lecture test 3 part 1 Flashcards

to get shit done!!!! (261 cards)

1
Q

what is decontamination?

A

physical, chemical and mechanical methods to destroy or reduce undesireable microbes in a given area

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2
Q

what has the highest resistance to decontamination?

A

prions

bacterial endospores

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3
Q

what is sterilization?

A

process that destroys or removes all viable microorganisms

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4
Q

what is sterilization used on?

A

inatimate objects

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5
Q

what is bactericide?

A

chemical that destroys bacteria; except endospores

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6
Q

what is fungicide?

A

chemical that destroys fungal spores, hyphae and yeasts

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7
Q

what is virucide?

A

chemical that destroys or inactivates viruses

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8
Q

what is sporicide?

A

chemical that destroys endospores

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9
Q

what is microbistasis?

A

prevents microbes from multiplying

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10
Q

what is bacteriostatic?

A

agent that prevents the growth of bacteria

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11
Q

what is fungistatic?

A

agent that prevents the growth of fungi

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12
Q

what is germicide?

A

any chemical that kills pathogenic microorganisms

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13
Q

what is a germicide used on?

A

inanimate and animate objects

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14
Q

what is disinfection?

A

physical process or chemical agent that destroys vegetative cells but not endospores

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15
Q

what is a disinfectant used on?

A

inanimate objects

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16
Q

what are antiseptics?

A

chemicals applied directly to exposed body surfaces to inhibit vegetative pathogens

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17
Q

what are antiseptics used on?

A

animate objects

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18
Q

what is sanitization?

A

any cleansing technique that mechanically removes microorganisms to reduce the level of contaminates

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19
Q

what is sanitization used on?

A

inanimate objects

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20
Q

what is microbial death?

A

considered to be a permanent loss of reproductive capability

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21
Q

what are the four modes of antimicrobial agents?

A

cell wall
cell membrane
nucleic acid synthesis
alter protein function

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22
Q

what is significant of the cell wall?

A

damage causes the cell wall to become fragile and will lyse by osmotic pressure. Growing cells are more vulnerable

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23
Q

what is significant of the cell membrane?

A

If disrupted the cell loses its selective permeability and cannot prevent the loss of vital molecules or the entry of damaging chemicals

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24
Q

what is nucleic acid synthesis?

A

binding irreversably to DNA or causing mutations in DNA preventing transcription and translation

