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Microbiology
Sterilization, Disinfection, & Antimicrobials
39
Science
Graduate
05/08/2008

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Cards

Term
Sterilization
Definition
killing and removing all forms of microbes including spores
Term
Disinfection
Definition
killing most infectious disease-causing microbes
Term
Antisepsis
Definition
disinfectant safe to use on tissues (skin and mucous membranes)
Term
Autoclave
Definition

like a pressure cooker

 

steam at 121C for 15-20 minutes to kill bacterial spores

Term
Dry heat
Definition

hot air at 160-180C

 

for 2-3 hours, no pressure, no moisture

 

note: heat doesn't penetrate as well as moisture

Term
Chemical vapor
Definition

ethylene oxide

 

expensive

 

toxic

 

must allow vapor to dissipate over night 

Term
Filtration
Definition

used for heat labile solutions

 

can retain viruses because pores are big enough for them to pass 

Term
Type of disinfectant that disrupts cell membranes.
Definition

Phenols (EPA registered)

Alcohols (not EPA registered)

Detergents 

Term
Disinfectant that modifies proteins
Definition

Chlorine (EPA registered, hospital grade 1:10 dilution)

 

Iodine: (EPA registered)

 

Heavy metal salts

 

Hydrogen peroxide 

Term
Intermediate level or hospital grade disinfectant
Definition
Able to kill mycobacterial tuberculosis
Term
Selective toxicity
Definition
inhibits/kills the microbe, but is nrelatively non-toxic to host
Term
Therapeutic margin
Definition
The difference between the toxic dose for the microbe and the toxic dose for the host
Term
Spectrum of activity
Definition

activity against a broad/narrow range of microbes

 

the category(ies) of antimicrobial effect a drug covers 

Term
minimumal inhibitory concentration
Definition

dose required to inhibit growth

 

DOESN'T kill microbes 

Term
List three major bacterial mechanisms targeted by antimicrobial drugs
Definition
  1. Cell wall synthesis
  2. Protein synthesis
  3. Nucleic Acid Synthesis
  4. Cell membrane cynthesis
Term
minimal bactericidal concentration
Definition
concentration required to kil microbes
Term
Antibiotics that inhibit cell wall synthesis
Definition
  • penicillins
  • cephalosporins
  • vancomycin
  • bacitracin
Term
Antibiotics that inihibit protein synthesis
Definition
  • AMG
  • tetracyclins
  • macrolides
  • clindamycin
  • chloramphenicol
Term
Antibiotics that inhibit nucleic acid synthesis
Definition
  • quinolones
  • rifampin
  • sulfonamides
Term
Antibiotics that inhibit cell membrane synthesis
Definition
  • polymixins
  • polyenes
  • -azoles (metronidazole)
  • isoniazid
  • terbinifine
Term
Beta lactam antibiotics
Definition

beta lactam ring inhibits transpeptidase

 

microbe can't corsslink NAM-NAG

 

unable to make cell wall

 

apoptosis occurs 

Term
beta lactam antibiotics
Definition

Penicillins

 

Cephalosporins 

Term
MOA of vancomycin
Definition

Binds to D-ala precursor (substrate) and blocks transpeptidation

 

alternative to beta lactam drugs

 

beta lactams bind the enzyme, whereas vancomycin binds the substrate 

Term
Aminoglycosides
Definition

Gentamycin, neomycin, kanamycin

 

bactericidal (irreversible binding)

 

binds to the 30s ribosomal subunit

 

usually topical cream for burns/lesions

 

nephrotoxicity w/systemic use* 

Term
tetracyclines
Definition

doxycycline

 

bacteriostatic

 

binds to 30S ribosomal subunit

 

primarily vs. chlamydia, mycoplasma, and rickettsiae 

Term
Macrolides
Definition

Erythromycin, azithromycin

 

bacteriostatic

 

binds to 50S ribosomal subunit 

Term
Clindamycin
Definition

lincomycin

 

bacteriostatic

 

binds to 50S ribosomal subunit 

 

primarily used vs. anaerobic bacteria 

Term

Chloramphenicol 

Definition

a broad spectrum antibiotic

 

acts on the 50S ribosomal subunit 

 

bacteriostatic/cidal 

Term
Quinolones
Definition

Ciprofloxacin, levofloxacin

 

inhibits DNA gyrase activity

 

blocks DNA replication 

 

bactericidal/broad spectrum 

Term
Sulfonamides
Definition

Sulfamethoxazole, trimethoprim, septra

 

inhibits folic acid synthesis

 

bacteriostatic 

 

Septra has synergistic effect because it affects different steps of the synthesis pathway 

Term
Antifungals
Definition

Polyes (eg. amphotericin B, nystatin) 

  • binds to ergosterol and creates pores

-azoles like miconazole, itraconazole, fluconazole
  • inihibits ergosterol synthesis 
Term
Antimicrobial susceptibility tests
Definition

Broth Dilution Technique

 

Kirby Bauer Disk Diffusion Technique

 

ETEST 

Term
List three mechanisms of antimicrobial drug resistance
Definition
  1. Drug degradation
  2. Target alteration
  3. Denial of entry
  4. Efflux pumps
Term
Drug degradation or modification by bacteria
Definition

Mode of antimicrobial resistance

 

Eg. hydrolyzation of beta lactamases leads to penicillin resistance

 

Acetyltransfereases inactivate AMGs by acetylation 

Term
Drug Target Alteration by bacteria
Definition

mode of antimicrobial drug resistance

 

via mutation of protein or outer polysaccharide

 

via acquisition of new DNA

 

Eg. acquiring methylases via a plasmid can methylate 23S rRNA and prevent erythromycin from binding

 

Eg. structural change of bacterial transpeptidases mediates resistance to nafcillin by preventing binding of drugs 

Term
Denial of drug entry by bacteria
Definition

mode of antimicrobial resistance

 

structural mutation which inhibits antibiotics from entering cell

 

Eg. reduced porin channel size deters beta lactam antibiotics from entering 

Term
Efflux pumps for drugs
Definition

mode of antimicrobial resistance

 

via new DNA acquisition

 

uses active transport efflux pumps that pump tetracyclin out faster than it can get in 

Term
Rifampin
Definition

inhibits RNA polymerase

 

bacteriocidal

 

rapid resistance, therefore usually used in combination 

Term
Body Guards for Penicillins
Definition

Ampicillin with sulbactam

 

Amoxicillin with clavulanate

 

Clavulanate binds to beta lactamses so that penicillin can act on the microbe

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