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Micro Drugs

Antimicrobial Drugs

QuestionAnswer
The use of drugs to treat a disease? Chemotherapy
Interferes with the growth of microbes within a host? Antimicrobial drugs
Substance produced by a microbe that, in small amounts, inhibits another microbe? Antibiotic
A drug that kills harmful microbes with out damaging the host? Selective toxicity
Who coined the term "magic bullet?" Paul Ehrlich
An antibiotic that is used for many illnesses. Broad spectrum
An antibiotic that can only be used for a small amount of illnesses? Narrow spectrum
Treating an illness with an antibiotic but not taking all of the prescribed dose causes? Superinfection
Kills microbes directly (Homocidal) Bactericidal
Prevents microbes from growing. Stays still. Bacteriostatic
Antimicrobial that inhibits synthesis of cell wall? Pencillin, Cephalosporins, Bacitracin and Vancomycin
Antimicrobials that inhibit protein synthesis? chloramphenicol, erythromycin, tetracycline and streptomycin
Antimicrobial that causes injury to cell plasma membrane? Polymyxin B
Antimicrobial that inhibits synthesis of essential metabolites? Sulfanilamide and Trimethoprim
Natural Pencillins? Penicillian G IM, Penicillian V PO
Semisynthetic penicillins? Oxacillin Narrow spec gram +, Ampicillin broad spec gram -
Inhibitors of Cell Wall Synthesis? Cephalosporins, Bacitracin,Vancomycin
Cephalosporins generation? 1st: narrow spec, gram +, 2nd: extended spec gram -, 3rd: pseudomonads IM, 4th: PO
Polypeptide antibiotics? Bacitracin,topical Vancomycin, glycopeptide,
Inhibitors of protein synthesis? Chloramphenicol, aminoglycosides, tetracyclines, streptogramins, macrolides,Oxazolidinones
Chloramphenicol? broad spectrum
Aminoglycosides? Streptomycin, neomycin,gentacycin
Tetracyclines? broad spectrum
Streptogramins? gram +
Macrolides? gram +
Oxazolidinones? linezolid, narrow spec, gram +
Polymyxin B Injury to plasma menbrane, topical
Inhibitors of Nucleic acid synthesis? Rifamycin, Quinolones and fluoroquinolones
Rifamycin? Used for TB
Quinolones and Fluoroquinolones? Gram + Narrow, used for UTIs
Sulfonamides? Competitive Inhibitors, broad spec.
Kirby Bauer Testin the disk diffusion? The zone of inhibition indicatges sensitivity around the disk varies with the antibiotic.
MIC= Minimal inhibitory concentration. How much ABT will stop growth.
Mechanisms of anitbiotic resistance? 1 Enzymatic distruction of drug. 2 Prevention of penetration of drug. 3 Alteration of drugs target site. 4 rapid ejection of drug.
Misuse of antibiotics? 1 Using outdated or weakened abt. 2 Using abt for common cold. 3. abt in animal feed. 4 failing to complete all abt. 5 Using someone elses leftover abt.
Synergism? The effect of two drugs together is greater than ethe effect of either alone.
Antagonism? The effect when two drugs together is less than the effect of either alone.
Prespiration and sebum contain? Nutrients
Salt inhibits? Microbes
Lysozyme hydrolyzes? Peptidoglycan
Fatty acids inhibit? Some pathogens
Gram +, salt-tolerant bacteria? Staphylococci, Micrococci, Diphtheroids
Are skin bacteria more likely to be gram-positive or gram-negative? Gram-positive
Exanthem? Skin rash arising from another focus of the infection.
Enanthem? Mucous membrane rash arising from another focus of the infection?
