Key Terms/Concepts
Chemotherapy: The use of drugs to treat diseases, particularly cancer and infections.
Selective Toxicity: The principle that a drug should harm the pathogen but not the host, allowing for effective treatment with minimal side effects.
Minimum Inhibitory Concentration (MIC): The smallest concentration of a drug that visibly inhibits the growth of a pathogen.
Key People
Paul Ehrlich: Developed the concept of selective toxicity and discovered Salvarsan, the first effective treatment for syphilis.
Alexander Fleming: Discovered penicillin in 1928, the first naturally produced antimicrobial.
Howard Florey and Ernst Chain: Worked on scaling up penicillin production and demonstrated its efficacy in the early 1940s.
Domagk: Discovered Prontosil, the first synthetic antimicrobial drug.
Fundamental Theories
Theory/Model | Description |
---|---|
Spectrum of Activity | Refers to the range of pathogens that an antimicrobial drug can affect, categorized into broad-spectrum (affects many groups) and narrow-spectrum (affects few pathogens). |
Mechanisms of Antibiotic Resistance | Various ways bacteria develop resistance, including altered metabolic pathways, antibiotic inactivation, and active export of antibiotics. |
Key Drugs
Penicillin: A beta-lactam antibiotic effective against certain Gram-positive bacteria, but can cause allergic reactions.
Ampicillin: Inhibits peptidoglycan biosynthesis, effective against some Gram-negative bacteria.
Tetracyclines: Antibiotics that halt translation by targeting ribosomal differences between prokaryotes and eukaryotes.
Rifampin: Interferes with RNA synthesis, effective against tuberculosis and can cause liver damage.
Nystatin: An antifungal used against Candida infections.
Amphotericin B: Used for serious systemic fungal infections.
Key Complications
Antibiotic Resistance: Occurs due to improper use of antibiotics, leading to the overgrowth of resistant strains and potential superinfections.
Superinfection Examples:
Urinary tract infections leading to vaginal yeast infections due to antibiotic use.
Antibiotic-associated colitis caused by Clostridium difficile after broad-spectrum antibiotic therapy.
Facts to Memorize
Paul Ehrlich's Compound 606 (Salvarsan) was the first successful antimicrobial drug against Treponema pallidum.
Alexander Fleming discovered penicillin in 1928.
Minimum Inhibitory Concentration (MIC) is the smallest concentration of drug that visibly inhibits growth.
Broad-spectrum antibiotics affect many taxonomic groups, while narrow-spectrum antibiotics affect only a few pathogens.
Common mechanisms of antibiotic resistance include altered metabolic pathways, antibiotic inactivation, and active export of antibiotics.
Reference Information
Selective toxicity: A drug should harm the pathogen but not the host.
Antibiotic resistance can occur due to improper or excessive use of antibiotics.
Superinfections can occur when normal flora is disrupted by antibiotics.
Concept Comparisons
Concept | Description | Examples |
---|---|---|
Broad-spectrum drugs | Affect many taxonomic groups | Tetracyclines, Ampicillin |
Narrow-spectrum drugs | Affect only a few pathogens | Penicillin (natural) |
Antibiotic resistance | Occurs when bacteria adapt to survive exposure to antibiotics | E. coli superinfection, Clostridium difficile overgrowth |
Antifungal agents | Cause membrane damage to treat fungal infections | Nystatin, Amphotericin B |