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Antimicrobial agent susceptibility test
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Ampicillin
Ampicillin disrupts the third and final stage of bacterial cell wall synthesis by binding specific penicillin-binding proteins (PBPs) that are inside the bacterial cell wall. Then facilitated by bacterial cell wall autolytic enzymes, cell lysis beings. Ampicillin is metabolized by Hydrolysis of the B-lactam ring to penicilloic acid. Microorganisms such as salmonella, Escherichia coli, campylobacter, shigella aquificae, thermotogae, chrysiogenetes, nitrospira, deferribacteres, other eubacteria, and other enteric bacteria are sensitive to Ampicillin. Treatment Dosage can range from 1 to 2g IM or IV every 4 to 6 hours to the maximum does of 12g per day. Microorganisms resistant to Ampicillin are penicillinase- producing bacteria (some strains of staphylococci), Pseudomonas aeruginosa, P. Vulgaris, Kiebsiella pneumonia, and Enerobacter aerogenes.
Penicillin G
Penicillin G reacts by in interfering with the cell wall mucopeptide synthesis while it is active multiplication will result with bactericidal activity against susceptible microorganisms. Penicillin G is metabolized through Hepatic. Microorganisms that can be sensitive to Penicillin G staphylococcie (non pénicillinase- producing strains), streptococci (groups A, B, C, G, H, L, and M) pneumococci and Neisseria meningitides, Neisseria gonorrhoeae, Corynebacterium diphtheria, and Bacillus anthracis. The treatment dosage for Penicillin G is 600,000 units/1mL syringe and 1.2 million units/2mL syringe. The microorganisms that can be resistant to Penicillin G are penicillinase-producing bacteria (some strains of staphylococci)
Amphotericin B
The mechanism of action for Amphotericn B is that it binds with ergosterol to form a transmembrane that turns to monovalent ion leakage...
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...lized. The microorganisms that can be sensitive to trimethoprim-sulfamethoxazole are gram negative and gram positive bacteria. Treatment dosage for trimethoprim-sulfamethoxazole is one double strength tablet or two single strength tablets every 12 hours.
Levaquin
The mechanism of action for Levaquin is that it inhibits bacterial type II toposiomerases, topoisomerase IV and DNA gyrase. Results in strand breakage on a bacterial chromosome, supercoiling, and resealing. DNA replication and transcription is stopped. Not much of levaquin is metabolized. The unchanged drug is 87%. Certain microorganisms are sensitive to levaquin, they are: corynebacterium species, streptococcus pneumonia, staphylococcus epidermidis, serratia marcescens and other penicillin-resistant strains. The recommended treatment dosage for levaquin is 250 mg, 500 mg, or 750 mg orally every 24 hours.
It kills bacteria by competing with it for food, The bacteria around the fungus are destroyed as penicillin is released. The penicillin kills the mold by stopping its cell walls from forming. This results in the cells bursting and dying (Ward, 50-51). During World War II, penicillin was used in place of surgery due to the lack of doctors. The drug obviated the need for many amputations because it could neutralize the bacteria that caused dead tissue responsible for limb removals (Conniff, 2013). A letter sent home from a soldier, Murphy, demonstrates an example of this. “At first they thought they would have the take his leg off… it was long before they really could treat him… But they started treating him with the new ‘wonder drug’ penicillin and it brought him around ok” (Higginbotham, 2001). In addition to eliminating amputations, penicillin made infections less painful to handle. Surgeons commonly treated wounds by draining them and leaving them open to heal. Infections were common and often deadly, recovery wound take months. However, after the distribution of penicillin, surgeons simply drained the wound, sprinkled penicillin powder, and stitched the wound close (Conniff, 2013). Thousands of soldiers who escaped death or amputation owed their well-being to the mass production of
...d rectal thermometers and transmission by hands after touching IV or urinary catheters. Enterococci can be intrinsic and can tolerate or resist beta-lactam antibiotics due to containing penicillin-binding proteins. That means they are still able to combine cell wall components. There can be acquired resistance of Enterococci that comprises of resistance to penicillin by beta-lactamases, chloramphenicol, tetracyclines, rifampin, fluoroquinolones, aminoglycosides, and vancomycin. There is a potential for cell-wall synthesis because the genes that encrypt intrinsic or acquired vancomycin resistance produce in a peptide to which vancomycin cannot connect. Unfortunately, due to the resistance of penicillin, Enterococci can be inhibited but cannot be killed. Health care professionals are left with limited therapeutic therapy that can be effective in the treatment of VRE.
