ANTIMICROBIALS

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What is the definition of antimicrobial?
An antimicrobial agent is any substance that inhibits the growth of or kills a microorganism
What is a broad spectrum antibiotic effective against
Gram +ve and Gram -ve bacterias
What is a narrow spectrum antiobiotic effective against
Effective against a narrow few bacterias. Either Gram +ve or Gram -ve
Infection is one of the most common reasons for pre-term labour and SROM. True or False?
TRUE
Do antimicrobials cross the placenta?
YES
Fungal pathogens are 'opportunistic'... what does this mean?
Means these organisms are already present in the body.
What are some pharmacological treatments for Candida?
Nilstat, Canistan. Monistat, Clotrimazole 3 & 6
What is the name of an antiviral drug that is used to treat herpes simples virus?
Acyclovir
Some antibiotics are not absorbed from the gut so are given IMI or topically. True or False?
TRUE
What are some adverse effects of antimicrobials?
Allergy, hypersensitivity, toxicity, super infection, resistance and therapeutic failure.
Hypersensitivity to a drug can result in?
A simpler skin rash and itching to a fatal anaphylaxis.
When can drug toxicity occur?
With an overdosage of medication, accumulation of the drug in the body over time or the inability to eliminate the drug.
Describe a 'super infection'.
Is when antibiotics kill the normal micro-flora of the skin or GI tract allowing resistant and more harmful microorganisms to take their place.
Describe 'resistance'.
Some organisms are resistant to certain antimicrobials because of their structure or metabolism.

Other microorganisms can acquire resistance after exposure to the antibiotic.

Acquired resistance occurs when a particular microorganism obtains the ability to resist the activity of a particular antimicrobial agent to which it was previously susceptible.
Possible causes of therapeutic failure are?
Wrong drug, dose or route
Drug resistance / tolerance
Serious GI upsets
Undetected organisms
Minimum inhibitor concentrations not reached.
Poor compliance.