Antibiotics: Mechanisms and Susceptibility

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Questions and Answers

Which of the following is NOT a method of antibacterial susceptibility testing?

  • Broad-spectrum antibiotics include (correct)
  • Automated method
  • Diffusion method
  • Dilution method

Which of the following lists contains only broad-spectrum antibiotics?

  • Tetracycline, meropenem, penicillin G (correct)
  • Ceftriaxone, imipenem, ciprofloxacin
  • Vancomycin, penicillin G, imipenem
  • Vancomycin, cefepime, imipenem

Which cephalosporin is a first-generation cephalosporin?

  • Cefepime
  • Cefuroxime
  • Cefazolin (correct)
  • Ceftriaxone

Which beta-lactam and beta-lactamase inhibitor combination is NOT typically used in treatment?

<p>Cefotaxime-tazobactam (C)</p> Signup and view all the answers

Which antibiotic inhibits bacterial cell wall synthesis by binding to D-Ala-D-Ala?

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

Which antibiotic's mode of action is the inhibition of protein synthesis?

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

Which antibiotic interferes with cell membrane integrity, leading to cell damage?

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

Which pair of antibiotics contains an antibiotic that is NOT a tetracycline?

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

In susceptibility testing, what does 'susceptible, increased exposure' mean?

<p>There is a high likelihood of therapeutic success because exposure to the agent is increased by adjusting the dosing regimen or by its concentration at the site of infection (B)</p> Signup and view all the answers

What does the abbreviation MBC stand for?

<p>Minimum bactericidal concentration (B)</p> Signup and view all the answers

Flashcards

Antibacterial Susceptibility Testing Methods

Testing a bacteria's vulnerability to antibiotics using dilution, diffusion, or automation.

Broad-spectrum antibiotics

Antibiotics effective against a wide range of bacteria, including both Gram-positive and Gram-negative bacteria. Examples include tetracycline, meropenem, and penicillin G.

Cefazolin

A first-generation cephalosporin antibiotic used to treat bacterial infections.

Vancomycin

Inhibits bacterial cell wall synthesis by binding to D-Ala-D-Ala, preventing peptidoglycan formation.

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Amikacin

Targets bacterial ribosomes, disrupting the synthesis of proteins.

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Colistin

Damages bacterial cell membranes, leading to increased permeability and cell death.

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Susceptible, Increased Exposure

A parameter in susceptibility testing that means therapeutic success is likely due to increased drug exposure via adjusted dosing.

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MBC Meaning

The lowest concentration of an antibacterial agent required to kill a particular bacterium.

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Study Notes

  • Broad-spectrum antibiotics is not a method of antibacterial susceptibility testing; methods include dilution, diffusion, and automated methods.
  • Broad-spectrum antibiotics include tetracycline, meropenem, and penicillin G.

Cephalosporins

  • Cefazolin is a first-generation cephalosporin.

Beta-Lactam Combinations

  • Cefotaxime-tazobactam is NOT a beta-lactam/beta-lactamase inhibitor combination used in treatment; other combinations used in treatments include:
    • Piperacillin-tazobactam
    • Ampicillin-sulbactam
    • Amoxicillin-clavulanate
    • Ceftazidime-avibactam

Mechanism of Action

  • Vancomycin inhibits bacterial cell wall synthesis by binding to D-Ala-D-Ala.
  • Amikacin inhibits protein synthesis.
  • Colistin interferes with cell membrane integrity, leading to cell damage.

Antibiotic Classes

  • Tigecycline is not a tetracycline; doxycycline is a tetracycline.

Susceptibility Testing

  • 'Susceptible, increased exposure' indicates a high likelihood of therapeutic success when exposure to the agent is increased by adjusting the dosing regimen or by its concentration at the site of infection.

Abbreviations

  • MBC stands for minimal bactericidal concentration.

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