Microkalanjiyam

 

 Antimicrobial action

Posted By Admin    on 31-10-2021    Comments (10)

  1. Bacteriostatic agents : Antimicrobial agents that inhibit bacterial growth but generally do not kill the organism
  2. Bactericidal agents : Agents that usually kill target organisms .
  3. basic steps in antimicroial activity - active drug,anatomic approximation,surface binding ,intracellular uptake ,target binding results in either   growth inhibition or lysis and death              

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 Mechanisms of Resistance

Posted By Admin    on 05-11-2021    Comments (10)

1.Enzymatic inactivation : Beta -lactamases ,penicillinases

 ,cephalosporinases,carbapenemases,aminoglycoside modifying enzymes
2.Altered receptors : altered penicillin binding proteins of Gram positive and Gram negative bacteria,ribosomal alterations (tetracycline,erythromycin,aminoglycosides),DNA gyrase alterations (quinolones) and altered bacterial enzymes (sulfamethoxazole,trimethoprim)
3.Altered antibiotic transport : decreased influx,active efflux

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 Microorganism mediated antimicrobial resistance

Posted By Admin    on 05-11-2021    Comments (10)

Antimicrobial resistance  due to genetic traits of organism and to be detected by in -vitro susceptibility testing methods. It is of two types 1.intrinsic 2.acquired

1.Intrinsic resistance :
resistance due to normal genetic ,structural,or physiologic state of a microorganism
Examples :
1.aminoglycosides - intrinsically resistant to anaerobic bacteria due to lack of oxidative metabolism 
2.Aztreonam - intrinsically resistant to Gram positive bacteria due to lack of penicillin binding proteins 
3.Pseudomonas - intrinsically resistant to sulfonamides,trimethoprim,tetracycline  or chloramphenicol  - inability to achieve effective intracellular concentrations.
4.Klebsiella - intrinsically resistant to ampicillin  due to beta - lactamases
5.Vancomycin against Gram negative bacteria - drug unable to penetrate outer membrane

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