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Controlling Microbial Growth in the Body Antimicrobial Drugs Antimicrobial Drugs  History of Antimicrobial Agents  Chemotherapy  Paul Ehrlich 1854-1915- Magic Bullets  Alexander Fleming 1881-1955- Antibiotics Antimicrobial Drugs  Mechanisms of Antimicrobial Action  Selective Toxicity  Drugs that Inhibit Cell Wall Synthesis  Prevent synthesis of the polysaccharide, Peptidoglycan that makes up the bacterial cell wall  e.g. penicilins, cephalosporins, vancomycin All penicillins consist of 3 parts  Thiazolidin  Beta-lactams  Variable side chain- group  Antimicrobial Drugs  Drugs that Inhibit Protein Synthesis  Differences in the ribosomes of prokaryotes and eukaryotes     Prokaryotes have 70S ribosomes and Eukaryotes have 80S ribosomes Drugs selectively targets bacterial protein synthesis without significantly affecting eukaryotes Examples of drugs include: tetracyclines and the aminiglycosides such as streptomycin and gentamycin Aminiglycosides are composed of amino sugars that change the shape of 30S subunits of prokaryotic ribosomes Antimicrobial Drugs  Disruption of Cytoplasmic Membranes  Agent becomes incorporated into prokaryotic membranes and damage integrity  E.g. Amphotericin B Antimicrobial Drugs  Inhibition of Metabolic Pathways  Metabolism is sum total of all chemical reactions within an organism  Similarities and differences between prokaryotic and eukaryotic cells  Exploit differences  e.g., Heavy Metals inactivate enzymes, certain agents paralyze worms, and some prevent attachment of viruses Antimicrobial Drugs  Sulfonamides are structural analogs of PABA (Para Amino Benzoic Acid)  Paba is crucial in synthesis of nucleotides  Analogs of paba such as sulfonamides are used to compete with paba. Antimicrobial Drugs  Inhibition of Nucleic Acid Synthesis  Nucleotide Analogs  e.g., Quinolones act against prokaryotic DNA and Rifampin inhibit RNA Polymerases Antimicrobial Drugs  Determining Efficacy of Drugs   1. Diffusion Susceptibility Test    Variety of Tests Used Called Kirby-Bauer Test Measure zone of Inhibition 2. Minimum Inhibitory Concentration (MIC)  Quantitative Expression of Drug Potency   Smallest amount of drug to inhibit growth and reproduction of pathogen Determined by Broth Dilution Test Antimicrobial Drugs  Minimum Bacteriocidal Concentration (MBC)  Subculture into drug-free media  Growth- bacteriostatic  No Growth- bacteriocidal  Lowest concentration of drug for which no growth occurs is MBC.