In the last decade, the number of prescriptions for antibiotics has increases. Even though, antibiotics are helpful, an excess amount of antibiotics can be dangerous. Quite often antibiotics are wrongly prescribed to cure viruses when they are meant to target bacteria. Antibiotics are a type of medicine that is prone to kill microorganisms, or bacteria. By examining the PBS documentary Hunting the Nightmare Bacteria and the article “U.S. government taps GlaxoSmithKline for New Antibiotics” by Ben Hirschler as well as a few other articles can help depict the problem that is of doctors prescribing antibiotics wrongly or excessively, which can led to becoming harmful to the body.
Bacterial resistance to antibiotics has presented many problems in our society, including an increased chance of fatality due to infections that could have otherwise been treated with success. Antibiotics are used to treat bacterial infections, but overexposure to these drugs give the bacteria more opportunities to mutate, forming resistant strains. Through natural selection, those few mutated bacteria are able to survive treatments of antibiotics and then pass on their genes to other bacterial cells through lateral gene transfer (Zhaxybayeva, 2011). Once resistance builds in one patient, it is possible for the strain to be transmitted to others through improper hygiene and failure to isolate patients in hospitals.
On another hand, doxycycline-quinolone combinations were more effective than the treatment with doxycycline alone since they could significantly reduce the splenic infection from the day 45 post-infection. Unfortunately, these combinations could not eradicate completely the chronic infection.
Legionnaires’ disease is an infectious disease caused most often by the bacteria Legionella pneumophila (L. pneumophila). The disease resembles severe pneumonia. Legionnaires’ disease is sometimes called “Legion Fever.” It was first discovered in 1976 when there was a pneumonia outbreak among people attending a convention of the American Legion in Philidelphia. In January of 1977 the bacteria was discovered as the causative agent of the outbreak. While outbreaks receive substantial media attention, thousands of people are exposed to the bacteria each year and never have any serious signs or symptoms of the disease. The elderly, immunocompromised and smokers are the most susceptible. Most outbreaks that do occur are in the summer when water temperatures naturally rise. Fatality rate of the disease ranges from 5 to 30 percent (The Mayo Clinic, 2008).
Tuberculosis or TB is an airborn infection caused by inhaled droplets that contain mycobacterium tuberculosis. When infected, the body will initiate a cell-mediated hypersensitivity response which leads to formation of lesion or cavity and positive reaction to tuberculin skin test (Kaufman, 2011). People who have been infected with mycobacteria will have a positive skin test, but only ones who have active TB will show signs and symtoms. Basic signs and symptoms include low grade fever, cough with hemoptysis, and tachypnea. They may also show pleuristic chest pain, dyspnea, progressive weight loss, fatigue and malaise (Porth, 2011).
