Control of Microorganisms
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Questions and Answers

What is the purpose of antisepsis?

  • Complete removal of all microorganisms
  • Destruction of pathogens on body surfaces (correct)
  • Killing microorganisms within host tissues
  • Reduction of microbial population in the environment
  • Which method specifically involves the destruction of all viable microorganisms?

  • Antisepsis
  • Disinfection
  • Sterilization (correct)
  • Sanitation
  • What does a 3 log reduction indicate in terms of microbial kill rate?

  • 90% of microorganisms are killed
  • Half of the microorganisms remain
  • All microorganisms are completely wiped out
  • 99.9% of microorganisms are killed (correct)
  • What is the main goal of sanitation in public health?

    <p>Reducing microbial population to safe levels (A)</p> Signup and view all the answers

    Which of the following best describes chemotherapy?

    <p>Chemical use to kill microorganisms within host tissues (A)</p> Signup and view all the answers

    What does a 3 log reduction represent?

    <p>A reduction of 99.9% of the initial population (B)</p> Signup and view all the answers

    What is the characteristic of persister cells?

    <p>They are inactive but can potentially recover (A)</p> Signup and view all the answers

    Which factor does NOT influence the effectiveness of antimicrobial agent activity?

    <p>Color of the environment (C)</p> Signup and view all the answers

    How does temperature affect microbial death rates?

    <p>Higher temperatures kill more microbes effectively (C)</p> Signup and view all the answers

    What does 'decimal reduction time' measure?

    <p>Time taken to kill 90% of a microbial population (C)</p> Signup and view all the answers

    In which condition are organisms in biofilms less susceptible to antimicrobials?

    <p>When they are exposed to low concentrations of antimicrobials (B)</p> Signup and view all the answers

    What is the effect of increasing population size on the time needed to kill microorganisms?

    <p>Increases the time needed to kill (A)</p> Signup and view all the answers

    What happens when conditions become favorable for VBNC cells?

    <p>They recover and can cause infection (A)</p> Signup and view all the answers

    What is the primary class of antibiotics that blocks transpeptidation in cell wall synthesis?

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

    Which characteristic feature of the penicillin molecule is essential for its bioactivity?

    <p>b-lactam ring (A)</p> Signup and view all the answers

    What type of bacteria do penicillins primarily act upon?

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

    What is the function of penicillin-binding proteins in the context of antibiotics?

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

    Which of the following is true about naturally occurring penicillins?

    <p>They include penicillin V and G. (C)</p> Signup and view all the answers

    What mechanism do penicillin-resistant organisms use to defend against penicillins?

    <p>Produce b-lactamase (D)</p> Signup and view all the answers

    What class of antibiotics primarily targets nucleic acid synthesis within bacterial cells?

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

    Which of these mechanisms is NOT a mode of action for antibiotics?

    <p>Enhancing cell metabolism (D)</p> Signup and view all the answers

    What is the main limitation of ultraviolet (UV) radiation for sterilization purposes?

    <p>It does not penetrate glass or dirt films. (B)</p> Signup and view all the answers

    Which chemical agent was advocated by Joseph Lister for disinfecting wounds?

    <p>Carbolic acid (phenol) (D)</p> Signup and view all the answers

    What is the most effective concentration of alcohol for disinfection?

    <p>70% (D)</p> Signup and view all the answers

    Which of the following is true about phenolic compounds used as disinfectants?

    <p>They can cause skin irritation and have a disagreeable odor. (D)</p> Signup and view all the answers

    What is a potential drawback of using chlorine in disinfection?

    <p>It can produce carcinogenic compounds when interacting with organic matter. (D)</p> Signup and view all the answers

    Which of the following statements accurately reflects the action of alcohols as disinfectants?

    <p>Alcohols denature proteins and dissolve membrane lipids. (B)</p> Signup and view all the answers

    What is a common use of iodine in medical settings?

