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Antibiotic
antimicrobial of natural origin
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Semisynthetics
Antibiotics which have been chemically altered
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Synthetics
completely man-made antimicrobial
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Spectrum
- "breadth of activity" - how many bugs it works against
- Wide spectrum: useful against many organisms
- Narrow spectrum: useful againsg few organisms
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Normal Flora
- organisms that colonize humans.
- USUALLY don't cause disease (symbiotic)
- Prevent overgrowth of pathogens
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Skin normal flora
- Staph sp
- Strept sp
- Candidia sp
- Corynebacteria
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GI Tract normal flora
- E. coli
- Enterococcus
- Candida
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Opportunistic infections
Normal flora that colonize the body and cause infection during an immunocompromised situation
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Pathogen
- Organisms with an increased ability to cause infection
- Strep pneumoniae
- Staph aureus
- E. coli
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Virulence
- Microbial factors that increase likelihood of infection
- Adhesins, polysaccharide capsules, toxins, hyluronidases
- High virulence: few organisms to cause infection
- Low virulence: many organisms to cause infection
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hyluronidases
enzymes that dissolve connective tissue
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polysaccharide capsules
prevent phagocytosis
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Antimicrobial vs Antibiotic
- Antimicrob: Broader classification, includes elements, anti-virals/anti-fungals included
- Antibiotic: found in nature, same as antibacterial
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Bacteriostatic
- inhibit bacterial growth
- allows body's immune system to act
- Bacteria are still there, just not replicating
- Inhibition of protein synthesis
- inhibition of metabolite action/synthesis
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Bacteriocidal
- Results in bacterial death
- Cell wall lysis
- Altered membrane permeability
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Natural resistance
native to an organisms
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Acquired Resistance
- usually associated with antibiotic use
- develops after exposure
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