WorksheetsAntibiotics
Total questions: 40
Worksheet time: 22mins
how do we kill microbes once they have infected us?
Rely on our immune system
chemotherapeutic agents means:
Any chemical used to improve health of the body
select all that applies about antimicrobial chemotherapeutics:
They include antibiotics, antifungals, antivirals,
They must be selective: killing organism without harming host
which are true about antibiotics?
Antibiotics inhibits microbes in small amounts
Antibiotics inhibits growth or kills microorganisms
Antibiotics inhibits microbes in large amounts
Usually natural origin or from microbes
range of microbes the antibiotics is affective against
selective toxicity
spectrum of activity
why can't we used broad spectrum of antibiotics all the time vs. selective toxicity?
aside from inhibition of essential metabolite synthesis,
what are the other methods of antimicrobial activity?
inhibition of cell wall
inhibition of protein synthesis
injury to plasma membrane
inhibition of nucleic acid synthesis
inhibition of growth
where do antibiotics originally come from?
Microbial wars
what are the four sources of antibiotics?
Staphylococcus, synthetic, Gram -ve bacilli, and Penicillium fungus
Streptomyces bacteria, synthetic, Gram +ve bacilli, and Penicillium fungus
Non-microbial Antibiotics are
Sulfonamides
Isoniazid
Quinolones
Quinine
Penicillin
inhibit folic acid synthesis
which are required for bacterial nucleic acid synthesis
Sulfonamides
Isoniazid
Quinolones
Quinine
isolated from red clotting dye
Sulfonamides
Isoniazid
Quinolones
Quinine
considered broad spectrum antibiotic
can treat UTIs and Vaginal Infections
Sulfonamides
Isoniazid
Quinolones
Quinine
aka INH
activated to toxic form by catalase in bacteria
inhibits mycolic production
Sulfonamides
Isoniazid
Quinolones
Quinine
How does Isoniazid works against TB?
It’s inactive when taken and must be activated inside the TB bacteria.
The bacterial enzyme KatG (a catalase-peroxidase enzyme) activates it
After activation, isoniazid targets the synthesis of mycolic acids
Can occur if KatG enzyme is mutated (the drug won’t be activate
Works mainly on Mycobacterium (not broad-spectrum)
used against TB and Leprosy
Sulfonamides
Isoniazid
Quinolones
Quinine
derivatives end in "oxacin"
inhibits DNA synthesis (broad spectrum)
used to treat UTIs with sulfonamide resiatant bacteria
Sulfonamides
Isoniazid
Quinolones
Quinine
derive from cinchona tree bark
antimalaria
binds to protozoa DNA and inhibits reproduction
Sulfonamides
Isoniazid
Quinolones
Quinine
what are the advantages of penicillin derivatives:
cloxacillin, methicillin, ampicillin, penicillin V, carbenicillin, ticarcillin
increased bioavailability & absorption
greater 1/2 lives
less sticking to foods and stomach acid resistance
what are the Disadvantages of penicillin derivatives:
cloxacillin, methicillin, ampicillin, penicillin V, carbenicillin, ticarcillin
Less effective due to decreased spectrum
increased bioavailability & absorption
greater 1/2 lives
organ damage
what are the shortcomings of Penicillin?
narrow spectrum
anaphylactic reactions
antibiotic resistant
easily accessible
selective toxicity
beta-lactam ring
inhibits peptidoglycan synthesis by blocking crosslinks of carbs to protein
Penicillin
Cephalosporin
Streptomycin
Chloramphenicol
Tetracycline
isolated from seawater fungus
inhibits cell wall synthesis
3 generations developed to work better against Gram -ve
Penicillin
Cephalosporin
Streptomycin
Chloramphenicol
Tetracycline
similar and a substitute to penicillin
named chep or cef
Penicillin
Cephalosporin
Streptomycin
Chloramphenicol
Tetracycline
isolated from streptomyces bacteria
member of aminoglycosides family
Penicillin
Cephalosporin
Streptomycin
Chloramphenicol
Tetracycline
binds and inhibits ribosomes
toxic/ not well absorbed
effective against intestinal infection and a topical ointment
Penicillin
Cephalosporin
Streptomycin
Chloramphenicol
Tetracycline
also isolated from streptomyces bacteria
inhibits protein synthesis
broad spectrum
very tissue invasive
effective against meningitis
Penicillin
Cephalosporin
Streptomycin
Chloramphenicol
Tetracycline
also isolated from streptomyces bacteria
inhibits protein synthesis
broad spectrum
drug of choice for STDs
Penicillin
Cephalosporin
Streptomycin
Chloramphenicol
Tetracycline
significant side effects:
-aplastic anemia
gray syndrome in newborns
Penicillin
Cephalosporin
Streptomycin
Chloramphenicol
Tetracycline
significant side effects:
-stunted bone growth in children
-discolouration of teeth
Penicillin
Cephalosporin
Streptomycin
Chloramphenicol
Tetracycline
To test the Effectiveness of Antibiotics,
filter paper soaked in antibiotic
paper placed on placed on plate with growing bacteria
zone of inhibition indicates effectiveness
Broth Dilution test
E-test
Kirby-Bauer test
this test is considered
NOT quantitative
NOT bactericidal
Broth Dilution test
E-test
Kirby-Bauer test
this test is considered
Quantitative, but
NOT bactericidal
Broth Dilution test
E-test
Kirby-Bauer test
this test is considered
BOTH Quantitative & Bactericidal
Broth Dilution test
E-test
Kirby-Bauer test
plastic strip coated with a gradient of antibiotic
strip placed on plate with growing bacteria
where bacteria touch strip, tells you the MIC of antibiotic
Broth Dilution test
E-test
Kirby-Bauer test
Minimum Inhibitory Concentration (MIC)
antibiotic is diluted into wells (tubes) containing broth inoculated with bacteria
let bacteria grow
lowest conc of antibiotic show no growth: MIC
Broth Dilution test
E-test
Kirby-Bauer test
Minimum Inhibitory Concentration (MIC)
antifungal
from streptomyces bacteria
binds to sterols in membrane of fungus and changes permeability
use to treat Candida albicans yeast infections
Nystatin
Amphotericin B
Imidazoles
Triazoles
antifungal
from streptomyces bacteria
binds to sterols in membrane of fungus and degrades membranes
significant side effects
used for serious fungal infections
Nystatin
Amphotericin B
Imidazoles
Triazoles
antifungal
synthetic
inhibits sterol synthesis
used topically for candida skin infections & invasive cryptococcosis
Nystatin
Amphotericin B
Imidazoles
Triazoles
antifungal
similar mechanisms as imidazoles but more potent
lower dose required and fewer side effects
Nystatin
Amphotericin B
Imidazoles
Triazoles
