Anti-Infective Drugs and Antibiotics
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Questions and Answers

What is the primary function of an antimicrobial?

  • To enhance the immune response
  • To serve as a nutrient source for microbes
  • To inhibit the growth or kill microbes (correct)
  • To promote the growth of microbes
  • Which of the following is NOT classified as a type of antimicrobial?

  • Antivirals
  • Antibiotics
  • Antioxidants (correct)
  • Antiparasitics
  • Antibiotics are produced by which of the following?

  • One microorganism to inhibit another (correct)
  • Animal tissues
  • Only fungi
  • Artificial chemical synthesis
  • Which factor does NOT affect the effectiveness of antibiotics?

    <p>Shelf life (D)</p> Signup and view all the answers

    What does 'biostatic activity' refer to in antimicrobials?

    <p>Inhibiting the growth of microbes (A)</p> Signup and view all the answers

    What indicates the susceptibility of a test organism to an antimicrobial agent?

    <p>Zones of inhibition around the discs (C)</p> Signup and view all the answers

    Which of the following is considered an antimicrobial agent in the provided content?

    <p>Quinolone (B)</p> Signup and view all the answers

    What does the process of streaking a sample on a nutrient agar plate aim to achieve?

    <p>To isolate test organisms from the sample (D)</p> Signup and view all the answers

    What should be done after inoculating the agar plate with a liquid culture?

    <p>Incubate for 24–48 hours (B)</p> Signup and view all the answers

    Which of the following describes a blank growth media in the context provided?

    <p>Media without any prior microbial contamination (A)</p> Signup and view all the answers

    What is the primary mechanism through which bacteria develop resistance to antibiotics?

    <p>Genetic mutation in the DNA of the bacteria (C)</p> Signup and view all the answers

    What is vertical transmission of resistance in bacteria?

    <p>Resistance passed from mother bacteria to daughter bacteria (D)</p> Signup and view all the answers

    What role do R plasmids play in antibiotic resistance?

    <p>They are small DNA fragments shared among bacteria (D)</p> Signup and view all the answers

    How do antibiotics affect the diversity of commensal bacteria?

    <p>They reduce the diversity of commensal bacteria (B)</p> Signup and view all the answers

    What happens to bacteria when a selection pressure, such as an antibiotic, is applied?

    <p>More resistant bacteria survive and replicate (A)</p> Signup and view all the answers

    Which effect is NOT a consequence of antibiotic use?

    <p>Immediate recovery of bacterial diversity (A)</p> Signup and view all the answers

    Which of the following describes the MIC (Minimum Inhibitory Concentration)?

    <p>The concentration at which a bacterium can survive and replicate (C)</p> Signup and view all the answers

    What is a common result when using antibiotics improperly?

    <p>Increased development of antibiotic-resistant strains (B)</p> Signup and view all the answers

    What is the primary distinction between bactericidal and bacteriostatic antibiotics?

    <p>Bactericidal antibiotics kill bacteria, whereas bacteriostatic antibiotics inhibit their growth. (C)</p> Signup and view all the answers

    What defines narrow-spectrum antibiotics?

    <p>They work only on either Gram-positive or Gram-negative bacteria. (A)</p> Signup and view all the answers

    Which factor does NOT contribute to the effectiveness of antibiotics?

    <p>The antibiotic must be taken in a pill form. (A)</p> Signup and view all the answers

    Which statement correctly describes broad-spectrum antibiotics?

    <p>They can work on both Gram-positive and Gram-negative bacteria. (D)</p> Signup and view all the answers

    What is the role of the immune system in relation to bacteriostatic antibiotics?

    <p>It is essential for ultimately defeating the organism after growth is inhibited. (B)</p> Signup and view all the answers

    Which of the following best describes susceptibility in the context of antibiotic treatment?

    <p>It indicates the sensitivity of the organism to the antimicrobial drug. (C)</p> Signup and view all the answers

    What could be a consequence of an antibiotic that has low penetration at the infection site?

    <p>Increased bacterial resistance. (A)</p> Signup and view all the answers

    Which treatment strategy is appropriate for a bacteriostatic antibiotic?

    <p>It temporarily inhibits growth, allowing the immune system to take over. (D)</p> Signup and view all the answers

    What does MIC stand for?

    <p>Minimum Inhibitory Concentration (D)</p> Signup and view all the answers

    Which of the following is true about a bacterial strain with a low MIC for an antimicrobial?

    <p>It is sensitive to the drug. (A)</p> Signup and view all the answers

    What should be considered to avoid serious side effects in a host animal?

    <p>Maximum Tolerated Dose (MTD) (C)</p> Signup and view all the answers

    Which of the following drugs is associated with concentration-dependent killing?

    <p>Aminoglycosides (B)</p> Signup and view all the answers

    What does a high MIC in relation to a drug's MTD indicate about bacteria?

    <p>They are resistant to the drug. (B)</p> Signup and view all the answers

    Which factor must be considered regarding the patient's ability to tolerate the treatment?

    <p>Patient's kidney function (A)</p> Signup and view all the answers

    What does the broth dilution susceptibility method primarily assess?

