antibiotics seminar2

Upload: ankit-agrawal

Post on 07-Apr-2018

223 views

Category:

Documents


0 download

TRANSCRIPT

  • 8/3/2019 Antibiotics Seminar2

    1/30

    Presented by:

    Sheetal Singh

    M.sc(Bio-Chem) III Sem

    Suresh Gyan Vihar University, Jaipur

  • 8/3/2019 Antibiotics Seminar2

    2/30

    INTRODUCTION

    CHARACTERISTICS

    ANTIBIOTICS RESISTANCE

    CLASSIFICATION

    ANTIFUNGAL DRUGS

    ANTI VIRAL DRUGS

  • 8/3/2019 Antibiotics Seminar2

    3/30

    A substance of low molecular

    weight produced by micro-

    organism as secondary metabolites

    that inhibit or stop the growth ofother micro-organism in vitro and

    in vivo selectively, when it is used

    in low concentration.

  • 8/3/2019 Antibiotics Seminar2

    4/30

    It must be able to

    reach the part of the

    human body where the

    infection is occurring. It should not cause the

    development of

    resistant forms of

    parasites

  • 8/3/2019 Antibiotics Seminar2

    5/30

    It should not produce

    undesirable side effects

    in the host such as

    allergic reaction, nerve

    damage or irritation of

    the kidneys and

    gastrointestinal tract.

  • 8/3/2019 Antibiotics Seminar2

    6/30

    It should be given

    orally without

    inactivation by

    stomach acid, or byinjection (parenterally)

    without binding to the

    blood proteins.

  • 8/3/2019 Antibiotics Seminar2

    7/30

    Finally, it should have ahigh level of solubility inthe body fluids and be

    possible to achieveconcentrations in thetissue or blood, which aresufficiently high to inhibitor kill the infectious

    agent.

  • 8/3/2019 Antibiotics Seminar2

    8/30

    Bacteria either have pre- existing resistance to drugs or developresistance. The internal or acquired resistant are identical andcan be explained by following reasons

    1) Inactivation or modification of drug by bacterial enzyme.

    2) Formation of impermeable barrier so that drug can not reach thedesired region of action.

    3) Changing the target itself so drug cant bind or have an effect onit.

    4) DNA transfer of drug resistance from one organism to other by

    transformation ,transduction or bacterial conjugation.5) Development of altered metabolic pathway which commit the

    effect of the drug to be bypassed.

  • 8/3/2019 Antibiotics Seminar2

    9/30

  • 8/3/2019 Antibiotics Seminar2

    10/30

  • 8/3/2019 Antibiotics Seminar2

    11/30

    Antimicrobials are classified in several ways.

    1. On basis of spectrum of study.

    2. On basis of effect on bacteria.3. On basis of mode of action

    a) Cell wall synthesis inhibitor

    b)

    Protein synthesis inhibitorc) Nucleic acid inhibitor

    d) Other metabolic functions inhibitor

  • 8/3/2019 Antibiotics Seminar2

    12/30

    Depending on the range ofbacterial species susceptibleto these agents,

    antibacterials are classifiedas :

    1. Broad-spectrum

    2. Narrow- Spectrum

    3. Extended -spectrum

  • 8/3/2019 Antibiotics Seminar2

    13/30

    Because of differences in themechanisms by whichantibiotics affect bacteria, the

    clinical use of antibacterialsmay have very differenteffects on bacterial agents,leading to an endpoint ofeither inactivation or actualdeath of the bacteria.

    Bactericidal drugs

    Bacteriostatic drugs

  • 8/3/2019 Antibiotics Seminar2

    14/30

    Differentantibiotics havedifferent modes ofaction, owing to

    the nature of theirstructure anddegree of affinityto certain target

    sites within

    bacterial cells.

  • 8/3/2019 Antibiotics Seminar2

    15/30

  • 8/3/2019 Antibiotics Seminar2

    16/30

    -lactam inhibitors other antibiotics

    penicillin cephalosporins

    carbapenem monobactams

    Bacitracin Vancomycin

    Penicillin G

    Penicillin V

    Oxacillin

    Cloxacillin

    Dicloxacillin

    PARENETRAL

    Imipenem

    Meropenem

    Aztreonam

    Cefazolin

    Cefmetazole

    Ceftizoxime

    Cefepime

    ORAL

    CefadroxilCefaclor

  • 8/3/2019 Antibiotics Seminar2

    17/30

    Antimicrobial drug selectively interfere withsynthesis of the bacterial cell wall.

