Microbiology Final- Chapter 20 (Viruses) – Micro Final – Cha – Flashcards

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Chemotherapy:
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using chemical substances to treat diseases.
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What two ways can chemical substances be made?
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1.made in the lab
2.maid by microbes
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what type of drugs are made in the lab and what is an example of one?
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-SYNTHETIC DRUGS
ex) Sulfanilamide (sulf drug)
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what type of drug is made by microbes?
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-ANTIBIOTICS
ex)Penicillin (Fleming 1928)
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what is the main source of antibiotics?
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BACTERIA!
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what is it called when an antibiotic is modified in a lab?
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semi-synthestic
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what is it called when an antibiotic is modified in a lab?
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semi-synthestic
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antimicrobic:
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microbe-made or man-made agent
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Selective toxicity:
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Drug is (selectively) more toxic to microbe than to host
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Narrow Spectrum Drug:
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Narrow range; natural penicillin (penicillin G) affects only gram POSITIVE bacteria.
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Broad spectrum drug:
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wide range; semi-synthetic penicillin (ex: Ampicillin); affects gram positive and gram negative bacteria.
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suffix-end-cidal or static=?
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cidal means to kill and static means to stop growth.
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Antimicrobial Drugs:

Drugs that inhibit cell wall synthesis-
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Are bactericidal- ex) Penicillin's, bacitracin, vanomycin and others.

*exceptions: isoniazid, and ethambutol (which blocks mycolic acid insertion in cell wall of Mycobacterium tuberculosis) are bacteriostatic
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Antimicrobial Drugs:

Drugs that inhibit protein synthesis-

what size ribosomes does mitochondria have?
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Eukaryotic mitochondria has 70S ribosomes
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Antimicrobial Drugs:

Drugs that inhibit protein synthesis
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-are bacteristatic
examples) tetracycline's (broad spectrum), chloramphenicol (very broad spectrum, erythromycin
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Antimicrobial Drugs:

What is the exception to the bacteriostatic drugs?
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strptomycin group (the aminoflycosides) are bactericidal
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Antimicrobial Drugs:

Drugs that damage plasma membrane
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are bactericidal
ex) polymyxin B- makes cell permeable=increase water uptake=cell lysis!
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Antimicrobial Drugs:

Drugs that inhibit nucleic acid synthesis:
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-are bactericidal

ex) Rifampin- inhibits RNA synthesis and cyprofloxacin inhibits DNA synthesis.
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Antimicrobial Drugs:

Drugs that inhibit synthesis of essential metabolites. ex) Sulfa drugs
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are bacteriostatic-inhibits growth

ex) TMP(Trimethoprim-mainly used in the prophylaxis and treatment of urinary tract infections), SMZ (used to treat UTIs and strep most commonly), sulfanilamide
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Antifungal Drugs:

Antibiotics- Griseofulvin:
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fungistatic, interfers with mitosis (for ringworm infection)
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Antifungal Drugs:

Antibiotics-Amphotericin B:(a polyene compound)
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fungicidal, binds sterols in plasma membrane (for systemic infections-toxic side effects)
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Antifungal Drugs:

Synthetics- Clotrimazole: (an azole compound)
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-fungicidal, blocks synthesis of plasma membrane sterols
-for jock itch, and ringworm
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Antifungal Drugs:

Synthetics: Flucytosine
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-fungicidal
-inhibits RNA synthesis and therefore protein synthesis
-systemic use
-toxic side effect
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Antifungal Drugs:

Synthetics: Tolnaftate
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-fungicidal (for treating athletes foot)
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Antiviral Drugs:

General non-nucleoside agents: Interferon (IFN)
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ex) alpha IFN
-inhibits virus spread (for viral hepatitis)
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Antiviral Drugs:

General non-nucleoside agents: Amantadine and Rimantadine:
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-These block uncoating of influenza
-Rimantadine-less toxic
-A third drug-Oseltamivir (Tamiflu)
-inhibits neuaminidase (N spike on influenza cell) of flu virus
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Antiviral drugs:

Nucleoside analogs:
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-most antivirals are in this group
-are purine (A or G) or pyrimidine (T, C or U) analogs
-interfere with DNA or RNA synthesis
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Antiviral Drugs:

Purine Analogs: Vidarabine, Acyclovir, Ganciclovir
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-for herpesviral infections (acyclovir-> genital herpes-no cure)
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Antiviral Drugs:

Purine Analogs: Ribavirin
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for viral pneumonia (aerosol spray)
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Antiviral Drugs:
Pyrimidine Analogs:
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A- AZT (zidovudine)
B- DDL
C- ddC
-a, b, c all interfere with dviral reverse transcriptase
-all for HIV treatment
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Antiviral Drugs:

Enzyme inhibitors: (anti-HIV)
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-inhibits viral protease (for HIV treatment)
-ex) Indinavir, and Saquinavir
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Antiprotozoan Drugs:

Chloroquine:
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-inhibits DNA synthesis (for Malaria disease)
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Antiprozoan Drugs:

metronidazole:
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-Causes DNA damage
-Broad spectrum against:
-Trichomonas vaginitis
-Entamedba diarrhea
-Anaerobic bacteria
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Anthelmintic Drugs (Worms)

Helminth=
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worm (flat or round)
-tapeworm and flukes are flatworms
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Anthelmintic Drugs: (Worms)

Niclosamide
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-prevents ATP generation for tapeworms
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Anthelmintic Drugs: (Worms)

Praziquantel:
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-Disrupts plasma membrane permeability
-for tapeworm and flukes
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Anthelmintic Drugs: (Worms)

Mebendazole:
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-disrupts nutrient absorption
-for intestinal roundworms
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Drug Resistance:

Drug Resistance=
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microbial resistance to a drug (not host resistance)D
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Drug Resistance:

Heredity drug resistance
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-passed from one bacterium to another
-via plasmids called Resistance factors (R-factors
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Drug Resistance:

Mechanisms involved:
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a) drug can't penetrate microbe to reach target site
b) target site is altered by mutation
c)microbial enzyme ex-Penicillinase (or beta lactamase) breaks down drug
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Drug Resistance:

To minimize drug resistance:
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1-use drug only when absolutely needed
2-follow doctor's orders (dosage, freq)
3-use combination therapy
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Drug Resistance:

Why is it good to use combination therapy?
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a) for synergistic effect-ex) Penicillin-streptomycin (penicillin-tetracycline-> antagonistic-do not mix penicillin and tetracycline)
b) to decrease toxicity of individual drug
c)to decrease emergence of resistant strains
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Tests to guide chemotherapy:

1. Disk Diffusion Method---agar diffusion:
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-kirby-Bauer method tests microbial susceptibility to drugs
-the E test can determine "MIC"-defined below
-Agar solid
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Tests to guide chemotherapy:

2.Broth Dilution Test:
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-Agar liquid
-uses serial dilutions of a drug to determine
a) MIC=minimal inhibitory concentration that INHIBITS growth of microbes
b)MBC=minimal bactericidal concentration, lowest concentration that KILLS the microbes
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New/future drugs:

-new drugs (Under development):
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Target: drug-resistant microbes
Sources: plandts, animals (ex Antimicrobial peptides from frog skin), and synthetic compounds
-synthetic compounds=example:
-synthesize DNA--called Triplex agent and antisense agent
-these neutralize the genes and mRNA's that code for microbial pathogenic proteins
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How fly is Stuart?
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Super fly!
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