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74 Cards in this Set

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What is the four desirable criteria for antibiotics?
1. selective toxicity
2. not produce hypersensitivity
3.M.O not become easily resistant
4. solubility in body fluids, durability
What are the four things on antibiotics to do list? called "spectrum of activity"
1. inhibit cell wall formation
2. Ribosome (protein synthesis)
3. metabolic pathways
4. DNA synthesis
Even though people are always looking for new antibiotics....
even when we find new ones, they still function in the same manner.
(Picking away at the to do list)
Viruses function by ...
using and redirecting our enzymes, to make viruses instead of proteins
Viruses have few if any of their own enzymes, instead they use ours which is why...
they are hard to fight off
What are the two actions of Antimicrobial Drugs?
(How do they work in us?)
1. Bactericidal> kills some MO
2. Bacteriostatic> don't kill the MO just keep from growing (used most)
Bactericidal
kills some MO
Bacteriostatic
don't kill the MO just keep from growing
What are the two actions of Antimicrobial Drugs?
Bactericidal

Bacteriostatic
How do Antibiotics function through Inhibition of the cell wall synthesis?
Interfering with the production of peptidoglycan
What is the 2 ways Antibiotics function through Inhibition of a Protein?
1. stretomysin
2. tetracycline
*both result from Ribosome inhibition
stretomysin
changes the shape of ribosome so the mrna is read wrong
tetracycline
inhibit attcahment of trne to mrna, thus no DNA made
How do Antibiotics function through Inhibiting Nucleic Acid synthesis?
1. Inhibit unwinding of DNA
ex. Nalidaxic acid blocks DNA gyrase
2. Inhibit DNA polymerase
How do Antibiotics function by inhibition of enzyme activity (metabolism)?
competitive inhibition ex. sulfa drugs prevent folic acid synthesis, which is necessary vitamin for bacteria.
When using Treatment of Antibiotics you have to?
do antibiotic susceptibility test
which is the Kirby Bauer test
Kirby Bauer test works by?
isolating bacteria and looking for zone of inhibition
There are many different Antibiotics that's why, when dealing with bacteria you want to know what your dealing with so...
you can receive proper antibiotics
The principle of Antibiotic use is to give a large enntial dose so ...
of antibiotic to quickly reduce the number of bacteria to manageable levels so that our body can clear up before resistant forms emerge
Two ways of Resistance in Antibiotics
1. bacteria produces enzymes that destroy antibiotics Ex. penicillinase

2. inhibits the entry of antibiotic in the cell. so it cant inhibit protein, DNA or enzyme synthesis
Two effects of antibiotics use are?
1. synergistic affect

2. antagonistic affect
Synergism
( synergistic affect )
a synergistic affect refers to when the therapeutic affect of two drugs taken simultaneously is greater then the sum their individual affect
a example of a coupled antibiotic for the synergistic affect is?
penicillin + streptomycin
penicillin inhibits cell wall synthesis so streptomycin can make protein synthesis
antagonistic affect
when the therapeutic effect of two drugs taken simultaneously is less then the sum of their individual affect
EX. penicillin + tetracycline
broad spectrum
refers to Antibiotics that can kill gram + and gram -, sometimes not good because useful normal flora is killed.
a example of a broad spectrum antibiotics negative affect is ?
Normal flora keeps yeast from growing in us, but if we take broad spectrum antibiotics that kill many bacteria then it will be easy for yeast to invade other organs.
narrow spectrum
can be used in gram - or gram +
Carolus Linnaeus created what?
binomial nomenclature
a system of classification giving all bacteria a genus and species
Bergey's Manual
a book with info on all bacteria that has ever been identified
In order for antibiotic to work best you need a ?
good immune system, if you have a bad immune system it will not be able to clear resistant forms
A problem that occurs if a pathogen in our system is eukaryotic its self; like fungus, protozoans, and worms (helminth) is that?
we both are eukaryotic so it is hard to fight because we have the same pathways.
Popular antibiotics we use come from these bacteria's ..
1. Streptomyces (1/2 the A we use)
2. Bacillus
3. Penicillium
less then 1% os bacteria from nature can be ....
cultured
Classification of bacteria happens through these 6 means?
First 4, are traditional #5 and #6 are more recent
1. morphological feature
2. differential staining
3. biochemical test
4. serology (rxn with antibodies)
5. protein analysis
6. base composition of nucleic acid
Humans have bacteria in their normal flora, but when you are first born you are ?
germ free
Hours after birth you acquire your first two bacterias?
1. actabacillus
2. Escherichia coli
the areas of the body with normal floras are?
skin - eyes - nose - mouth - large intestine & small intestine - lower urinary and genital system
Normal floras on the skin
1. staphylococcus aureus
2. staphylococcus epidermis
Normal floras in the eyes
1. staphylococcus aureus
2. staphylococcus epidermis
Normal floras in the nose
neisseria Meningitides
* most affected are college students and miliitary
Normal floras in the mouth
streptococcus mutans
Normal floras in the large intestine
Escherichia coli, Klebsiella, and Shigella
**all three come into contact with fecal matter
Normal floras in the lower urinary and genital system
staphylococcus and psuedomonas