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25
what are some examples of nucleic acid synthesis:?
UV radiation | gamma rays
26
what is alter protein function?
denaturing protein prevents from working meaning no chemical reactions occur
27
what are the physical agents?
``` heat cold dessication radiation filtration ```
28
what are the two types of heat??
dry heat | moist heat
29
what are some examples of moist heat?
autoclaving intermittent sterilization pasteurization boiling water
30
what is autoclaving?
sterilization process that uses steam under pressure. Special machine that heats objects to 121 C at 15 psi for 10-40 minutes
31
what is autoclaving used on?
media used media glassware surgical equipment
32
what is intermittent sterilization?
type of disinfectant developed by John Tyndall. Special chamber with boining water that heats to 100 C for 30-60 minutes on three days with incubation periods in between
33
what is intermittent sterilization used for?
media that cannot withstand high temperatures
34
what is pasteurization?
heating liquid quickly to reduce the microbial load
35
what are the three methods of pasteurization?
batch method flash method ultrahigh temperature method
36
what is the batch method?
63-66 degrees for 30 minutes original method nonsterile
37
what is the flash method?
71.6 degrees for 15 seconds current method nonsterile
38
what is the ultrahigh temperature method?
134 degrees for 1-2 seconds used for military and coffee creamers sterile
39
what is the boining water method?
a type of disinfection where water is boiled at 100 C for 30 minutes
40
what is the boiling water method used for?
unsafe drinking water | home canning
41
what are some examples of dry heat?
dry oven | incineration
42
what is the dry oven method?
a type of sterilization | 2-4 hours at 150 C to 180 C
43
what is the dry oven method used on?
glassware powders oils metals
44
what is the incineration method?
type of sterilization | bunsen burners or furnace incinerators
45
what is the incineration method used for?
needles or loops | medical waste
46
what is the cold method?
``` microbiostatic refridgeration (0-15) or freezing (less than 0) ```
47
what is the cold method used for?
preserve food, media and cultures
48
what is the dessication method?
gradual removal of water from cells, leads to metabolic inhibition.
49
what is microbiostatic?
slows the growth of microbes
50
what is lyophilization?
freeze drying
51
what is the dessication method not an effective microbial control?
many cells retain the ability to grow when water is reintroduced
52
what is the radiation method?
damages molecules most sensitive is DNA
53
what is a mutation?
creates bonds or causes breakages
54
Some types of radiation cause
electrons to be released creating ions
55
what are the two types of radiation?
ionizing and nonionizing
56
what is ionizing radiation?
deep penetrating power that has sufficient energy to cause electrons to leave their orbit, breaks DNA
57
what is a radura?
symbol used to identify that radiation has been used
58
what is used for ionizing radiation?
gamma rays that can penetrate barriers
59
what is ionizing radiation a type of?
cold sterilization
60
what is nonionizing radiation?
little penetrating power so it must be directly exposed
61
what is used for nonionizing radiation?
UV light that creates pyrimidine dimers which interfer with replication but does not penetrate barriers
62
what are pyrimidine dimers?
abnormal bonds
63
most germicidal UV lights are at
260 nm
64
what is nonionizing radiation used for?
surgery rooms
65
what is filtration?
straining a liquid or air through a layer of material with openings large enough for liquid or air to pass but too small for microorganisms (sterilization)
66
what are the two types of filters?
depth filters | membrane filters
67
what are depth filters?
sand charcoal diatomaceous earth
68
what are membrane filters?
cellulose acetate | plastic
69
what si filtration used for?
beer, wine, milk, blood products, vaccines
70
what are the chemical agents?
``` halogens phenol chlorhexidine alcohols hydrogen peroxide aldehydes gaseous agents heavy metals detergents and soaps ```
71
water=
aqueous
72
alcohol=
tincture
73
what are halogens?
the active ingredients in nearly 1/3 of all antimicrobial chemicals currently being marketed
74
what are some examples of halogens?
fluorine bromine chlorine iodine
75
what are the most commonly used halogens?
