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Learning objectives

  • Contrast bacteriostatic versus bactericidal antibacterial activities
  • Contrast broad-spectrum drugs versus narrow-spectrum drugs
  • Explain the significance of superinfections
  • Discuss the significance of dosage and the route of administration of a drug
  • Identify factors and variables that can influence the side effects of a drug
  • Describe the significance of positive and negative interactions between drugs

Several factors are important in choosing the most appropriate antimicrobial drug therapy, including bacteriostatic versus bactericidal mechanisms, spectrum of activity , dosage and route of administration , the potential for side effects , and the potential interactions between drugs. The following discussion will focus primarily on antibacterial drugs , but the concepts translate to other antimicrobial classes.

Bacteriostatic versus bactericidal

Antibacterial drugs can be either bacteriostatic or bactericidal in their interactions with target bacteria. Bacteriostatic drugs cause a reversible inhibition of growth, with bacterial growth restarting after elimination of the drug. By contrast, bactericidal drugs kill their target bacteria. The decision of whether to use a bacteriostatic or bactericidal drugs depends on the type of infection and the immune status of the patient. In a patient with strong immune defenses, bacteriostatic and bactericidal drugs can be effective in achieving clinical cure. However, when a patient is immunocompromised, a bactericidal drug is essential for the successful treatment of infections. Regardless of the immune status of the patient, life-threatening infections such as acute endocarditis require the use of a bactericidal drug.

Spectrum of activity

The spectrum of activity of an antibacterial drug relates to diversity of targeted bacteria. A narrow-spectrum antimicrobial targets only specific subsets of bacterial pathogens. For example, some narrow-spectrum drugs only target gram-positive bacteria , whereas others target only gram-negative bacteria . If the pathogen causing an infection has been identified, it is best to use a narrow-spectrum antimicrobial and minimize collateral damage to the normal microbiota. A broad-spectrum antimicrobial targets a wide variety of bacterial pathogens, including both gram-positive and gram-negative species, and is frequently used as empiric therapy to cover a wide range of potential pathogens while waiting on the laboratory identification of the infecting pathogen. Broad-spectrum antimicrobials are also used for polymicrobic infections (mixed infection with multiple bacterial species), or as prophylactic prevention of infections with surgery/invasive procedures. Finally, broad-spectrum antimicrobials may be selected to treat an infection when a narrow-spectrum drug fails because of development of drug resistance by the target pathogen.

The risk associated with using broad-spectrum antimicrobials is that they will also target a broad spectrum of the normal microbiota, increasing the risk of a superinfection , a secondary infection in a patient having a preexisting infection. A superinfection develops when the antibacterial intended for the preexisting infection kills the protective microbiota , allowing another pathogen resistant to the antibacterial to proliferate and cause a secondary infection ( [link] ). Common examples of superinfections that develop as a result of antimicrobial usage include yeast infections ( candidiasis ) and pseudomembranous colitis caused by Clostridium difficile , which can be fatal.

Questions & Answers

the product obtained by simplest conventional microbial process is
shridhan Reply
the product obtained by simplest conventional microbial fermentation process is
shridhan
curd
Mounika
beer cheese
Khushi
what is macrobiology
Esther Reply
study in microorganisms
Siva
what is lactose
adekanbi Reply
codomint marker such as RELP are useful for
Nandan Reply
how this process start
Radhika Reply
deffination of staining
Bhavanimangali Reply
It's using dies to differentiate microorganism
shalon
Staining can be defined as a process of using stains or dye to differentiate microorganisms in an environment or habitat.
adeolu
with the aid of a well labeled diagram describe the conducting system
Maridad Reply
what is cellular immunity
namugenyi Reply
Cellular Immunity. -Lymphocytes act against target cell. -Acts directly by killing infected cells.
abdinor
What are NK cells
Peter
Natural killer cells
Rahaba
what are Antigen determinant
mary
cellular immunity is the state where the lymphocytes destroy the infected or targeted cell
cynthia
any examples of oedema
cynthia
introduction of microbial diversity-1
Bhavanimangali Reply
List the type of micro organism arround us and how they can be seen and with what kind of instrument
clinton Reply
how is the arrangements of bacteria in bacilli
Vaidah Reply
Provide some examples of bacterial structures that might be used as antibiotic targets and explain why.
Vaidah
Coccobacilli, Club-Shaped bacilli, Bacilli with rounded ends, Fuilform bacilli, Bacilli with ends square.
Enoch
three main antibiotic targets in bacteria: The cell wall or membranes that surrounds the bacterial cell. The machineries that make the nucleic acids DNA and RNA. The machinery that produce proteins
Rushikesh
The bacterial cell wall. Protein production. and DNA synthesis. Why, this is because most drugs (antibiotics) affects the cell wall of the bacteria, which makes the bacteria weak or susceptible in human body.
Enoch
UV rays affecting the..
Mali Reply
what is microbiology
Baba Reply
Microbiology is the study of microorganisms, which are prokaryotic and eukaryotic cell which includes bacteria, fungi, viruses and pathogenic protozoa.
Enoch
Microbiology is the branch of Life science which deals with scientific study of many Microorganisms.
Rushikesh
what is types of microbiology
Alsheikh
Immunology, Bacteriology, Virology, Mycology, Algology etc
Enoch
Virology, Immunology, Bacteriology, Algology, Mycology, Protoozology etc
Enoch
and what is mycology
Alsheikh
Immunology, Serology, Virology, Microbial Genetics, Parasitology, Bacteriology, Mycology, Molecular, Cell Biology, Agricultural, Water,Soil, Food Industrial ,Pharmaceutical, Applied, Environmental, Clinical, Medical,Marine Microbiology, Microbial Systematics, Etc, are & many types of Microbiology.
Rushikesh
study of fungi is called mycology
Munna
Mycology is the branch of Microbiology which deals with scientific study of Fungi.
Rushikesh
Study of microorganisms,which we can't see with our naked eye is called microbiology
Munna
Mycology is the scientific study of Fungi.
Enoch
virology is the study of viruses
Oppah
what is microbiology? microbiology is the study of small microorganisms that we can not with our naked eyes.
Leticia
what is taxonomical classification of microbiology
Bami
The algae, protozoa, slime moulds, fungi, bacteria, archaea and viruses ,are taxonomic classification of Microorganisms
Rushikesh
We have Bacteria, Archaea, Protozoa, Algae, Fungi, Viruses.
Enoch
microbiology is the study of microbes too small to be seen by naked eyes
Maridad
microbiology is a branch of biology which deals with study of smallest living microrganisms such as bacteria protozoa fungi and viruses
Chaitra
microbiology is the study of microorganisms which can't be seen by our naked eyes
Nakaweesi
Micro - Minute Bio - Life Logus - Study
Roshan
what is the meaning of antimicrobial susceptibility testing
Devshree Reply
seven gram positive bacteria
Okocha Reply
seven examples of gram negative bacteria
Okocha
seven examples of gram negative bacteria
Okocha

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Source:  OpenStax, Microbiology. OpenStax CNX. Nov 01, 2016 Download for free at http://cnx.org/content/col12087/1.4
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