Infection Flashcards

(32 cards)

1
Q

What are the four types of infectious diseases?

What types of medication treat these?

A
Bacteria = Antibacterial
Viruses = Anti-viral
Fungi = Anti-fungal
Parasites = Anti-protozoal
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2
Q

State systemic signs and symptoms of infection

A
Fever
Weakness
Vomiting
Diarrhoea
Headache
Sore throat
Joint/muscle pain
Rash
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3
Q

State 4 cultures to investigate infection

A

Blood tests (FBC, WCC, CRP)
Urine samples (dipsticks)
Swabs (of sites)
Stool (pH, blood, parasites)

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4
Q

A bacteria cell has __ nucle(us/i), with two types of DNA. _____ DNA carries genetic information, whilst ____ DNA carries extra info. They have a ______ wall for rigid structure.

A

Zero nuclei; chromosomal; plasmid; peptidoglycan

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5
Q

What is gram staining?

A

Differentiating between bacteria based on their cell wall

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6
Q

What gram result will a bacteria with thick peptidoglycan layer produce?

A

Gram positive

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7
Q

What gram result will a bacteria with thin peptidoglycan layer produce?

A

Gram negative

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8
Q

Why do gram negative bacteria have an additional peptidoglycan layer?

A

To prevent antibiotics from penetrating cell, so harder to treat

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9
Q

Distinguish bacteriostatic drugs from bactericidal drugs?

A

Bacteriostatic: Inhibit bacteria growth but doesn’t kill
Bactericidal: Kills bacteria

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10
Q

State 4 ways antibacterials work

A
  • Inhibit bacterial cell wall synthesis
  • Interact with plasma membrane
  • Inhibit cell metabolism incl. DNA/RNA
  • Disrupt protein synthesis
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11
Q

Outline beta-lactam rings in abx effectiveness

A
  • Abx contain beta-lactam ring in molecular structure
  • Beta-lactamases (enzyme) hydrolyses ring
  • Makes abx ineffective
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12
Q

What do beta-lactamase inhibitors do?

A

Stop action of beta-lactamase enzyme, reducing abx resistance

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13
Q

Penicillins are bacteri_____. They interfere with ____ and affect cell growth/division by binding to _________.

A

Bactericidal; interfere with cell wall synthesis; Penicillin Binding Protein

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14
Q

What is the spectrum of activity of penicillins?

A

Active against gram-positive and gram-negative

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15
Q

What are side effects of penicillins?

A

Allergy, skin rashes, fever, GI disturbances, hypernatraemia (IV)

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16
Q

Cephalasporins are bacteri______. They inhibit ______.

A

Bactericidal; inhibit cell wall synthesis

17
Q

What is the spectrum of activity of cephalasporins?

A

Broad. Primarily gram-positive, but new generations active against gram negative.

18
Q

What are side effects of cephalasporins?

A

5-10% allergy, skin rashes, fever, GI disturbances

19
Q

Macrolides are bacteri_________. They irreversibly bind to _____ so _____ synthesis is affected.

A

Bactericidal + bacteriostatic; ribosomes; protein synthesis

20
Q

What is the spectrum of activity of macrolides?

A

Most gram-positive bacteria

21
Q

What are side effects of macrolides?

A

GI disturbances, liver damage, jaundice

22
Q

Tetracyclines are bacteri_______. They inhibit mRNA production by __________.

A

Bacteriostatic; reversibly binding to ribosomes

23
Q

What is the spectrum of activity of tetracyclines?

A

Most gram positive and negative bacteria

24
Q

What are side effects of tetracyclines?

A

GI disturbances, photosensitivity.

AVOID in children.

25
In what two ways can antibiotic resistance occur?
Natural (innate) = Entire species resistant before any abx introduced Acquired = Once sensitive bacteria now resistant
26
What mechanism of resistance does the following describe? Antibiotic will eliminate sensitive organism within a bacterial population meaning only the resistant ones survive
Selection
27
What mechanism of resistance does the following describe? Susceptible bacterium becomes a resistant one and then proliferates
Mutation
28
What mechanism of resistance does the following describe? Exchange of genetic material
Transferred resistance
29
What mechanism of resistance does the following describe? Bacterium produces enzymes & target abx e.g. beta-lactamases on penicillins
Enzyme inactivation
30
What mechanism of resistance does the following describe? Alteration to bacteria so less antibiotics can enter and bind to its targets
Altered permeability
31
What mechanism of resistance does the following describe? Antibiotic target site (e.g. ribosomes) is altered so that antibiotic can no longer bind and is ineffective
Altered structure
32
What are 3 current examples of antibiotic resistance?
MRSA, VRE, ESBL