Staphylococcus aureus? Antibiotic resistan, Leukocidin, resist opsonization, survives in phagolysosome, lysozyme resistant, exfoliative toxin, superantigen, gram+, coagulase+
Folliculitis? Infection of the hair follicules. Staphylococcal
Sty? Folliculitis of an eyelash. Staphylococcal
Furuncle? Absecess; pus surrounded by inflamed tissue. Staphylococcal
Impetigo? Crusting (nonbullous) sores, spread by autoinculation. Staphylococcal
Streptococcal? Streptococcus pyogenes, group A beta-hemolytic streptococci, hemolysins, hyaluronidase, streloysins,M proteins
Streptococcal Skin Infections? Necrotizing fasciitis (flesh eatting) Eysipelas
Streptococcal Toxic Shock Syndrome? M proteins, complex with fibrinogen, binds to neutrophils, activates neutrophils, release of damaging enzymes, shock and organ damage.
Infections by Pseudomonads? Pseudomonas aeruginosa, gram- aerobic rod causes pseudomonas dermatitis (hot tub disease) otitis externa (swimmers ear) post-burn infections, Its opportunistic
Bburuli Ulcer? caused by Mycobacterium ulcerans, deep ulcers, more common than leprosy.
Comedonal Acne? Mild, sebum channels blocked with shed cells, Tx: topical agents, salicyclic acid, retinoids, adapalene
Inflammatory Acne? Moderate, Propionibacterium acnes, gram+ anaerobic rod, Tx: decrease sebum formation (isotretinoin) antibiotics, benzoyl peroxide, blue light.
Nodular Cystic Acne? Severe, Tx: Isotretinoin, Acutane?
Warts? Papillomaviruses, Tx: cryotherapy, electrodesiccation, salicylic acid, Imiquimod (electric) bleomycin.
Smallpox (variola) Orthopox virus, Variola major = 20% mortality rate, Variola Minor= <1% mortality, Eradicated by vaccination.
Chickenpox? Varicella-zoster virus (human herpesviris 3)transmitted respiratiory route, pus-filled vesicles, may remain latent in dorsal root ganglia, prevent: live attenuated vaccine.
Shingles? Reactivation of latent HHV-3 releases viruses that move along peripheral nerves to skin, postherpetic neuralgia, Prevention: live attenuated vaccine. Acyclovir my lessen symptoms.
Herpes simplex? HSV-1 and HSV-2, cold sores or fever blisters (lips), Herpes gladiatorum (skin), Herpetic whitlow (fingers), Herpes encephalitis, Can remain latent in trigeminal nerve ganglia.
Measles (Rubeola) Transmitted respiratiry route, macular rash and Koplik's spots,vaccination.
Rubella (German Measles)? Macular rash and fever, severe fetal damage, vaccination.
Fifth Disease? #5, Human parvovirus B19 produces mild flu-like symptoms and facial rash.
Roseola? HHV-6 and HHV-7, fever and rash 1-2 days.
Cutaneous? On skin
Subcutaneous? Under skin
Dermatomycoses? Ringworm and Tineas (athlete's foot)
Sporotrichosis? SubQ Mycoses, most common, sporothrix schenchii: enters puncture wound, Tx: potassium iodide (KI)
Candidiasis? Yeast, causes? Anibiotics (suppression of good bacteria) occurs in skin, mucous membranes of genitourinary tract and mouth (thrush) Tx: miconazole or nystatin
Parasitic Infestation of Skin? Scabies: burrows in skin to lay eggs Tx: topical insecticides. Pediculosis (lice) Capitis (Head), P.h. corporis (body), feed on blood, lay eggs on hair, Tx: topical insecticides.
Conjunctivitis? Inflamation of the conjunctiva, (pink eye) associated with dirty contact lenses
Ophthalmia neonatorum? Gonorrhoeae transmitted in child birth.
Chlamydia trachomatis? Chlamydia transmitted in child birth and swimming pools. Leading cause of blindness. Tx: tetracycline
Keratitis? Inflammation of the cornea.
Herpetic keratitis? HSV-1,infects cornea, may cause blindness.
Acanthamoeba keratitis? Transmitted via water and dirty contact lenses.
Created by: pflorentin
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