    <p>As a skin antiseptic during surgery preparation. (D)</p> Signup and view all the answers

    What is one of the main disadvantages of using triclosan as an antiseptic?

    <p>It may lead to the development of antibiotic-resistant bacteria. (C)</p> Signup and view all the answers

    Which statement accurately describes the use of heavy metals as disinfectants?

    <p>They can be effective but often have safety concerns. (A)</p> Signup and view all the answers

    What differentiates phenolic compounds from alcohols in terms of their disinfecting properties?

    <p>Phenolic compounds can remain active for longer periods. (D)</p> Signup and view all the answers

    What is a potential consequence of being allergic to penicillin?

    <p>Violent allergic response (C)</p> Signup and view all the answers

    What is one of the major problems associated with antibiotic resistance?

    <p>Resistance can be transmitted to other bacteria (D)</p> Signup and view all the answers

    Which mechanism is employed by bacteria to lower the concentration of antibiotics in the cell?

    <p>Drug efflux pumps (B)</p> Signup and view all the answers

    How do aminoglycoside antibiotics interfere with protein synthesis?

    <p>By binding to the bacterial ribosome (A)</p> Signup and view all the answers

    Which of the following is an example of how bacteria can inactivate antibiotics?

    <p>Production of b-lactamases (D)</p> Signup and view all the answers

    Resistance mutants in bacterial populations arise due to which of the following processes?

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

    Which statement best describes the use of alternative pathways or enzymes by bacteria?

    <p>They can bypass drug inhibition by using different mechanisms (C)</p> Signup and view all the answers

    What role do antibiotics play during the protein synthesis process?

    <p>They block steps in protein synthesis (C)</p> Signup and view all the answers

    What is the role of dihydropteroate synthase (Dhps) in relation to sulfonamides?

    <p>It is a target for sulfonamides in bacteria. (A)</p> Signup and view all the answers

    Which mechanism allows for the rapid acquisition of resistance genes among bacteria?

    <p>Horizontal gene transfer. (B)</p> Signup and view all the answers

    Where can antibiotic resistance genes be located within bacteria?

    <p>Bacterial chromosomes, plasmids, transposons, and phages. (C)</p> Signup and view all the answers

    Which of the following contributes to the development of drug-resistant 'superbugs'?

    <p>Overuse and misuse of antibiotics. (B)</p> Signup and view all the answers

    What is a significant consequence of acquiring resistance from vancomycin-resistant enterococci (VRE)?

    <p>Resistance to multiple types of antibiotics. (C)</p> Signup and view all the answers

    What is one significant factor that can increase the rate of antibiotic resistance?

    <p>Overuse of antibiotics. (D)</p> Signup and view all the answers

    In what way does antibiotic-producing bacteria possess immunity genes?

    <p>To protect themselves from their own antibiotics. (B)</p> Signup and view all the answers

    Which of the following summarizes the consequences of selection pressure in antibiotics?

    <p>It drives the emergence of antibiotic resistance. (C)</p> Signup and view all the answers

    Flashcards

    Antisepsis

    Using chemicals (antiseptics) on body surfaces to destroy or prevent pathogens.

    Sanitation

    Reducing microbial numbers to a level considered safe.

    Disinfection

    Eliminating pathogens, but not bacterial spores, usually from non-living things.

    Sterilization

    Completely removing or destroying all living microorganisms.

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    Log reduction (kill)

    A measure of how much a microbial population is decreased. 1 log reduction = 90% kill rate, 3 log reduction = 99.9% kill.

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    Decimal reduction time

    The time required to kill 90% of a microbial population.

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    Persister cells

    Viable but non-culturable (VBNC) cells that are difficult to kill.

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    Population size's effect on antimicrobial activity

    Larger populations take longer to kill with antimicrobials compared to smaller populations.

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    Population Composition

    Microbial sensitivity to antimicrobials varies, some cells may be resistant.

