Antibacterial chemotherapeutic 


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Antibacterial chemotherapeutic

ANTIBACTERIAL CHEMOTHERAPEUTIC

AGENTS OF DIFFERENT CHEMICAL GROUPS

1. Determine the group of drugs:ciprofloxacin, norfloxacin, sulfadimidin, levofloxacin, furazolidone, co-trimoxazole, furazidin, phthalylsulfathiazole, nalidixic acid, sulfacetamide, nitroxoline, chinoxidine, linezolid, moxifloxacin.

  1. Sulfonamides; B. Quinolones; C. 8-oxyquinolines; D. Nitrofurans ; D. Quinoxalines; E. Oxazolidinones.

2. Compare drugs and fill in the table

Comparison options

Sulfonamides

Nitrofurans

F-Quinolones

The type of activity

       bacteriostatic

 

 

 

       bactericidal

 

 

 

Spectrum of action

Gram-positive bacteria

 

 

 

Gram-negative bacteria

 

 

 

Pseudomonas aeruginosa

 

 

 

Chlamidia, mycoplasma

 

 

 

malarial Plasmodium

 

 

 

Giardia

 

 

 

Side effects

violation of hematopoiesis

 

 

 

crystalluria

 

 

 

violation of cartilaginous tissue formation

 

 

 

dyspeptic disorders

 

 

 

photodermatosises

 

 

 

Contraindications

Pregnancy

 

 

 

Children's age

 

 

 

3. Indicate, using the table, the possible mechanism of action of sulfonamides and trimethoprim and answer questions:

Characteristic

Sulfonamides

Trimethoprim

Competitive antagonism with para-aminobenzoic acid

 

 

Blockade of the enzyme

Dihydropteroate synthase

 

 

Dihydrofolate reductase

 

 

Violation of synthesis of

Dihydrofolic acid

 

 

Tetrahydrofolic acid

 

 

Violation of the synthesis of purines, DNA, RNA

 

 

4. Answer the questions:

A. What is the type of action of combining sulfonamides with trimethoprim?

B. Why do not sulfanilamidy disrupt protein synthesis in human cells?

C. Why are they not active in conditions of a purulent wound?

5. Specify the mechanism of action of quinolones:

- activity of DNA gyrase and topoisomerase 4 (↑↓),

- the synthesis of DNA and fold it into the chromosome (↑↓),

- morphological changes in the cytoplasm and cell wall (reversible / irreversible),

- formation of endotoxins (↑↓),

- type of action (bacteriostatic / bactericidal).

6. Finish the expressions by selecting the correct answer about fluoroquinolones:

- the spectrum of action of fluoroquinolones is (wide / narrow)

- they are (low-/ high-toxic) for man

- secondary resistance develops (quickly / slowly)

- orally bioavailability is (high / low)

- they penetrate into the tissue (well / badly)

- they penetrate through the BBB (Yes / no)

- use for the treatment of tuberculosis is (possible / impossible)

7. Determine drugs (nalidixic acid, ciprofloxacin, levofloxacin, moxifloxacin):



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