chlorine and iodine
76
what is chlorine?
disinfectant and antiseptic used for over 200 years
77
what are the major forms of chlorine?
liquid agent | gas
78
what are the two types of liquid agents
hypochlorites | chloramine
79
what is iodine?
pungent blue-black element that forms a brown solution when dissolved in water
80
what are the three types of iodine solutions?
iodophor tincture iodine aqueous iodine
81
what is iodophor?
iodine complexed with neutral protein polymer that is less toxic and irritating to tissues
82
what are some common iodophor products?
betadine | povidone
83
what is tincture iodine?
2-3% solution of iodine in 70% alcohol used as an antiseptic
84
what is aqueous iodine?
2-3% solution of iodine in water used as an antiseptic
85
what is iodine used for?
skin preparation for surgery, burns, vaginal infections, surgical hand scrubbing
86
what is fluorine?
halogen used in toothpaste and drinking water
87
what is bromine?
halogen used in hot tubs
88
what is phenol?
acrid poisonous compound derived from distilling coal tar
89
what is phenol used for?
antibacterial soaps and disinfectants
90
what are some examples of phenol?
pHisoHex lysol triclisan
91
who first used phenol?
joseph lister as a way to sterilize surgical hands
92
what is chlorhexidine?
complex comppound of chlorine and two phenolic rings
93
chlorhexidine is also called
chlorhexidine gluconate
94
what isi chlorhexadine used to control?
MRSAand acinetobacter outbreaks in hospitals
95
what are some examples of chlorhexidine?
hibiclens | hibitane
96
what are alcohols?
have OH functional group
97
what are alcohols used for?
reduction of microbes on skin, thermometers, surfaces
98
what si hydrogen peroxide
H2O2; colorless, caustic liquid that decompses in presence of light or metals
99
what is hydrogen peroxide used for?
antiseptic for skin, wound, bedsore, mouth wash, toothpaste, contact lens cleaner
100
what are aldehydes?
has a CHO functional group
101
what are the two most popular aldehydes?
glutarldehyde | formaldehyde
102
what is glutaraldehyde
yellow acidic liquid with a mild odor
103
what does glutaraldehyde kill?
endospores in three hours
104
how do you use glutaraldehyde?
in a chemiclave
105
what is glutaraldehyde used for?
respiratory therapy and kidney dialysis equipment, endoscopes, alternative for vaccine preservative
106
what are some examples of glutaraldyhyde?
cidex and sporicidin
107
what is formaldehyde?
sharp irritating gas that dissolves readily to form an aqueous solution called formalin
108
what is formaldehyde classified as?
carcinogen
109
what is formaldehyde used for?
surgical instruments biological specimens embalming fluid
110
what are gaseous agents?
ethylene oxide | chlorine dioxide
111
what is ethylene oxide?
colorless substance that is a gas at room temperature | highly explosive in air and is mixed with carbon dioxide when used in ETO sterilizer
112
ethylene oxide is one of the few
gases accepted as a chemical sterilization agent
113
ethylene oxide is classified as
a carcinogen
114
what is ethylene oxide used for?
prepackaged medical supplies that are plastics and disinfectant of foods such as spices fruits and drugs
115
what is chlorine dioxide?
used as a sterilizing gas
116
what is chlorine dioxide used for?
treatment of drinking water, wastewater, food-processing equipment and medical waste
117
what is chlorine dioxide's most notable use?
decontamination of senate offices after anthrax attack of 2001
118
what are heavy metals?
``` mercury silver gold copper aresenic zinc ```
119
what are the most commonly used heavy metals?
mercury | silver
120
what is mercury?
mercury tinctures .001-.2% in alcohol
121
what is mercury used for?
skin antiseptics, preservative in cosmetics and ophthalmic solutions. preservative in the vaccine thimerosal
122
what are some examples of mercury?
mecurochrome | merthiolate (thimerosol)
123
what is mercurochrome?
monkey's blood developed in 1919 banned in 1998
124
what is mertiolate?
thimersol | developed in 1929. Has been used as a preservative in vaccines; phased out in 1999
125
what is the active ingredient in mertiolate?
benzalkonium chloride | lidocane
126
what is silver?
silver nitrate | silver sulfadiazine
127
what is silver nitrate used for?
prevention of eye infections of newborns
128
what is silver sulfadiazine used for?
ointments for burn patients
129
what is zinc?
used in Bourdeaux's Butt Paste for diaper rash
130
