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Treatment of Infectious Diseases Grouped into categories based on their modes of action: ◦ Penicillins/cephalosporins interfere with layer of the cell wall ◦ Chloramphenicol, tetracyclines, erythromycinsmay be toxic when used in high doses of prolonged periods of time ◦ Rifampin-used for treatment of TB Bacterial Treatments Highly toxic to host cells because viruses use the host’s metabolic enzymes in reproduction ◦ Antiviral drugs target virus-specific enzymes ◦ Acyclovir-used in treatment of genital herpes ◦ Amantadine-used to shorten episodes of influenza ◦ AZT-inhibit replication of HIV genome Viral Infections Inhibitors Highly toxic to mammals Azole derivatives inhibit sterol syntheses Amphotericin B- disrupts cell membranemakes it leak-cell dies Fungus, Protozoa, Helminth Treatment Presents ongoing problems in the fight against infectious diseases Most likely from indiscriminate use of antibiotics Drug resistance has been an ongoing problem for about 60 years Antimicrobial Resistance Penicillin resistance noted as early as 1943 Mycobacterium tuberculosis-some strains resistant to all drugs Resistance to antibiotics-result of changes in genetic information ◦ Initially as mutations to existing genes ◦ Many bacteria acquire these genes ◦ Resistant genes are transferred to other members of same species Antimicrobial Resistance