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    Antimicrobial Concentration

    Higher concentrations of antimicrobial agents lead to faster killing.

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    Exposure duration

    Longer exposure to the antimicrobial agent leads to more effective killing.

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    Biofilms

    Cells in biofilms are resistant to many antimicrobials due to protective layers.

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    Temperature effect on killing

    Higher temperatures increase the rate of microbial death.

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    UV radiation's bactericidal wavelength

    UV light with a wavelength of 260 nanometers is most effective at killing bacteria. This is because DNA absorbs UV light at this wavelength, leading to damage.

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    How UV radiation kills bacteria

    UV radiation forms thymine dimers in DNA, preventing DNA replication and transcription. This disrupts the bacteria's ability to function and reproduce.

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    UV radiation limitation

    UV radiation can only sterilize surfaces and cannot penetrate materials like glass, water, or dirt films. This limits its usefulness for disinfection.

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    Joseph Lister's contribution

    Joseph Lister, in 1867, was the first to use carbolic acid (phenol) to disinfect wounds and patients, marking a significant step in controlling infections.

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    Disinfectant effectiveness

    A good disinfectant should be effective against a wide range of microbes at low concentrations, work in the presence of organic matter, and be stable in storage.

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    Overuse of antiseptics

    Excessive use of antiseptics can lead to the development of resistant microbes, including bacteria that are resistant to antibiotics.

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    Phenolics as disinfectants

    Phenolics are widely used as disinfectants in labs and hospitals. They are effective against tuberculosis, work in the presence of organic matter, and have a long lifespan.

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    How phenolics work

    Phenolics disrupt cell membranes and denature proteins, leading to bacterial death. Examples include triclosan.

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    Why alcohols are effective disinfectants

    Alcohols, like ethanol and isopropanol, are effective because they denature proteins and dissolve cell membrane lipids.

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    70% alcohol's effectiveness

    Alcohol solutions are most effective when diluted to 70% with water. This allows the alcohol to penetrate cell membranes better and to remain active for a longer time.

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    Antibiotic Targets

    Antibiotics target essential cellular processes in bacteria, often aiming for molecules both bacteria and humans have. These processes include cell wall synthesis, protein synthesis, nucleic acid synthesis, and metabolism.

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    Cell Wall Synthesis Inhibition

    Some antibiotics, like penicillins, interfere with the formation of a strong bacterial cell wall. This leads to weakened bacteria that can easily lyse (break open).

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    Penicillins: Key Feature

    Penicillins are a major class of antibiotics that have a crucial part called the beta-lactam ring. This ring is essential for their ability to block bacterial cell wall formation.

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    Penicillin Resistance

    Some bacteria have developed resistance to penicillins. They produce an enzyme called beta-lactamase, which breaks down the beta-lactam ring of penicillins, making them ineffective.

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    Penicillin Action: Transpeptidation

    Penicillins block the enzyme that links together the chains of peptidoglycan, the building blocks of bacterial cell walls. This process is called transpeptidation.

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    Penicillin Spectrum

    Penicillins have different ranges of effectiveness. Some, like penicillin V and G, are narrow-spectrum, effective against limited types of bacteria. Others are broader-spectrum, targeting a wider array of bacteria.

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    Peptidoglycan Crosslinks

    Peptidoglycan, the main component of bacterial cell walls, is made of sugar strands (glycans) linked together by amino acids. These amino acid connections are called crosslinks.

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    Penicillin Effect: Growing Bacteria

    Penicillins only work on bacteria that are actively dividing and building new cell walls. They target this specific process.

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    What is the key issue with b-lactam resistance?

    The spread of resistance to b-lactam antibiotics is a major concern as it can lead to treatment failures and increased healthcare costs.

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    How do aminoglycosides work?

    Aminoglycosides bind to the bacterial ribosome's 30S subunit, interfering with protein synthesis and causing misreading of the messenger RNA.