what is the active ingredient of zinc?
zinc oxide
131
what is the active ingriedient in detergent?
ammonium chloride | isopropyl alcohol
132
what is the best detergent?
quartenary ammonium compound
133
what is the most common detergent?
benzalkonium chloride
134
what are soaps?
alkaline compounds made when combining sodium or potassium salts and fatty acids
135
what is the most common soap?
sodium lauryl sulfate
136
what is a chemotheraputic agent?
any chemical used in the treatment, relief, or porphylaxis of a disease
137
what is the natural way an antibiotic is produced?
product is unchanged from organism that produces it. Streptomyces is the most prolific
138
what is the semisynthtic way an antibiotic is produced?
drug that is chemically modified in the lab after being isolated from the natural source
139
what is the synthetic way a antibiotic is made?
drug is made totally in the lab
140
what is an antibiotic?
metabolic product of one microorganism that inhibits or destroys other microorganisms
141
what are the characteristics of the ideal antibiotic?
``` selectively toxic microbicidal not microbistatic soluble and functions when diluted remains potent enough to act not subject to resistence complements host's defences readily delivered to site of infection not excessive in cost doesn't cause allergies ```
142
what is the mechanism of the mode of action for chemotheraputic drugs?
``` cell wall cell membrane protein synthesis nucleic acid cytoplam ```
143
what happens to the cell wall when antibiotics are introduced?
the cell develops weak points at growth sites and become osmotically fragile
144
what happens to the cell membrane when antibiotics are introduced?
damage to the cell membrane causes disruption in metabolism or lysis
145
what are some examples of cell wall antibiotics?
penicillin | cephlasporins
146
what are some examples of cell membrane antibiotics?
polymyxins amphotericin B nystatin
147
what is protein synthesis (antibiotics)?
most inhibitors of translation react with the ribosome -mRNA complex
148
what are two possible targets of protein synthesis?
30S | 50S
149
what are some examples of protein synthesis antibiotics?
``` streptomycin gentamycin tetracyclines chloraphenicol erythromycin ```
150
what happens with nucleic acids when antibiotics are introuced?
antibiotics block the synthesis of nucleotides and inhibit replication
151
what are some examples of nucleic acid antibiotics?
chloroquine | AZT (antiviral drugs)
152
what happens to the cytoplasm when antibiotics are introduced?
some drugs act as an analog to an enzyme in a metabolic pathway
153
what are some examples of cytoplasm antibiotics?
sulfonamides | trimethoprim
154
what drugs are in the antibacterial family?
penicillin cephlasporin Beta-lactam drugs Non Beta-lactam cell wall inhibitors
155
what are antibacterial drugs?
antibiotics that inhibit cell wall synthesis by interfering with peptidoglycan formation
156
what are non beta-lactam cell wall inhibitors?
vancomycin bacitracin isoniazid (INH)
157
what is vancomycin?
narrow spectrum used to treat resistent staph and enterococcus
158
what is MRSA?
methicillin resistent staphylococcus aeurus
159
what is VRE?
vancomycin resistant enterococcus
160
what is VRSA
vancomycin resistant staphylococcus aureus
161
what are the primary problems of vancomycin?
``` nausea rash dizziness kidney damage hearing loss ```
162
what is bactracin?
narrow spectrum produced by a strain of Bacillus subtilis used topically in ointments
163
what is isoniazid?
works by interferring with mycolic acid synthesis;
164
how is bactracin used?
topically in ointments
165
how is isonazid used?
to treat infections with mycobacterium tuberculosis
166
what are some examples of antibiotics that damage bacterial cell membranes?
polymixins
167
what are polymixins?
narrow-spectrum peptide antibiotics with a unique fatty acid component
168
what do polymixins treat?
drug resistant pseudomonas aeruginosa and severe UTI. used in topical ointments
169
what are antibiotics that inhibit protein synthesis?
``` aminoglycosides tetracyclines chloramphenical macrolide and related antibiotics erythromycin ```
170
what are aminoglycosides?
produced by streptomyces (sterptomycin) | produced by micromoriospora (gentamycin)
171
aminoglycosides are especially useful in treating
aerobic gram negative rods
172
what does streptomycin treat
bubonic plague and tuberculosis
173
what does gentamycin treat
