1. 1 Antimicrobial Drugs

2. 2 Antimicrobal Chemotherapy Terms

3. 3 Chemotherapy The use of drugs to treat a disease

4. Early history of Antimicrobial Chemotherapeutic Agents Paul Ehrlich (1910) developed the concept of chemotherapy to treat microbial diseases He predicted the development of chemotherapeutic agents which would kill pathogens without harming the host

5. In 1930s Sulfa drugs came into prominence Gerhard Domagk Alexander Fleming discovered the first antibiotic penicillin in 1929 ** its first trials were done in 1940

6. History of antibacterial Paul Ehrlich articulates the principles of chemotherapy in 1894 1910 introduce Salvarsan to treat syphilis Alexander Fleming discovered penicillin in 1929 Penicillium spp. Synthetic antibiotic = sulfa drug

7. 7 Antibiotic/Antimicrobial Antibiotic: Chemical produced by a microorganism that kills or inhibits the growth of another microorganism Antimicrobial agent: Chemical that kills or inhibits the growth of microorganisms

8. The Spectrum of antimicrobial Activity **it is easy to find or develop drugs that effective against prokaryotic cells,& that do not affect the eukaryotic cells of humans **the problem is difficult when the pathogen is eukaryotic (fungus, protozoan, helminthes) **viral infection more difficult to treat

9. The Spectrum of antimicrobial Activity **-differ in cell wall -differ in fine structure of their ribosome -details of their metabolism **resemble the human cell **the virus is within the human cells

10. 10 Therapeutic Index Selective toxicity : A drug that kills harmful microbes without damaging the host  This is defined by Therapeutic Index as a measure of the degree of selective toxicity.  The therapeutic index is the ratio of the toxic dosage to the therapeutic dosage.  That is, (Lowest dose toxic to patient)  (Dose normally used for therapy).  The greater the ratio (or difference) of these two numbers, the easier it is to find a dosage that kills the pathogen without harming the host.

11. 11 Therapeutic Index Therapeutic Index = Toxic Dose/Therapeutic Dose Drug Dosage (per Kg Body Weight) Small Ratio (dangerous) Moderate Ratio High Ratio (safe) Most desirable.

12. 12 Mechanisms of Antimicrobial Action Bacteria have their own enzymes for –Cell wall formation –Protein synthesis –DNA replication – plasma membrane –Synthesis of essential metabolites

13. 13 Targets of Antibacterial Drugs

14. 14 Measuring Antimicrobial Sensitivity These tests are used to determine which chemotherapeutic agent is most likely to combat a specific pathogen These tests are used when susceptibility can not be predicted or when drug resistance arises

15. 15 Susceptibility Tests Agar diffusion = disk-diffusion test Kirby-Bauer Disk Diffusion Test Sensitive Intermediate resistant (cont’d)

16. 16 Antiviral Drugs Viruses are composed of nucleic acid, protein capsid, and host membrane containing virus proteins Viruses live inside host cells and use many host enzymes Some viruses have unique enzymes for DNA/RNA synthesis or protein cutting in virus assembly Viruses are reproduce only inside living cells

17. Viral replicative cycle Attachment === receptors Penetration Uncoating Nucleic acid replication ( polymerases) Assembly Release

18. Antiviral drugs Inhibitors of Attachment Penetration Uncoating Nucleic acid synthesis ( polymerases inhibitors ) Assembly Release

19. Antifungal Drugs Inhibitors of cell wall synthesis plasma membrane = sterols = ergosterol interfere with RNA biosynthesis

20. Anti parasitic drugs Anti protozoan & anti helminthes drugs Inhibit enzymes and proteins Inhibit nucleic acid synthesis Inhibit nutrient absorbtion Alters membrane permeability Prevent ATP generation