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    What is antibiotic resistance?

    Antibiotic resistance is the ability of bacteria to survive and multiply in the presence of antibiotics, making infections harder to treat.

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    Explain phenotypic drug resistance.

    Phenotypic drug resistance occurs when bacteria in certain environments, like abscesses or biofilms, grow slowly and become resistant to antibiotics.

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    How does drug resistance spread?

    Once resistance emerges in a bacterial population, it can spread to other bacteria, making the problem more widespread.

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    What are the common mechanisms of drug resistance?

    Bacteria develop resistance through mechanisms like modifying the target enzyme, inactivating the antibiotic, using efflux pumps, and altering metabolic pathways.

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    What is b-lactamase?

    B-lactamase is an enzyme produced by bacteria that degrades b-lactam antibiotics, such as penicillin, rendering them ineffective.

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    Why is antibiotic resistance a growing problem?

    Antibiotic resistance is a major global health threat as it makes common infections difficult to treat, leading to increased healthcare costs and mortality rates.

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    Sulfonamide Resistance

    Bacteria develop resistance to sulfonamides by acquiring genes for dihydropteroate synthase (DHPS) variants that are not inhibited by the drugs.

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    DHPS: The Sulfonamide Target

    Dihydropteroate synthase (DHPS) is an enzyme essential for bacterial folate synthesis. Sulfonamides inhibit this enzyme, disrupting bacterial growth.

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    Horizontal Gene Transfer (HGT)

    The transfer of genetic material (like antibiotic resistance genes) between bacteria through mechanisms like conjugation, transduction, or transformation.

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    Antibiotic Resistance Genes: Natural?

    Antibiotic resistance genes exist naturally in bacteria, primarily in antibiotic-producing microbes, to protect them from their own antibiotics.

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    Mobile Genetic Elements

    DNA segments capable of moving within and between genomes, such as plasmids, transposons and phages. They can carry antibiotic resistance genes.

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    MRSA: Methicillin-Resistant Staphylococcus aureus

    A bacterial strain that developed resistance to methicillin, a powerful antibiotic used to treat Staphylococcus aureus infections.

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    VRSA: Vancomycin-Resistant Staphylococcus aureus

    MRSA strains that have evolved resistance to vancomycin, a potent last-resort antibiotic, making it highly dangerous.

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    Antibiotic Overuse: Resistance Fuel

    Excessive use of antibiotics increases the selective pressure for resistant bacteria to thrive, driving the development of antibiotic resistance.

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    Study Notes

    Control of Microorganisms

    • Microorganisms are controlled for various reasons, including preventing corrosion, controlling plant pathogens, treating human pathogens and preventing food spoilage.

    Definitions of Frequently Used Terms

    • Antisepsis: Chemicals applied to body surfaces to destroy or inhibit pathogens.
    • Sanitation: Reduction of microbial population to safe levels based on public health standards.
    • Disinfection: Destruction or removal of pathogens, but not bacterial endospores. Usually used on inanimate objects.
    • Sterilization: Complete removal or destruction of all viable microorganisms. Used on inanimate objects, including endospores.
    • Chemotherapy: Chemical used to kill or inhibit growth of microorganisms within host tissues.

    Reduction of Microbial Numbers

    • The decline in microbial numbers follows exponential patterns for different types of control. Antisepsis, sanitation and disinfection and sterilization all have different curves showing log reduction over time.

    What Does Log Kill Mean?

    • 1 log reduction = 90% kill
    • 3 log reduction = 99.9% kill
    • The approximate number of bacteria in the mouth is similar to the number of people on Earth (approximately 7.5 billion).
    • 3 log reduction reduces bacterial population from 6.1 x 109 to 6 x 106.
    • Note: log reduction is a transient reduction

    The Pattern of Microbial Death

    • Microbial death does not occur instantly.
    • Population decline occurs exponentially.
    • Decimal reduction time is the time to kill 90% of a population.
    • Persister cells are viable but nonculturable (VBNC), meaning they are intact, have low metabolic rate, do not divide, and cannot form colony-forming units.
    • VBNC cells can recover and regain the ability to reproduce and cause infections.