less toxic than streptomycin used to treat gram negative rods
174
what is a newer type of aminoglycoside?
tobramycin
175
what is neomycin?
aminoglycoside | topical ointment
176
what are the primary problems of aminoglycosides?
diarrhea hearling loss dizziness kidney damage
177
what are tetracyclines?
broad spectrum produced by streptomyces
178
what are some examples of tetracycline?
doxycycline | minocycline
179
what does tetracyline treat?
``` STDs rocky mountain spotted fever lyme disease thyphus acne protozoa ```
180
what are the primary problems of tetracycline?
GI disruption staining of teeth fetal bone development
181
what is chloramphenical?
entirely synthesized through chemical processes. very toxic, restricted use, can cause irreversabile damage to bone marrow
182
what does chloramphenical treat?
thyphoid fever brain abscesses ricketts chlamydia
183
what is the primary problem with chloramphenicals?
injury to white and red blood cell precursors
184
what is macrolide and related antibiotics?
erythromycin
185
what is erythromycin?`
broad spectrum, fairly low toxicity | used for penicillin resistant gonococci, syphilis and acne
186
what are some newer semi-synthetic macrolides?
clarithromycin | azithromycin (zithromax)
187
what are some examples of antibiotics that act on DNA or RNA?
fluoroquinolones | rifampin
188
what are fluoroquinolones?
broad spectrum effectiveness synthetic ciproflaxin levafloxacin
189
what are fluoroquinolones used for?
UTIs, STDs, GI infections, respiratory infections and soft tissue infections
190
what are the primary problems with fluoroquinolones?
headaches, dizziness, tremors and GI distress
191
The CDC is recommending what concerning fluoroquinolones?
careful monitoring of them to prevent ciprofloxacin resistent bacteria
192
what are the main problems with erythromycins?
stomach pain, nausea and diarrhea
193
what is ribampin?
narrow spectrum | propylaxis of neisseria meningitis carriers
194
what does rifampin treat?
mainly tuberculosis and leprosy but also | legionella, brucella and staph
195
what are some antibiotics that block the metabolic pathway?
sulfonamides
196
what are sulfonamides?
sulfa drugs (first antimicrobial drug) most are synthetic narrow spectrum blocks the synthesis of folic acid by bacteria
197
what is sulfisoxazole?
treats shigellosis, UTI, and protozoan infection
198
what are the primary problems with sulfonamides?
rash, formation of crystals in kidneys, hemolysis of RBC and reduced platelets
199
what is silver sulfadiazine?
treats burns and eye infections
200
what are antifungal drugs?
fungal cells are eukaryotic. a drug that is toxic to fungal cells is also toxic to human cells
201
what types of diseases do antifungal drugs treat?
superficial and systemic
202
what is the mode of action of antifungal drugs?
disrupting the cell membrane of the fungus
203
what are some types of antifungal drugs?
``` microlide polyenes griseofulvin synthetic azoles flucytosine echinocandins ```
204
what are microlide polyenes?
found in creams or solutions for topical treatment of athletes foot, ring worm, and oral or vaginal candidiasis
205
what are some examples of microlide polyenes
amphotericin B | nystatin
206
what is amphotericin B?
most verstile and effective; works on most fungal infections. systemic fungal infections "gold standard"
207
what is nystatin?
used topically or orally for treatment of yeast infections
208
what is griseofulvin?
stubborn cases of dermatophyte (ringworm) | nephrotoxic (poisonous to the kidney)
209
where is griseofulvin used?
deposited in the skin, hair and nails
210
what is synthetic azoles?
broad spectrum OTC or prescribed for dermatopyte or mucous membrane infection
211
what are some examples of prescribed synthetic azoles?
ketoconazole clotrimazole miconazole
212
what are some examples of OTC synthetic azoles?
gyne-lotramin monistat micatin nizoral
213
what is flucytosine?
used for cutaneous mycoses or in combination with amphotericin B for systemic mycoses
214
what is echinocandins?
bew category of antifungal drugs that damages the cell walls of fungal cells so not toxic to humans
215
what is the first liscensed echinocandin?
capsofungin
216
what are enchinocandins used for?
invasive fungal disease where patient cannot take amphotericin B or flucytosine. (invasive yeast infection)
217
what are some types of antiparasitic drugs?
antimalarial drugs antiprotozoan drugs antihelinthic drugs
218
what are antimalarial drugs?
