問題一覧
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An antibiotic is a
SELECTIVE POISON
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Differential staining of tissue, bacteria Search for magic bullet that would attack bacterial structures, not ours Developed ______, used against syphilis.
PAUL EHRLICH, SALVARSAN
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___ and ___ mass produce penicillin for war time use, becomes available to the public.
FLOREY, CHAIN
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1935 ______ discovered
SULFA DRUGS
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The term “antibiotics” was first coined by the American microbiologist ________ and his colleagues to describe chemical substances produced by microorganisms and having antagonistic effects on the growth of other microorganisms.
SELMAN WAKSMAN
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testing is per Formed in both diagnostic and drug discovery laboratories
MINIMUM INHIBITORY CONCENTRATION
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MODE OF ANTIBACTERIAL ACTION
CONCENTRATION-DEPENDENT KILLING ACTION, TIME-DEPENDENT KILLING ACTION
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inhibit the growth of bacteria
BACTERIOSTATIC
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directly kill the bacteria
BACTERICIDAL
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CELL WALL SYNTHESIS INHIBITORS
BETA LACTAMS, CELL MEMBRANE INHIBITORS, VANCOMYCIN, BACITRACIN
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NUCLEIC ACID SYNTHESIS INHIBITORS
FOLATE SYNTHESIS INHIBITORS, DNA GYRASE INHIBITORS, RNA POLYMERASE INHIBITORS
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PROTEIN SYNTHESIS INHIBITORS
50S INHIBITORS, 30S INHIBITORS
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Beta Lactams
PENICILLINS, CEPHALOSPORINS, CARBAPENEMS, MONOBACTAMS
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Cell Membrane Inhibitors
POLYMYXIN
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Identify
PENICILLINASE SUSCEPTIBLE, PENICILLINASE RESISTANT
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An intact______ is essential for anti bacterial activity
BETA-LACTAM RING
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is a medication used to manage and treat a wide range of infections.
PENICILLIN
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Most serious complication is of penicillin is .
HYPERSENSITIVITY
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PENICILLIN – drug of choice for Syphilis
PENICILLIN G, PENICILLIN V
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Anti-Staphylococcal Penicillins
CLOXACILLIN, OXACILLIN, NAFCILLIN, DICLOXACILLIN, METHICILLIN
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Amino-Penicillins
AMPICILLIN, AMOXICILLIN
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ANTI-PSEUDOMONAL PENICILLINS
TICARCILLIN, CARBENICILLIN, PIPERACILLIN
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are beta-lactam antimicrobials used to manage a wide range of infections from gram-positive and gram-negative bacteria
CEPHALOSPORINS
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1ST GENERATION CEPHALOSPORINS
CEFAZOLIN, CEFADROXIL, CEPHALEXIN
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2ND GENERATION CEPHALOSPORINS
Cefaclor, Cefuroxime, Cefoxitin, Cefprozil, Cefotetan
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_______ and ______ – good activity against abdominal and pelvic infections
Cefotetan, Cefoxitin
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_____ – improved action against pneumococcus and H. influenzae
CEFUROXIME
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Drug of Choice (DOC) for Gonorrhea (N. gonorrhea) Given Intramuscular
CEFTRIAXONE
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Wide coverage against gram (+) and gram (-) bacteria
4TH GENERATION OF CEPHALOSPORINS
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_________ are a class of very effective antibiotic agents most commonly used for treatment of severe bacterial infections. This class of antibiotics is usually reserved for known or suspected multidrug-resistant bacterial infections.
CARBAPENEMS
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________ is also known as the “silver bullet”
AZTREONAM
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is a monocyclic beta-lactam antibiotic
AZTREONAM
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Inhibits inactivation of penicillins by bacterial beta-lactamase(penicillinase)
CLAVULANIC, SUBACTAM, TAZOBACTAM
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MOA: interferes with late stage in cell wall synthesis in gram positive organisms
BACITRACIN
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Must know for Baci+racin
GRAM POSITIVE, TOPICAL USE, NEPHROTOXIC
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ANTIBIOTIC DRUGS OF LAST RESORT
IMIPENEM, AMIKACIN, MEROPENEM, LINEZOLID, STREPTOGRAMIN, VANCOMYCIN
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30s cells
AMINOGLYCOSIDES, TETRACYCLINE
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50s
CHLORAMPHENICOL, ERYTHROMYCIN, LINEZOLID, LINCOSAMIDES, STREPTOGRAMIN
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are a class of antibiotics used to treat serious infections caused by bacteria that are difficult to treat.
AMINOGLYCOSIDES
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are called bactericidal antibiotics because they kill bacteria directly
AMINOGLYCOSIDES
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Most commonly used aminoglycosides:
GENTAMICIN, NEOMICIN, AMIKACIN, SPECTINOMICIN, STREPTOMICIN, TOBRAMICIN
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• The modern era of antibiotics started with the serendipitous discovery of penicillin from the culture filtrate of a fungus, _______ by ___________ in 1928
Alexander Fleming, PENICILLUM NOTATUM
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• The rate & extent of killing increases as the peak drug concentration increases • A property associated with drugs inhibiting protein or DNA synthesis (__________ and ___________)
CONCENTRATION-DEPENDENT KILLING ACTION, AMINOGLYCOSIDES, FLUOROQUINOLONES
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• Time-dependent killing is characteristic of ______ and _____.
TIME-DEPENDENT KILLING ACTION, MACROLIDES, B-LACTAM ANTIBIOTICS
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• can eradicate an infection in the absence of host defense mechanisms
BACTERICIDAL
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• inhibits microbial growth but requires host defense mechanisms to eradicate the infection
BACTERIOSTATIC
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inhibitsynthesis of bacterial cell walls by binding to proteins in bacterial cell membranes
BETA LACTAM
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binds to_____________) located in the bacterial cytoplasmic membrane
PENICILLIN-BINDING PROTEINS
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Protein Synthesis Inhibitors – all are bacteriostatic EXCEPT:
AMINOGLYCOSIDES, STREPTOGRAMIN, CHLORAMPHENICOL
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• Enhanced effect when used with beta-lactamase inhibitors
AMOXICILLIN
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Amoxicillin HELPS kill the ff bacteria:
Haemophilus influenzae, Escherichia coli, Listeria monocytogenes, Proteus mirabilis, Salmonella spp
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are a class of antibiotics that are used to treat severe bacterial infections
CARBAPENEMS