    <p>The minimum inhibitory concentration (MIC) of drugs. (B)</p> Signup and view all the answers

    Why is drug penetration to the site of infection important?

    <p>It ensures the drug reaches the targeted bacteria. (D)</p> Signup and view all the answers

    What is one mechanism by which antimicrobial agents inhibit microbial growth?

    <p>Inhibiting protein synthesis (B)</p> Signup and view all the answers

    Which of the following antibiotics is primarily associated with the disruption of cell wall synthesis?

    <p>Vancomycin (A)</p> Signup and view all the answers

    What class of antimicrobial agents acts by inhibiting nucleic acid production?

    <p>Quinolones (A)</p> Signup and view all the answers

    Which antimicrobial agent is known to interfere with microbial protein synthesis at the 50S ribosomal subunit?

    <p>Erythromycin (D)</p> Signup and view all the answers

    Which of the following best describes a mechanism of action that affects microbial metabolic activity?

    <p>Inhibition of PABA synthesis (A)</p> Signup and view all the answers

    Which of these antibiotics targets the synthesis of nucleic acids?

    <p>Actinomycin (D)</p> Signup and view all the answers

    Daptomycin primarily disrupts which cellular structure or function?

    <p>Cytoplasmic membrane (B)</p> Signup and view all the answers

    Which of the following agents acts by inhibiting DNA-directed RNA polymerase?

    <p>Rifampin (A)</p> Signup and view all the answers

    Which antibiotic is known to target the 30S ribosomal subunit?

    <p>Tetracycline (C)</p> Signup and view all the answers

    What type of antimicrobial agent is primarily used to disrupt lipid biosynthesis?

    <p>Polymyxins (B)</p> Signup and view all the answers

    Flashcards

    Antimicrobial

    A substance that kills or inhibits the growth of microbes.

    Antibiotic

    A substance produced by one microorganism to inhibit or destroy others.

    Mechanisms of Action

    Ways antibiotics work to kill or inhibit microbes.

    Resistance

    The ability of microorganisms to withstand the effects of antibiotics.

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    Withdrawal Time

    The period required for a drug to leave the body after its last dose.

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    Zones of Inhibition

    Areas around antimicrobial discs where bacteria can't grow, showing susceptibility.

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    Inoculate Plate

    Introduce a liquid culture of microorganisms onto a growth medium.

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    Antimicrobial Agents

    Substances that kill or inhibit the growth of bacteria.

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    Incubation Period

    The time during which the inoculated media is kept at optimal conditions for growth (24-48 hours).

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    Bacterial Susceptibility

    The ability of bacteria to be inhibited or killed by antimicrobial agents.

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    Spectrum of action

    The range of bacteria that an antibiotic can effectively target.

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    Bactericidal antibiotics

    Antibiotics that kill bacteria directly, rather than just inhibiting growth.

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    Bacteriostatic antibiotics

    Antibiotics that temporarily inhibit the growth of bacteria but do not kill them directly.

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    Narrow-spectrum antibiotics

    Antibiotics effective against either Gram-positive or Gram-negative bacteria, but not both.

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    Broad-spectrum antibiotics

    Antibiotics that work on both Gram-positive and Gram-negative bacteria.

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    Susceptibility

    The ability of a microorganism to be affected by a particular antimicrobial drug.

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    Culture & Sensitivity

    A lab test to determine if bacteria are susceptible to antibiotics and which one is most effective.

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    Effectiveness of antibiotics

    Determined by organism susceptibility, drug penetration, and patient tolerance.

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    MIC

    Minimum Inhibitory Concentration; lowest drug concentration that inhibits bacterial growth.

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    Broth Dilution Susceptibility Method

    A method to determine the MIC of antimicrobials using broth cultures.

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    Time Dependence Killing

    Antibiotics that are effective based on the duration of time in the target concentration.

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    Concentration Dependence Killing

    Antibiotics that are effective based on achieving a certain concentration level.

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    Maximum Tolerated Dose (MTD)

    Highest drug concentration a host can tolerate without serious side effects.

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    Bacterial Sensitivity

    When a bacterial strain's MIC is low enough to not produce significant side effects.

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    Bacterial Resistance

    When a strain's MIC exceeds the drug's MTD, leading to ineffectiveness.

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    Site of Infection Penetration

    The ability of a drug to reach the target tissue where infection occurs.

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    Resistance Mechanisms

    Ways bacteria develop survival capabilities against antibiotics.

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    Vertical Transmission

    Passing resistance through generations by genetic mutation.

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    Horizontal Transmission

    Transfer of resistance between unrelated bacteria via R plasmids.

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    R Plasmid

    A piece of DNA that carries antibiotic resistance genes between bacteria.

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    Selection Pressure

    The environmental factors that favor resistant bacteria over non-resistant ones.

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    Minimum Inhibitory Concentration (MIC)

    The lowest concentration of antibiotic that prevents bacterial growth.

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    Spontaneous Mutation

    Random changes in bacterial DNA that can lead to resistance.

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    Commensal Bacteria Diversity

    The variety of beneficial bacteria that can be reduced by antibiotics.