quinine
219
what is quinine?
used for hundreds of years to treat malaria. extracted from the brak of the cinchona tree
220
what replaced quinine?
synthetics called quinolones
221
what are some examples of antimalarial drugs?
chloroquine primaquine mefloquine for chloroquine resistant strains
222
what are antiprotozan drugs?
metronidazole or flagyl
223
what do antiprotozoan drugs treat?
parasitic infections such as mild to severe intestinal infections and STD
224
what are antihelinthic drugs?
mebendazole used to treat roundworm and tapeworm infections
225
antiviral drugs are all:
synthetic
226
what are the three major modes of action of antiviral drugs?
inhibition of viral entry inhibition of nucleic acid synthesis inhibition of viral assembly
227
what antiviral drugs inhibit viral entry?
amantadine | tamiflu
228
what is amantidine?
used in the treatment of influenza A
229
what is tamiflu?
used in the treatment of influenza infections
230
what antiviral drugs inhibit nucleic acid synthesis?
acyclovir famiciclovir AZT
231
what is acyclovir?
zovirax | used to treat herpes
232
what is famiciclovir?
famvir | used to treat chickenpox and shingles
233
what is AZT?
azidothymidine | used to treat AIDS
234
what antiviral drugs inhibit viral assembly or release?
saquinavir (protease inhibitor)
235
what does saquinavir do?
blocks enzymes needed to assemble virus particles
236
what does saquinavir treat?
AIDS
237
what are some side effects of antiviral drugs?
damage to tissues of kidney or liver allergic reations such as hives superinfection
238
what is a superinfection?
disruption of balance of the normal flora
239
what are the two ways to test a microbes sensitivity to a drug?
kirby-bauer technique | tube dilution technique
240
what is kirby bauer technique?
- make a lawn of bacteria on petri plate - place different antibiotic discs on lawn and observe growth for 24-48 hours - look for zone of inhibition around antibiotic disks - measure zone and compare to chart for susceptability or resistence
241
what is the tube dilution technique?
more sensitive and quantative - serial dilutions of antibiotics in test tubes - all tubes innoculated with same amount of bacteria
242
what does the tube dilution method determine?
minimum inhibitory concentration
243
what is the minimum inhibitory concentration (MIC)?
smallest concentration of the drug that inhibits growth
244
what is a theraputic index?
the ratio of the dose of the drug that is toxic to humans as compared to its minimum effective dose
245
what is the TI ratio?
toxic dose -------------- mic
246
How do you create drug abuse?
over prescribe drugs prescribed without suseptibility test broad spectrum usually prescribed regulations in other countries patients do not finish or take them later antibiotics used in livestock
247
how is drug resistence aquired?
mutations in critical chromosomal genes
248
what are the most prominent beta lactams?
penicillin and cephlasporins
249
what are the three parts of penicillin?
thiazolidine ring beta-lactam ring variable side chain dictating microbial activity
250
what are some semisynthetic penicillins?
ampicillin, carbenicillin, amoxicillin
251
what penicillins are used for penicillinase resistant bacteria?
methicillin nafcillin cloxacillin
252
what are the primary problems of penicillin?
allergy | resistance
253
what are the three parts of cephlasporins?
six carbon ring Beta-Lactam ring two variable side chains dictating microbial activity
254
what are the four types of cephlasporins?
first generation second generation third generation fourth generation
255
what are first generation cephlasporins?
cephlalothin and ceflazolin--most effective against gram positive and a few gram negative
256
what are second generation cephlasporins?
cefaclor and cefonacid-- more effective against gram negative bacteria
257
what are third generation cephlasporins?
cephalexin and ceftriaxone-- broad spectrum activity against enteric bacteria
258
what are fourth generation cephlasporins?
cefepime--widest range; both gram negative and gram positive
259
what are the primary problems of cephlasporins?
allergies
260
what are carbapenems?
imipenum--broad spectrum drug for infections with aerobic and anaerobic pathogens; low dose, administered orally with few side effects
261
what are monobactams?
aztreonam--narrow spectrum drug for infections of gram-negative aerobic bacilli used for people allergic to penicillin