    Conditions Influencing Antimicrobial Agent Activity

    • Larger populations take longer to kill compared to smaller populations.
    • Different species have different sensitivities to antimicrobials.
    • Higher concentrations of antimicrobials kill microorganisms more rapidly.
    • Longer exposure times lead to more microbes killed.
    • Higher temperatures kill more microbes.
    • Local environment factors such as pH, viscosity and organic matter affect the effectiveness of antimicrobials. Organisms in biofilms are less susceptible to many antimicrobials.

    Physical Control of Microbes

    • Heat and Radiation are methods for controlling microbes.

    Moist Heat

    • Moist heat is an effective method for killing viruses, fungi, protists, and bacteria.
    • It degrades nucleic acids, denatures proteins, and disrupts cell membranes.
    • Spores are more resistant to heat and moisture than vegetative cells.

    Autoclaving

    • Uses pressurized steam at temperatures above 100°C for sterilization. This method effectively sterilizes closed containers and microorganisms (including spores).
    • Quality control procedures use Geobacillus stearothermophilus strips to ensure proper operation during autoclaving.
    • Important to understand the sterilization time required for different container sizes during autoclaving.

    Why is an autoclave essential for microbiologists?

    • Microbiologists need sterility to maintain and conduct experiments, and aseptic technique and sterilization are important parts of a microbiologist's work, especially when applying for an industry job.

    Pasteurization

    • Invented by Louis Pasteur in 1864.
    • This process uses controlled heating to reduce bacterial numbers without sterilizing a product.
    • It's widely used in the food industry (milk, dairy, beer).
    • Choice of pasteurization method depends on product. High-temperature-short-time and low-temperature-long-time treatments are used depending on the food.

    Dry Heat Sterilization

    • Dry heat is less effective than moist heat sterilization.
    • It requires higher temperatures and longer exposure times (e.g. 160-170°C for 2 to 3 hours).
    • Dry heat is not usually applicable to food. It oxidizes cell constituents and denatures proteins.
    • It's suitable for sterilizing solids that are unaffected by moist heat.

    Ionizing Radiation

    • Gamma radiation penetrates deep into objects, destroying bacterial endospores.
    • It's not always effective against viruses.
    • It is used for sterilizing antibiotics, hormones, sutures, plastic and food products (such as meat, eggs).

    Ultraviolet (UV) Radiation

    • UV radiation with a wavelength of 260nm is effective against bacteria (DNA absorbs).
    • It causes thymine dimers preventing replication and transcription.
    • UV radiation does not penetrate glass, dirt films and water. It's limited to surface decontamination.

    Chemical Control of Microbes

    Chemical Agents

    • Phenols: Used as laboratory and hospital disinfectants; tuberculocidal, effective in presence of organic materials, and long-lasting. Act by denaturing proteins and disrupting cell membranes. Disagreeable odor. Triclosan is used in hand sanitizers and toothpastes.
    • Alcohols: Among the most widely used disinfectants and antiseptics; ethanol and isopropanol are the most common. Bactericidal, fungicidal, but not sporicidal. Inactivate some viruses and denature proteins. Most effective at 70% solution with water.
    • Halogens: Iodine is a skin antiseptic, used in surgical preparations. Oxidizes cell constituents and iodinates proteins. At high concentrations may kill spores. Issues with skin damage, staining and allergies. Chlorine is important in water disinfection, swimming pools, and other food applications; oxidizes cells and is sporicidal. Can react with organic matter to form harmful substances.
    • Heavy metals: (e.g., mercury, silver, arsenic, zinc, copper) combine with and inactivate proteins; may precipitate proteins. Silver coins were once used to preserve foods. Used as skin infection treatment (ointment). Use is often limited due to toxicity.
    • Quaternary Ammonium Compounds: Detergents with antimicrobial activity. Amphipathic organic cleansing agents. Safe and easy to use, but are inactivated by hard water and soap. Target cell integrity by killing most bacteria, but not endospores.
    • Aldehydes: Formaldehyde and glutaraldehyde. Highly reactive molecules, toxic; combine with and inactivate nucleic acids and proteins. Sporicidal. Can be used for chemical sterilants.
    • Sterilizing Gases: Sterilize heat-sensitive materials; microbicidal and sporicidal. Ethylene oxide sterilization is done in autoclave-like equipment.

