
--Interferes with tRNA attachment
Macrolides
-Gram-positives
--Binds 50S, prevents translocation
Erythromycin
-Gram-positives
--Binds 50S, prevents translocation
Antibacterial Antibiotics Competitive Inhibitors
Sulfonamides (Sulfa drugs)
-Inhibit folic acid synthesis
-Broad spectrum
Sulfonamides
-competes with PABA for the active site of an enzyme involved in folic acid synthesis
Trimethoprim
-also interferes with production of folic acid by binding to dihydrofolate reductase (DHFR)
-DHFR is responsible for tetrahydrofolic acid production
Acyclovir
replaces the origional nucleoside with a false nucleotide inhibiting DNA polymerase on Viral DNA Synthesis
minimal inhibitory concentration (MIC)
lowest concentration of drug that inhibits growth of pathogen
minimal lethal concentration (MLC)
lowest concentration of drug that kills pathogen
Mechanisms of Drug Resistance
prevent entrance of drug
-drug can’t bind to or penetrate pathogen
-bacterial decrease in permeability
pump drug out
inactivation of drug
-chemical modification of drug by pathogen
alteration of target enzyme or organelle
use of alternative pathways or increased production of target metabolite
Drug resistance genes can be found on...
bacterial chromosomes
plasmids
transposons
integrons
Origin and Spread of Resistance Genes
-chromosomal genes
-resistance results from (rare) spontaneous mutations which usually result in a change in the drug target
Origin and Spread of Resistance Genes
-R plasmids
-resistance plasmids
-can be transferred to other cells by conjugation, transduction, and transformation
-can carry multiple resistance genes
Chapter 31
Nonspecific (Innate) Host Resistance
B cells (B lymphocytes)
mature in bone marrow
circulate in blood
can settle in lymphoid organs
T cells (T lymphocytes)
mature in thymus
can remain in thymus, circulate in blood, or reside in lymphoid tissue
null cells (includes natural killer cells)
kill cancer cells and cells infected with intracellular pathogens
Secondary Lymphoid Organ/Tissue
-spleen -
spleen
-most highly organized lymphoid organ
-filters blood
-macrophages and dendritic cells trap microbes and antigens
--present antigens to B and T cells
---most common way that lymphocytes become activated to carry out their immune functions
Secondary Lymphoid Organ/Tissue
-lymph nodes-
lymph nodes
-most highly organized lymphoid tissue
-filter lymph
-microbes and antigens trapped and phagocytosed by macrophages and dendritic cells
-B cells differentiate into memory and plasma cells within lymph nodes