Term
|
Definition
|
|
Term
What are the 4 types of antimicrobial agents? |
|
Definition
chemotherapy, antimicrobial agents, antibiotics, semisynthetic antibiotics |
|
|
Term
|
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
|
|
Term
TF All antimicrobials are antibiotics |
|
Definition
|
|
Term
|
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
|
|
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
|
Definition
the two antimicrobials work together, killing effects is greater than the sum of their parts. |
|
|
Term
|
Definition
have drugs that act against each other |
|
|
Term
What type of anti- thing can be more toxic to the patient? |
|
Definition
|
|
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
|
Definition
initiating treatment before lab results are available |
|
|
Term
When would you use an educated guess |
|
Definition
|
|
Term
when would you use an antibiogram |
|
Definition
|
|
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 |
|
|