    Mechanical Control of Microbes

    • Filtration: Removes microorganisms, applicable to sensitive materials like air (HEPA filters), food (milk, juices) and research labs.

    Filtering Liquids

    • Uses porous membranes with defined pore sizes to remove microorganisms. Pore size of 0.2 microns adapted to bacteria.

    Filtering Air

    • HEPA filters are used in surgical masks, cotton plugs on culture vessels and lab safety equipment, such as laminar flow biological safety cabinets.

    Biological Control of Microbes

    • Emerging field showing great promise. Natural control mechanisms include predation by Bdellovibrio, toxin-mediated killing using bacteriocins, bacteriophages (bacteria viruses), and viral-mediated lysis using pathogen-specific bacteriophage lysins.

    Bacteriophage products:

    • Bacteriophages express lysins that target the peptidoglycan.
    • Virion-associated peptidoglycan hydrolases create holes.
    • Endolysins degrade peptidoglycan at the end of the cycle.
    • Enzymes classes are being explored as antibacterial agents.

    The Development of Chemotherapy

    • Paul Ehrlich (1904): Developed the concept of selective toxicity. Identified dyes that treated African sleeping sickness.
    • Sahachiro Hato (1910): identified arsenic compounds to treat syphilis.
    • Gerhard Domagk, Jacques and Therese Trefouel (1935): discovered sulfonamides and sulfa drugs.

    Penicillin

    • First discovered by Ernest Duchesne (1896) but lost; rediscovered by Alexander Fleming (1928).
    • Fleming observed penicillin activity on contaminated plates.
    • Florey, Chain, and Heatley demonstrated its effectiveness.
    • Fleming, Florey, and Chain were awarded the Nobel Prize in 1945.

    Chemotherapeutics

    • Antibiotics: Used for treating bacterial or viral infections.
    • Bactericidal agents kill bacteria.
    • Bacteriostatic agents inhibit bacterial growth.

    General Characteristics of Antimicrobial Drugs

    • Selective toxicity: ability of drug to kill the pathogen without harming the host.

    • Narrow spectrum: targets a few pathogens.

    • Broad spectrum: targets many pathogens.

    • Therapeutic dose: the ideal level of a drug to have therapeutic effect.

    • Side effects: may be toxic to humans.

    • Therapeutic index: ratio between toxic and therapeutic doses, a higher index is better.

    • Effectiveness: MIC (minimal inhibitory concentration): lowest concentration of a drug that inhibits pathogen growth. Minimal bactericidal/lethal concentration (MBC): lowest concentration of drug that kills a pathogen.

    Terminology of Chemical Control

    • "-static": The agent will prevent growth of the type of organism (e.g., bacteriostatic, fungistatic)
    • "-cide": The agent will kill the type of organism in question (e.g., fungicide, bacteriocide)

    Ability of Drug to Reach Site of Infection

    • The mode of administration (e.g., oral, topical, intravenous, intramuscular) determines how easily a drug reaches the site of infection.