18). Even though those diseases were not his goal to cure it still made penicillin revolutionary for the time being. Fleming now knew how to make penicillin and started to mass produce it. In the 1930s during the upgrading process of penicillin Fleming himself was cured of severe conjunctivitis. Then in the 1940s the fully developed penicillin was created. The creation of penicillin cured a wide variety of diseases, which led to the world excelling in growth, and penicillin improved the way of medicine at the time. The variety of diseases cured by penicillin made it a must have antibiotic. Penicillin was used to cure multiple diseases including syphilis, gonorrhea, tuberculosis, gangrene, pneumonia, diphtheria, and scarlet fever ( Common Antibiotics ). All the diseases have one thing in common, they all have the ability to spread, some faster than others. When a disease is discovered people tried to make a cure. When penicillin was made diseases that were thought to never have a cure were cured. People began to demand that penicillin be sold in local pharmacies. Penicillin was released to help people with the variety of diseases curable by
To provide proper patient education there first needs to be an understanding of the history of antibiotics. “Alexander Fleming identified the mold Pecicilium notatum, which inhibited the growth in certain bacteria. Examples of these bacteria re Staphylococcus aureus, haemolytic streptococcus, pneumococci, and meneingococci. In 1929, he published his findings suggesting that penicillin could be used for treatment but he made no further progress.”(141-142)
Bacteria that is resistant to antibiotics is a major problem not only for the United States, but worldwide. According to the Centers for Disease Control and Prevention (2012) the cause is related to “widespread overuse, as well as inappropriate use, of antibiotics that is fueling antibiotic resistance”. According to World Health Organization (2013) resistance is a global concern for several reasons; it impedes the control of infectious diseases, increases healthcare costs, and the death rate for patients with resistant bacterial infections is twice of those with non-resistant bacterial infections.
Since antibiotics, such as penicillin, became widely available in the 1940s, they have been called miracle drugs. They have been able to eliminate bacteria without significantly harming the other cells of the host. Now with each passing year, bacteria that are immune to antibiotics have become more and more common. This turn of events presents us with an alarming problem. Strains of bacteria that are resistant to all prescribed antibiotics are beginning to appear. As a result, diseases such as tuberculosis and penicillin-resistant gonorrhea are reemerging on a worldwide scale (1).
The most effective way to combat pathogenic bacteria which invade the body is the use of antibiotics. Overexposure to antibiotics can easily lead to resistant strains of bacteria. Resistance is dangerous because bacteria can easily spread from person to person. Simple methods for preventing excessive bacterial spread are often overlooked. Not all preventative measures are even adequate. Doctors and patients often use antibiotics unnecessarily or incorrectly, leading to greater resistance. Antibiotics are used heavily in livestock and this excessive antibiotic use can create resistant bacteria and transfer them to humans. In order to reduce resistant bacteria,
Thesis: With the advent of antibiotics in 1929 Fleming said, "The time may come when penicillin can be bought by anyone in the shops.Then there is the danger that the ignorant man may easily underdose himself and by exposing his microbes to non-lethal quantities of the drug make them resistant."With the overuse of antibiotics today we have seen this very idea come to be.Over usage is caused most prevalently by a lack of education on the part of the patient.Thus stated, the way to overcome such a circumstance is to educate, not only the patient but also the physician.
Infection control, a term that describes procedures taken to reduce the spread of infection. The dental office is a place where many people are treated including patients with infectious disease such as tuberculosis, HIV/AIDS, hepatitis, and many other highly contagious diseases. It is imperative that in any dental office setting the prevention of the spreading microorganisms from patient to patient, patient to staff, or staff to patient is done in high precaution. Infection control has two main objectives; to protect the patients from harmful pathogens as well as dental team members. Infections can cause or add pain, deteriorate a persons health, and in worst cases even result in death. In order to understand the infection control in a dental facility, you must understand the standard precautions required by organizations that regulate or recommend infection control, the kinds of preventive measures taken, as well as when these measures should be taken.
Syphilis is a sexually transmitting infection caused by Treonema pallidum, a gram negative, and anaerobic spirochete bacteria 1. Syphilis is thought to have been brought to Europe by Columbus and his sailors in the 1500’s 1. The disease is characterized by four different stages with varying symptoms depending on the stage that the disease is in1. Often syphilis is presented with another sexually transmitted infection such as chlamydia. Public education regarding safe sex is important for the prevention of this sexually transmitted infection.