    The cell wall is made by polymer calledpeptidoglycan that consist of a glycan unit joined toeach other by peptide cross links.

    Synthesis occurs in three steps:

    1) Occurs in cytoplasm.

    2)

    Inner surface of cytoplasmic membrane.3) Occurs in peri-plasmic space(in gram negative

    bacteria).

  • 8/3/2019 Antibiotics Seminar2

    18/30

  • 8/3/2019 Antibiotics Seminar2

    19/30

    Protein synthesis is an essential process necessary formultiplication and survival of all bacterial cells.

    Several types of antibacterial agent s target bacterialprotein synthesis by binding either to 30S or 50S

    subunits of intracellular ribosomes.

    The result is disruption of normal cellularmetabolism of bacteria and leads to death orinhibition of its growth .EXAMPLES-

    Aminoglycosides, chloramphenicol, tetracyclines,macrolides, etc.

  • 8/3/2019 Antibiotics Seminar2

    20/30

  • 8/3/2019 Antibiotics Seminar2

    21/30

    Some chemotherapeutic agents affect the synthesis

    of DNA or RNA or can bind to them so that

    message can not be read and they can block the

    growth of cell.

    FLUOROQUINOLONES INHIBITORS OF FOLATE

    SYNTHESIS

    1stgeneration

    2nd

    generation

    3rd

    generation

    4th

    generation

    Mefinide

    Nalidixicacid

    Ciprofloxacin

    Gatifloxacin

    trovafloxacin

    Sulfadiazine, Silver Sulfadiazine,Sulfamethoxazolenorfloxac

    inlavofloxacin

  • 8/3/2019 Antibiotics Seminar2

    22/30

    Quinolones inhibit DNA gyrase

    (also called as topoisomerase)

    This enzyme introduces

    negative superhelical turns into

    duplex DNA using the energy of

    ATP.

    Fluoroquinolones enters the

    bacterium and inhibiyt

    replication of bacterial DNA by

    interfering with action of DNA

    gyrase .

  • 8/3/2019 Antibiotics Seminar2

    23/30

    Some antibiotics act on

    selected cellular processes

    that are essential for

    survival of bacterial

    pathogen. SULFONAMIDES and

    TIRIMETHOPRIM

    disrupts folic acid

    pathway , which isessential step for bacteria

    to produce precusors

    important for DNA

    synthesis.

  • 8/3/2019 Antibiotics Seminar2

    24/30

    An antifungal agent is a drug that selectively eliminates

    fungal pathogens from a host with minimal toxicity to the

    host.

    Infectious disease caused by fungi is called MYCOSIS.

    CLASSIFICATION

    Drugs for systemicmycosis

    Drugs for sub-cutaneousmycosis

    Amphotericin B Econazol

    Flucytosine Griseofluvin

    Fluconazole Nystatin

  • 8/3/2019 Antibiotics Seminar2

    25/30

    Different classes of drugtarget plasma membrane,sterol biosynthesis , DNAbiosynthesis and -glucanbiosynthesis.

    Fungal membranes andsterol biosyntheticenzymes are differentenough from ours that

    these agents kill fungi andnot us.

  • 8/3/2019 Antibiotics Seminar2

    26/30

    Virus are intracellular parasites that lack independentmetabolism and can replicate only within living hostcell.

    Amantadine and - globulininhibit penetration of cell

    by virus. Acycloviris very selective as it remain inactive until

    phosphorylated by enzymes that are synthesized byvirus.

    Antiretroviral drugs suppress the replication of HIV . Protease inhibitors ,in HIV m-RNA are translated into

    inert proteins.

  • 8/3/2019 Antibiotics Seminar2

    27/30

  • 8/3/2019 Antibiotics Seminar2

    28/30

    Dixon B .2006 . Sullfas true

    significance. Microle 1(11):500-501

    Pharmacological module

    Microbiology Michael J Pelczar

  • 8/3/2019 Antibiotics Seminar2

    29/30

  • 8/3/2019 Antibiotics Seminar2

    30/30