Title: Antibiotics
1Antibiotics
2Antibiotics
- About Antibiotics
- About Antibiotic Resistance
- Something we should know when we take antibiotics
3About Antibiotics What is antibiotics?
- Chemical Compounds
- Able to kill or inhibit the growth of bacteria
(e.g. human) without causing significant damage
to the host - Naturally produced (e.g. penicillin) by mold or
bacterium, or - Synthetically made (e.g. fluoroquinolones)
4About AntibioticsDiscovery of antibiotics
- In 1929, first discovered by British Scientist
Alexander Fleming.
- However, he could not purify the compound due to
its instability. - Until the period of World War II (1939-1945), two
other British scientists, Florey and Chain
successfully managed to produce antibiotics in
industrial scale for widespread use.
5About AntibioticsHow do antibiotics work?
- Bacteriostatic antibiotics (e.g. Penicillin)
- Not actually kill the bacteria
- Stop the cells from growing and multiplying
- Allows time for the infected host to mount an
immune response ? Eliminate the non-growing
infectious agent (i.e. the bacteria)
6About AntibioticsHow do antibiotics work?
- Bacteriocidal antibiotics
- Actually kill the bacteria
- Preferred choice when the patients immune system
is weakened or incapable of destroying the
organisms itself
7About AntibioticsHow do antibiotics work?
- In both cases, bacteriostatic and bacteriocidal
antibiotics disrupt the bacterial cells by
attacking - the outer cell wall or inner membrane, or
- the chemical pathways necessary for the bacteria
to live or reproduce. - NO activities against most of the viruses.
8About AntibioticsHow do antibiotics work?
- E.g. Penicillin
- Prevents the cross-linking of small peptide
chains in the main cell wall polymer of bacteria. - Pre-existing cells are not affected.
- All newly produced cells grow abnormally
- Unable to maintain cell wall rigidity
9About AntibioticsHow are antibiotics used?
- In medical ways
- ? to treat illness caused by bacteria
- ?to prevent bacterial infections in surgery
- In the supply of food
- ?to increase the growth of certain
- food animals
- ?used as pesticides to control
- bacterial infections in food crops.
10About Antibiotics ResistanceWhat is antibiotic
resistance?
- An antibiotic lost its ability to effectively
control or kill bacterial growth. - i.e. bacteria are resistant and continue to
multiply in the presence of therapeutic levels of
and antibiotics
11About Antibiotics ResistanceWhy do bacteria
become resistant to antibiotics?
4. Eventually there are more antibiotic-resistant
bacteria than non-resistant.
2. The bacteria with resistance survive after the
antibiotics are gone.
3. ....and reproduce, inherit the resistant genes
to their offspring.
1. Antibiotics attack and kill off bacteria
without resistance.
12About Antibiotics ResistanceWhy do bacteria
become resistant to antibiotics?
- Resulting in the survival of resistant strains of
bacteria.? survival for the fittest ? Natural
Selection - Low-level of natural selection ? produced by
bacteria to against each other (w/out human
action) - High-level of natural selection ? by overuse of
antibiotics (human action)
13About Antibiotics ResistanceHow do bacteria
become resistant?
- By genetic mutation
- Chance 1 / 1,000,000 10,000,000
- ? produce enzyme to inactivate the antibiotics
- ? eliminate cell target that the antibiotic
attacks -
14About Antibiotics ResistanceHow do bacteria
become resistant?
- By acquiring resistance from another bacterium
- ? by conjugation
- Bacteria have the ability to collect multiple
resistant traits over time ? resist to many
different families of antibiotics
15About Antibiotics ResistanceHow does antibiotic
resistance spread?
Vertically ? new generations inherit antibiotic
resistance genes.
Horizontally ? share or exchange genes with
other bacteria , even occur between different
species.
16About Antibiotics ResistanceHow does antibiotic
resistance spread?
- Environmentally
- Via airplane, water and wind, coughing, or
contact of unwashed hands.
17About Antibiotics Resistance Can bacteria lose
their antibiotic resistance?
- YES
- Slow process
- Stop using antibiotics for a while ? the
population of bacteria that responds to
antibiotics increases
18Something we should know when we take antibiotics
- Antibiotics may cause side effects
- (e.g. nausea, diarrhea and stomach pain)
- In some people, an allergic reaction
(characterized by rash and itching or in severe
cases, difficulty breathing) can occur - Should only be used when prescribed by your doctor
19Something we should know when we take antibiotics
- must be taken for the full amount of time
prescribed by your doctor - should not be saved and reused
20Please Take Care (o_o)
Presented by 6B Law Wei Bong
21Reference URL
- AUPA Alliance for the Prudent Use of Antibiotics
- http//www.healthsci.tufts.edu/apua/apua.html
- Medem Inc.
- http//www.medem.com/medlb/article_detaillb.cfm?ar
ticle_IDZZZPT86928Csub_cat277 - Medline plus
- http//www.nlm.nih.gov/medlineplus/antibiotics.htm
l - The Microbial World
- http//helios.bto.ed.ac.uk/bto/microbes/penicill.h
tm - Stalking the Mysterious Microbe
- www.microbe.org/microbes/ mutations.asp