**under normal condition urine should have few if any bacteria
All of the bacterial examples of the bodies normal flora are called
OPPORTUNISTIC Pathogens
because even though they are part of the normal floral and help in their designated place if they go to the wrong spot they can be pathogenic
the 3 entry ways for bacteria are?
1. mucus membranes (gastro intestinal + respitory)
2. skin
3. parental route (physical penetration
Once in the body bacteria can damage by ..
1. direst multiplication
2. toxins
3. allergic or hypersensitive reaction
In order for bacteria to cause disease in you it must ?
colonize your tissue
the three types of toxins are
exotoxin
enterotoxin
endotoxin
exotoxin
release tetanus
enterotoxin
small intestine
endotoxin
LPS Lippo polysaccharide
2 bacterial disease of the skin
staphylococcus
streptococcus
staphylococcus aureus antibiotic resistance forms?
MRSA
boil or abscess
localized region of pus surrounded by inflamed tissue
pus
an accumulation of dead phagocyte and bacteria fluid
inflammation
a host response to tissue damage characteriaszed by
redness - pain - heat- swelling
Bacterial diseases of the skin

Ex. Impetigo is?
skin crusted over
if a newborn 2yrs or younger gets Impetigo it is from?
staphylococcus aureus
Scolded skin syndrome is another skin disease a 2yr old or YOUNGER baby can get from?
staphylococcus aureus
If you are 2yrs old or OLDER you can get Impetigo from
streptococcus pyogenes
B- hemolysis happens if ?
bacteria grows on a agar plate with clear around it.
Ex. Impetigo a (B hemolytic strep)
a ex of flesh eating bacteria is ?
strepptococcus pyogenes
(new world name Necorotizing Fascitis)
skin starts to come off
Toxic shock syndrome caused by?
staphylococcus aureus
streptococcus
streptococcus pyogenes
Psuedomonas Aeruginosa creates?
Psuedomonas dermatitis
**which also causes swimmers ear (otitis externa)
Conjunctivitis
inflammation of mucus membrane that lines the eyelids and covers out surface of eye
neonatal gonorrheal ophthalmia is
a bacteria a baby gets if mother has chlamydia when baby comes out so they always get a antibiotic put in their eye
Meninges
membranes that cover the brain and spinal cord, anytime it is inflamed it's called (MENINGITIS)
Encephalitis
infection in the brain
Causes of bacterial meningitis
1 young adults (NESSERIA MENINGITIS)
2.young children (HIB)
3. streptococcus pneumonia
Prevenar
is a vaccine to prevent bacteria causing meningitis
Medical term for Mycobacterium Leprae?
Hansens Disease
***which infects nerve endings and bone is reabsorbed
Inactivated toxin is a ?
Toxeid
Away to inactivate a bacteria is.
Take the bacteria and get some toxin it produces treat it with formaldehyde and denature it, unraveling it. thus it's inactivated.
Closstridium Botulinum makes ?
Botox - mussels are relaxed and you cant control them.