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45 Cards in this Set

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Low temp

Method of prevention microbial infection



Bacteriostatic,



Uses: food, drugs, culture media



Pg4

Dessiccation

Removes h2o bacteriostatic


Uses food

Osmotic pressure

Hypertinuc solution


Ex. Salt and sugar brines


Uses food



Method of prevention microbial infection



Pg4

Radiation


Longwave

Non-ionized


Uv light cant penetrate


OR, autopsy room, some equip

Short wave radiation

Ionizing


Gamma rays


Penetrates


Replaces gas sterilization



Uses food, disposables, medical supplies

Chemical methods prevent infection

Pg5

Phenol

Carbolic acid



Rarely used because caustic and strong odor



Used In throat lozengers: local anesthetic



Derivatives called phenolics: cresol or lysol



Hexachlorophene(pHisoHex): Excessive use causes neurological damage



Chlorhexidine: surgical scrubs



Triclosan: Antibacterial soaps (Resistance?)

Halogens

Iodine antiseptic disinfectant betadine



Chlorine: effective disinfectant (bleach)


combines with H2O to form hypochlorous or HOCL

Alcohol

Swab skin/ clean equipment



Kills bacteria and fungi but not endospores


Ethenol (60-95%)


Isopropanol (rubbing alcohol)



Tinctures: alcohol added to increase the effectiveness of chemicals

Heavy metals


Silver


Mercury


Copper

Antiseptic or disinfectant ,


1% silver nitrate,


mercuric chloride,


and copper sulfate

Surface active agents


Soap and detergents

Mechanical removal


Emulsifies

Quaternary ammonium compounds

QUATS


Antimicrobial odorless colorless tasteless non-toxic



Uses mouthwash


Zephiran: benzalkonium chloride

Organic compounds

Method to prevent mocrobial growh


Sorbic acid sodium benzoate , sodium nitrate

Aldehydes:


Formaldehyde:

Most effective antimicrobial agent ·


Formalin



Glutaraldehyde: Cidal-10mlns · Endosporocydal: In 3-10 hrs

Gases

Ethylene oxi,


Highly penetrating disinfects medical supplies


Carcinogenic to workers involed with the process



Pg8

Oxiding agent

Hydrogen peroxide: antiseptic and disinfectant



Ozone: disinfection of water



Benzoyl peroxide: acne medication

Method of control


Microbe infection

Pg8

Chemotherapy

1945 penecilin sulfur drugs before but little known



Minimal inhibitary concentration


MIC

Combining antibiotics


Synergistic

Effects of 2 drugs given together to is greater then when given alone



Endocarditis penicillin (destroys CW)


And streptomycin (enters more easily)

Combining antibiotics


Antagonistic

Drug interference


Dont give tetracycline (stops bacterial growth) and penicillin (requires bacterial growth) together

Synthesis of antibiotics

Derived from microbes (bacteria or molds) or chemically synthesized

Metabolic inhibitors

Pg 10

Sulfonamides


Sulfa drugs


Interferes with folic acid synthesis


Resembles PABA


PABA (Para-aminobenzoic acid) .



Uses: UTI, meningococcal meningitis



Limitations: allergic rxn to it, not effective for severe infections (pus)

Isoniazid


INH

Interferes with mycolic acid (CW)



Resembles vitamin B6


Uses: M. tuberculosis


Limitations: resistance and kidney damage

Cell wall inhibitors

Natural Penicillin: G or V


Prevent PG synthesis


Penicillin



Extracted from penicillium sp


Uses gram ( + )s and spirochetes


Narrow spectrum


Limitations: narrow spectrum and alergic rxn

Synthetic penicilin

Prevent synthesis of PG



Ampicillin


Amoxicillin


Methicillin (Oxacillin)



Uses gram (+)(-)'s broad


Overcomes the disadvantages of natural penocillin

Cephalosporins or cephalothins

Resistant to the enzyme the penecillinase


Effective against gram neg and pos


is Broad

Bacitracin

Uses: gram +'S and some gram -'s



Topical ointment/cream

Vancomycin

Very toxic; used for resistant Staphylococcus


Narrow spectrum


Limitations: toxicity, resistance



Cell wall inhibitor prevents PG synth

Protein synthesis inhibitors



Chloramphenicol

Uses: typhoid fever and meningitis



Broad spectrum; potentially toxic



Limitations: aplastic amenia




Targets 70s prokaryotes ribosomes

Tetracycline

Less toxic than chloramphenicol


Uses: Gram +/-'s ricketsia, Chlamydia (broad)



Synthetic ____: dexycycline



Tissue soluble: UTI's RT and GI tract infections



Limitations disrups normal flora


GI problems and birth defects

Aminoglycosides

treatment of aerobic gram-negative bacilli infections



All effective against Gram(-) 's (Broad)


Streptomycln: M. tuberculosis ·


Neomycln: topical


Gentamlcln: Pseudomonas


Limitations: resistance, auditory nerve damage

Erythromycin


Macrolides

Alternative: penicillin (allergic)


Uses: gram +'s, legionella, some Neisseria, and Mycoplasma pneumonia



Limited activity: won't effect most gram -'s



Given orally (orange flavor)

Polymyxin

Cell membrane permeator



Uses: gram (-)'s , Pseudomonas



Topical since toxic to kidneys and brain if injected

Rifamycin or rifampin

Inhibits mRNA



Uses: gram +'s and some gram -'s


Chlamydia, M. lepri, M. tuberculosis, N. meningitidis



Turns urine, sweat, feces and tear


Orange/red color

Antifungal

Nystatin or mycostatin(for yeast)



Amphotericin B:



Imidazoles or ketoconazole:



Griseofulvin: (ringworm tinea)




Pg 564


Fkdkdkd

Antiviral drugs

Amantadine:



Acyclovir: flu




AZT or zinovudine: AIDS HIV



Interferon:




Pg565-6

Antiprotazoa


567

Quinine and derivatives: malareia



Metronidiazole or flagyl: $&÷**×




P567

Amtohelminthic drugs

Niclosamide: tapeworm Mebendazole (round worm infection?) Pg567



Pg18

Developement of drug resistance

Enzyme alterations


Changes in CW and CM permiability



Genetic changes or mutations

Antibiotic abuse

World medicine uses and pharmacy with no prescriptions



Dangers of Antibiotic Abuse

* 80% of antibiotics sold In U.S. are given to animals raised for food. Promotes growth & prevents Infections since animals live In cramped areas. . * Antibiotlc-resistant bacteria found In our meats


Factory farming

Tinctures

alcohol added to increase the effectiveness of chemicals

Protein synthesis inhibitors

Targets 70s prokaryote


Ribosomes

Cell membrane permeators

Loss of cell metabolites