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Antibiotics
Test Three
28
Microbiology
Undergraduate 3
02/19/2013

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Term
In vivo
Definition
in the body
Term
What are the 4 types of antimicrobial agents?
Definition
chemotherapy, antimicrobial agents, antibiotics, semisynthetic antibiotics
Term
antimicrobial agents
Definition
man made or organic: they kill/inhibit microbes
Term
Semisynthetic antibiotics
Definition
modifying basic molecule: so it is partly synthetic
Term
TF All antibiotics are antimicrobials
Definition
True
Term
TF All antimicrobials are antibiotics
Definition
False
Term
Antibiotics
Definition
made by a microbe to kill a microbe
Term
Ideal qualities of an antimicrobial agent
Definition
kill or inhibit the growth of pathogens, cause no damage to the host, cause no allergic reaction in the host, be stable when stored, remain in specific tissues in the body long enough to be effective, kill the pathogen before they mutate and become resistant to it
Term
What is a strategy to ensure that the microbial is killed?
Definition
use 2 antimicrobials
Term
How do antimicrobial agents work?
Definition
inhibition of cell wall synthesis, damage to cell membranes, inhibition of nucleic acid synthesis, inhibition of protein synthesis, inhibition of enzyme activity
Term
What is the difference between bacteriostatic and bacteriocidal?
Definition
bacteriostatic wont kill the bug, it will just make it stop growing. Bacteriocidal will kill the bacteria
Term
What are narrow spectrum antibiotics?
Definition
act against a limited range of organisms
Term
Broad spectrum antibiotics
Definition
broad range: "nuke everytihing"
Term
Synergism
Definition
the two antimicrobials work together, killing effects is greater than the sum of their parts.
Term
Antagonism
Definition
have drugs that act against each other
Term
What type of anti- thing can be more toxic to the patient?
Definition
antifungals
Term
How bacteria become drug resistant: intrinsic
Definition
They are naturally wired to be resistant
Term
How bacteria become drug resistant: acquired
Definition
they pick up resistance along the way, you must test for it
Term
In a petri dish, how is the resistance measured?
Definition
looking at the diameter of the cells
Term
What do beta lactamases do?
Definition
they are an enzyme that will destroy penicilin
Term
What can be done to prevent drug resistance?
Definition
educate, dont proscribe something the patient does not need, take antibiotics as directed and full course treatment
Term
What type of antibiotics can help prevent drug resistance?
Definition
inexpensive, narrow spectrum antibiotics
Term
What can be done to prevent drug resistance?
Definition
destroy excess antimicrobial, dont use antibiotics prophylactically, isolate patients with multi drug resistant pathogens, practice good infection prevention and control
Term
Empitical theory
Definition
initiating treatment before lab results are available
Term
When would you use an educated guess
Definition
an the empirical theory
Term
when would you use an antibiogram
Definition
empirical theory
Term
What are the considerations of the empirical theory?
Definition
allergies, age, pregnancy, inpatient or outpatient, hospital formulary, site of infection, other medications, additional medical problems, immunocompromised, cost
Term
What are the four major undesirable effects of antimicrobials?
Definition
selecting for resistant organisms, development of allergies, toxicity, destruction of normal flora
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