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antimicrobials
medications (naturally or artificially) that inhibit or kill microbes
chemotherapeutic agent
designed to treat infections; exhibit selective toxicity. (drugs that damage pathogens but not human hosts)
antibiotic
naturally produced antimicrobial
narrow-spectrum
antimicrobial affect a limited range of microbes
broad-spectrum
antimicrobials that affect wide range of microbes
LEARN THE CHART
LEARN THE CHART
you are in a hospital and sterilizing re-usable glass syringes. List all physical methods that can be used for this purpose:
dry heat, steam heat under pressure, ionizing radiation (gamma)
Let’s say the re-usable syringes are made of a plastic that can melt at high temperatures. What chemical methods could be used for sterilization as an alternative:
chlorine&chlorites, formaldehyde, hydrogen peroxide 10%
you are a nurse in a hospital and are wiping the surface of the skin of a patient whose blood is about to be drawn. You really want to make sure you get all microbes off the skin. What antiseptics could you choose:
alcohols, hydrogen peroxide 3%, chlorohexidine
you are head of research and development at a meat-packaging facility, and a co-worker asks advice on what kind of physical method for microbial control should be used on raw steak products. what would you suggest:
cold temps, desiccation
you are cleaning a hospital room after a patient staying in the room came down with a case of C.diff. what chemical method would you use to clean:
Halogens(bleach), hydrogen peroxide 10%, aldehydes (formaldehyde and glutaraldehype)
you are cleaning a kitchen counter after cooking a meal. Keep in mind that you are most interested in cleaning up most microbes, what are some methods of microbial control that you could use:
alcohol, halogens(chlorites and chlorine), quaternary ammonium compounds
Aminoglycosides
primarily made by soil bacteria (e.g streptomycin, neomycin, tobramycin)
macrolides
some drugs are erythromycin, clindamycin, azithromycin(name brand:Z-pack)
Fluorquinolones
targets DNA gyrase in bacteria, therefore inhibiting both DNA replication and transcription (e.g ciprofloxacin and levofloxacin)
Rifampin
targets RNA polymerase in bacteria. therefore inhibiting both DNA replication and transcription ; effective at treating tuberculosis which is caused by mycobacterium tuberculosis
Sulfonamides (sulfa drugs)
Blocks folic acid synthesis in bacteria, bacteria require folic acid for nucleotide production, humans require folic acid (vitamin B9) for production of red blood cells (humans cannot make folic acid-must get from diet)
metronidazole
inhibits dan synthesis under anaerobic conditions only (and is thus used for bacterial GI tract infections and many protozoans infections as well)
antifungals
inhibits fungi
antivirals
can slow/inhibit replication of viruses in our cells (ex. paxlovid inhibits viral replication; used to treat COVID-19
antimicrobial resistance bacteria are _______ by antimicrobials
not inhibited
antimicrobial susceptible bacteria are ________ by antimicrobials
inhibited
what are the mechanisms of antimicrobial resistance
inactivation, pump, modification, impermeability