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first developed in the 20th century. prior to their development, one child in 3 was expected to die of an infectious deisease before the age of 5.
antibiotics
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the goal of antimicrobial chemotherapy is
to admisister a drug to an infected person that kills the infectious agent without harming the host's cells.
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the greatest numbers of antibiotics are derived from the bacteria in the genera:
- streptomyces
- bacillus
- penicillin (mold)
- cephalosporins
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mechanisms of drug action:
- inhibition of cell wall synthesis
- nucleic acid structure and function
- protein synthesis
- interference with cell membrane structure or function
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drugs that target cell wall synthesis cause:
cause cells to develop weak points at growth sites causeing the cell to become osmotically fragile
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antimicrobial drugs that affect nucleic acid synthesis include:
- chloroquine (antimalarial)
- azidothymindine (inserts in the viral nucleic acid and blocks further replication)
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antimicrobial drugs that block prothein synthesis usually react with:
ribosome-RNA complex
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antimicrobials against these types of cells are selective because the structure of the ribosomes differs from that in bacteria cells
eukaryotes
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this target the 30S subunit, leading to abnormal proteins
aminoglycosides
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this block the attachment of tRNA and effectively stop further protein synthesis
tetracyclines
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antimicrobial drugs that disrupt cell membrane function by interacting with this and distorting the cell surface and causing leakage of proteins and nitrogen bases
phospholipids
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drugs that inhibit folic acid synthesis do so by mimicking the normal substrate of an enzyme in a process known as
competitive inhibition
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sulfonamides and trimethoprim have this effect on folic acid synthesis in bacteria
synergistic effect
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this group of antibiotics is a large diverse group of compounds that includes the natural form G and V
penicillin
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these type of drugs derived from penicillin include ampicillin, carbenicllin and amoxicillin
semisynthetic drugs
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many bacteria produce enzymes such as penicillinases or beta-lactamases that are capable of destroying this
the beta lactam ring of penicillin
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this group of drugs were first isolated from the mold Cephalosporium acremonium.
cephalosporin
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cephalosporin is a broad spectrum antibiotic that are resistant to most penicillinases which
cause fewer allergic reactions than PCN
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this is a beta-lactam antibiotic which is a broad-spectrum drug that can be used for infections with aerobic and anaerobic pathogens
imipenem
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drugs that target cell wall include:
- bacitracin (major ingredient to Neosporin)
- Isoniazid (used to treat TB)
- Vancomycin (treat MRSA)
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drugs that target protein synthesis:
- aminoglycosides (gentamicin, streptomycin)
- Tetracyclines
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this group of drugs blocks protein synthesis and bind to ribosomes, which make it a broad-spectrum antibiotic (treats RMSF, Mycoplasma pna and cholera)
Tetracyclines
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this group drug targets protein synthesis and can cause aplastic anemia
chloramphenicol
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this group of drugs target protein synthesis and are macrolide antibiotics
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this is a combined antibiotic that is effective against Staphylococcus and Enterococcus
Synericd drugs
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this antibiotic is used to treat infections caused by MRSA and VRE
Linezolid
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these antibacterial drugs target folic acid synthesis
- sulfonamides
- trimethoprim
- sulfones
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antibacterial drugs that targe DNA and RNA include the fluoroquinolones:
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these are antibacterial drugs that targe cell membranes which are produced by Bacillus plymyxa and have a tendency to be toxic
plymixins
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agents used to treat fungal infections include the Polyenes as:
- Amphotericin B
- Griseofulvin (treat dermatophyte infections as athlete's foot)
- Azoles (includes Ketoconazole and fluconazole)
- Flucytosine (treat cutaneous mycoses)
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antimalarial drugs are based on these and include choloquine and primaquine
quinines
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antihelminthic drug therapy includes these drugs which are broad-spectrum antiparasitic drugs used in several roundworm intestinal infestations
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antiviral chemotherapeutic drugs target virus:
penetration into the host cell
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antiviral chemotherapeutic drugs blocks the transcription and translation of viral molecules and preventing this:
maturation of viral particles
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Prevents the attachment of HIV to its cellular receptor
Fuzeon
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this drug blocks DNA synthesis in the herpes viruses
Acyclovir
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these inhibitors include AZT which incorporates itself into the growing DNA chain of HIV and terminates synthesis
reverse transcriptase inhibitors
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drug resistance can develop in bacter after either:
- spontaneous mutuation
- new genes are acquired via transfer from another species
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specific mechanisms of drug resistance in bacteria include:
- synthesis of new enzymes
- decreased permeability of drug in the bacterium
- binding sites for the drug are decreased in number or affinity
- and shutdown of an affected metabolic pathway
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side effects of drugs includes:
- toxicity to organs
- allergic responses to drugs
- and suppression and alteration of the microbiota by antimicrobials
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