BMS 450 Lecture Notes - Prokaryote, Lipopolysaccharide, Gram Staining

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11 Jul 2014
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Nose, ear, urinary & respiratory tracts, prostate, etc. Cross allergy to members of same drug structural class. Tetracyclines bone & teeth of growing children. Broad spectrum & prolonged antimicrobial use can result in loss of normal host microflora. Lack of competition can result in superinfections with unwanted microorganisms. If drug resistance, might require use of older, more toxic drugs. 15 30 peptidoglycan strands & -lactamase in cell wall. Only 3 5 peptidoglycan strands & -lactamase in cell walls. Bacteria use d- as well as l- amino acids. Often sufficient to allow host defenses to kill bacteria. Some drugs bacteriostatic at low dose & bactericidal at high dose. Switch to narrow spectrum therapy to reduce risk of drug resistance when susceptibility becomes known. Switch from i. v. to oral to reduce cost. Culture 18 24 hours with various drugs. Intrinsic (innate) resistance inability to penetrate outer membrane of certain gram- negative bacteria. Conjugation plasmid transmitted via pilus cause transformation .

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