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    Cell Wall Synthesis Inhibition

    Interfering with the development of the microbial cell wall.

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    Cell Membrane Damage

    Damaging the cell membrane in static or mature microbial populations.

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    Protein Synthesis Interference

    Blocking the process that cells use to create proteins.

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    Nucleic Acid Inhibition

    Preventing the production of DNA and RNA in microbes.

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    Metabolism Disruption

    Interfering with essential metabolic processes of microbes.

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    Quinolones

    A class of antibiotics that inhibit DNA gyrase.

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    50S Inhibitors

    Antibiotics that target the 50S subunit of ribosomes to block protein synthesis.

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    30S Inhibitors

    Antibiotics that inhibit the 30S subunit of ribosomes.

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    Polymyxins

    A class of antibiotics that disrupt the bacterial cell membrane.

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    Folic Acid Metabolism

    Targeting the synthesis of folic acid in microbes, disrupting their growth.

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    Study Notes

    Anti-Infective Drugs

    • Antimicrobials are chemical substances that kill (biocidal) or inhibit (biostatic) the growth of microbes in diluted solutions.
    • Microbes include bacteria, fungi, viruses, protozoa, and parasites.
    • Specific antimicrobials exist for each category:
      • Bacteria: Antibiotics
      • Fungi: Antifungals
      • Viruses: Antivirals
      • Protozoa: Antiprotozoals
      • Parasites: Antiparasitics

    Antibiotics

    • Antibiotics are substances produced by microorganisms that, in dilute solutions, inhibit or destroy other microorganisms.
    • They are antagonistic to life.

    Mechanisms of Action of Antibiotics

    • Anti-microbial action can involve:
      • Disruption of microbial cell wall development
      • Damage to the cell membrane, particularly in static/adult populations.
      • Interference with microbial protein synthesis
      • Inhibition of nucleic acid production
      • Disruption of microbial metabolic activity

    Classification of Antibiotics

    • Classified by their spectrum of action:

      • Narrow-spectrum antibiotics target either Gram-positive or Gram-negative bacteria.
      • Broad-spectrum antibiotics target both Gram-positive and Gram-negative bacteria, but not necessarily all.
    • Classified by their effect on micro-organisms:

      • Bactericidal antibiotics kill bacteria.
      • Bacteriostatic antibiotics inhibit the growth or replication of bacteria.

    Spectrum of Bacteria Types (Gram Positive/Negative)

    • Cocci (spherical)
    • Bacilli (rod-shaped)
    • Spirochetes and spirilla (spiral-shaped)

    Bactericidal vs. Bacteriostatic

    • Bactericidal drugs directly kill bacteria often requiring higher concentrations or longer treatment times.
    • Bacteriostatic drugs temporarily inhibit bacterial growth, often relying on the host's immune system to eliminate the bacteria.

    Effectiveness of Antibiotics

    • Factors influencing antibiotic effectiveness:
      • Susceptibility of the organism to the drug
      • Ability of the drug to reach the infection site at sufficient concentrations.
      • Patient's tolerance to the treatment.

    Susceptibility Testing: Culture and Sensitivity

    • Performed to determine the effectiveness of different antibiotics against a specific microorganism.
    • Inoculation involves placing a sample on a medium with different antibiotic-containing disks
    • Incubation allows microbial growth to occur or not (zones of inhibitions)
    • Results allow determination of Minimum Inhibitory Concentration (MIC) and susceptibility to bacteria

    Minimum Inhibitory Concentration (MIC)

    • The lowest concentration of a drug that inhibits bacterial growth is the minimum inhibitory concentration.
    • Further dilutions of the drug can reveal if the bacteria are susceptible or resistant to the drug
    • Susceptible organisms will not have microbial growth in the lowest concentration of the drug

    Time-Dependent vs. Concentration-Dependent Killing

    • Time-dependent killing affects bacteria based on drug exposure time, rather than concentration needed.
    • Concentration-dependent killing depends on the concentration of antibiotic needed to kill bacteria.

    Patient Tolerance to Antibiotics

    • Debilitated or compromised patients (e.g., neonates, geriatrics, compromised kidney or liver functions) may need therapies adjusted.

    Antibiotic Resistance

    • Bacteria can develop resistance to antibiotics.
    • Resistance mechanisms include:
      • Genetic mutations
      • Horizontal transfer of resistance genes through plasmids.
    • Resistance can lead to need for stronger antibiotics and increase in treatment time/cost.

    Antibiotic Residue

    • Presence of antibiotic and its byproducts in food products (animal or human).
    • Residues can create antibiotic resistance, allergic reactions (humans/animals).
    • Withdrawal times are used to mitigate antibiotic residues in food.

    Withdrawal Times

    • The time period for antibiotics to metabolize and eliminate from the animal body.
    • Withdrawal times vary based on antibiotic types.

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    Description

    This quiz covers the fundamentals of anti-infective drugs, focusing on antimicrobials including antibiotics, antifungals, antivirals, and more. It explores the mechanisms of action of antibiotics and their classification. Test your knowledge on the various types and functions of these critical drugs.

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