    Determining Antimicrobial Potency

    • Dilution susceptibility tests: used for determining the lowest concentration of antibiotic needed to prevent bacterial growth or kill bacteria.
    • Disc diffusion tests/Kirby Bauer method: determines the susceptibility of various bacterial isolates to specific antibiotic drugs by placing antibiotic discs on solid media inoculated with bacteria. The inhibition zones created around the discs are then evaluated. E-test MIC and diffusion: uses gradient of antibiotic concentration to determine the MIC (minimal inhibitory concentration).

    Dilution Susceptibility Tests

    • Tubes showing no growth determine the MIC (minimal inhibitory concentration).

    Disk Diffusion Tests

    • Disks with specific drugs are placed on inoculated bacterial plates.
    • Drug diffusion, zone of inhibition.

    Kirby-Bauer method

    • Standardized method for carrying out disk diffusion test.
    • Antibiotic discs are placed on plates containing the bacteria of interest.

    The E-test

    • Convenient for use with anaerobic pathogens.
    • Similar to disc diffusion method but uses strips rather than discs.
    • Strips contain a gradient of antibiotic.
    • Intersection of zone of inhibition with strip indicates MIC.

    Microbial Control Methods (overview)

    • A chart showing various methods.

    How do antibiotics work?

    • Antibiotic targets the most fundamental processes in bacteria.
    • Examples are inhibitors of cell wall synthesis, protein synthesis inhibitors, nucleic acid synthesis inhibitors, metabolic antagonists.

    Mechanisms of Action

    • Antibiotic target the most fundamental processes in bacterial cells.
    • Examples are inhibitors of cell wall synthesis, protein synthesis inhibitors, nucleic acid synthesis inhibitors, metabolic antagonists

    Major Targets of Common Antibiotics

    • Cell Wall: Penicillins, Glycopeptides, Ethambutol, Isoniazid
    • DNA: Fluoroquinolones, Novobiocin, Nitrofurans
    • Ribosomes: Tetracyclines, Aminoglycosides, Macrolides, Chloramphenicol

    Inhibitors of Cell Wall Synthesis

    • Penicillins (β-lactams): Most important antibiotic class; 6-aminopenicillanic acid derivatives; β-lactam ring is essential for bioactivity.

    Penicillins

    • Mode of action: Blocks the enzyme that catalyzes transpeptidation.
    • Prevents the synthesis of complete cell walls leading to lysis of cells and only acts on growing bacteria that are synthesizing new peptidoglycans.

    Strands are cross-linked

    • Amino acids serve to link glycan chains together in several ways.

    Protein Synthesis Inhibitors

    • Many antibiotics bind bacterial ribosome subunits (30S or 50S).

    Aminoglycoside antibiotics

    • Large family containing a cyclohexane ring and amino sugars.
    • Binds to 30S ribosomal subunit interfering with protein synthesis and causing messenger RNA misreading.

    Antibiotic Resistance

    Drug Resistance

    • An increasing problem.
    • Resistance originates in population, transmitted to other bacteria.
    • A mechanism can provide resistance to multiple antibiotics.
    • Bacteria develop resistance spontaneously.

    Mechanisms of Drug Resistance

    • Modification of target enzyme.
    • Inactivation of the antibiotic.
    • Antibiotic-altering enzymes.
    • Drug efflux (pumping the drug out of the cell).
    • Use of alternative pathways/enzymes

    The origin and transmission of drug resistance

    • Resistance genes can be found on bacterial chromosomes, plasmids or transposons.
    • Antibiotic-producing microbes contain resistance genes.
    • Resistance genes are transferred to non-producing microbes.

    Drug-resistant "superbug"

    • Methicillin-resistant Staphylococcus aureus (MRSA).
    • Vancomycin-resistant Staphylococcus aureus (VRSA).
    • Vancomycin-resistant enterococci (VRE)

    Summary

    • There is significant motivation to control microbes for human health and industry.
    • Understanding the mechanisms of action of antimicrobials allows for targeted drug design methods.
    • Selection pressure for resistance to antimicrobials is very high.
    • Overuse and misuse of antimicrobials often increases selection for drug resistance

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