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Astana Medical University Kazakhstan
(NJSC)
 SPECIALTY : GENERAL MEDICINE
 SUBJECT :MICROBOLOGY
 SUBMMITTED TO : MRS AIGRIM
 Prepared By :MANDEEP SINGH
 COURSE : 2 year
 Group : 266
Problems of antibiotic therapy in the
modern world. Features of
chemotherapy of viral infections.
Mechanisms of antibiotic resistance
and modern methods for their
determination.
Antibiotics
 Substance (such as penicillin) thatdestroys or inhibits the
growth of otherpathogenic microorganisms and isused in
the treatment of external orinternal infections.
 While some antibiotics are producedby microorganisms,
most are nowmanufactured synthetically
Classification of antibiotics : Antibiotics are classified
several ways.
 On the basis of mechanism of action
 On the basis of spectrum of activity
 On the basis of mode of action
Problems of antibiotic therapy
 Antibiotic therapy is based on susceptibility
testing of bacteria isolated from urine or blood or
from infected tissues
 Antibiotic therapy alone is suggested unless
severe spinal cord compression is present or if after 5
days no response to therapy occurs.
 The goal of antimicrobial therapy is, therefore,
to eradicate bacteria at the site of infection. Bacterial
eradication is not usually assessed as a primary
endpoint within the limits of currently recommended
clinical trial design
Problems of antibiotic therapy
 SAFETY AND EFFICANCY.
 Singal verus multidrugs.
 Supress resistance
 Mobiblity, mortality stay
 Health care associates.
 Development and spread of resistance
 Threatents medical advance.
Features of chemotherapy of viral
infections
 Other problems – toxicity
 Rapid excretion
 Rapid metabolism
 Poor absobrtion.
 Ideal drugs- water soluble
 Chemically and metabolically stable
 Allergic
 teratogenic
Methods for determining the sensitivity of
bacteria to antibiotics
 The most famous are 3 methods
1. Method of paper disks on nutrient agar - Microbial
suspension is inoculated into a Petri dish on nutrient agar. Excess
liquid is removed with a pipette. After the suspension is absorbed
into the agar, 5-6 different paper disks with antibiotics are
applied to the seeded surface with tweezers, the disks differ in
color. The cups with discs are placed in a thermostat at 37 ° C for
18-20 hours.
2.The method of serial dilution in the BCH - Prepare a stock
solution of the antibiotic in an appropriate solvent. Subsequent 2-
fold dilutions in broth are prepared from the stock
solution. Usually take 12 tubes of 1 ml of BCH in a tube.
3.Groov method - Take a Petri dish with nutrient agar. A 1 cm
wide strip of agar is cut in the center in diameter.. After
incubation in a thermostat, the sensitivity is determined by the
length of the growth retardation zone, the larger it is, the more
sensitive the culture and vice versa.
Antibiotics

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Antibiotics

  • 1. Astana Medical University Kazakhstan (NJSC)  SPECIALTY : GENERAL MEDICINE  SUBJECT :MICROBOLOGY  SUBMMITTED TO : MRS AIGRIM  Prepared By :MANDEEP SINGH  COURSE : 2 year  Group : 266
  • 2. Problems of antibiotic therapy in the modern world. Features of chemotherapy of viral infections. Mechanisms of antibiotic resistance and modern methods for their determination.
  • 3. Antibiotics  Substance (such as penicillin) thatdestroys or inhibits the growth of otherpathogenic microorganisms and isused in the treatment of external orinternal infections.  While some antibiotics are producedby microorganisms, most are nowmanufactured synthetically Classification of antibiotics : Antibiotics are classified several ways.  On the basis of mechanism of action  On the basis of spectrum of activity  On the basis of mode of action
  • 4. Problems of antibiotic therapy  Antibiotic therapy is based on susceptibility testing of bacteria isolated from urine or blood or from infected tissues  Antibiotic therapy alone is suggested unless severe spinal cord compression is present or if after 5 days no response to therapy occurs.  The goal of antimicrobial therapy is, therefore, to eradicate bacteria at the site of infection. Bacterial eradication is not usually assessed as a primary endpoint within the limits of currently recommended clinical trial design
  • 5.
  • 6. Problems of antibiotic therapy  SAFETY AND EFFICANCY.  Singal verus multidrugs.  Supress resistance  Mobiblity, mortality stay  Health care associates.  Development and spread of resistance  Threatents medical advance.
  • 7.
  • 8. Features of chemotherapy of viral infections  Other problems – toxicity  Rapid excretion  Rapid metabolism  Poor absobrtion.  Ideal drugs- water soluble  Chemically and metabolically stable  Allergic  teratogenic
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17. Methods for determining the sensitivity of bacteria to antibiotics  The most famous are 3 methods 1. Method of paper disks on nutrient agar - Microbial suspension is inoculated into a Petri dish on nutrient agar. Excess liquid is removed with a pipette. After the suspension is absorbed into the agar, 5-6 different paper disks with antibiotics are applied to the seeded surface with tweezers, the disks differ in color. The cups with discs are placed in a thermostat at 37 ° C for 18-20 hours. 2.The method of serial dilution in the BCH - Prepare a stock solution of the antibiotic in an appropriate solvent. Subsequent 2- fold dilutions in broth are prepared from the stock solution. Usually take 12 tubes of 1 ml of BCH in a tube. 3.Groov method - Take a Petri dish with nutrient agar. A 1 cm wide strip of agar is cut in the center in diameter.. After incubation in a thermostat, the sensitivity is determined by the length of the growth retardation zone, the larger it is, the more sensitive the culture and vice versa.