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    KHNG SINH V KHNG CA VI KHUNVI KHNG SINH

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    KHNG SINH ( ANTIBIOTICS)

    1928

    Fleming m t hin tngnhim nm penicilliumnotatum trn da cy tcu

    1932

    Domagktm ra sulfonamid

    1940

    penicillinc sn

    xut vdng lnu

    1944

    Tm rastreptomycin

    1948

    Tm ratetracyclin

    1952

    Erythromycin

    1960s

    Cc KS Bntng hp

    Cc mc tm ra cc cht khng sinh u ti

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    PHT HIN KHNG SINH V S KHNG

    KHNG SINH NM PHTHIN

    NM AVO SDNG

    PHT HIN KHNG

    Penicillin 1928 1940Sulfonamid 1932 1936 -

    Streptomycin 1944 1947 1947,1956Tetracyclin 1948 1952 1956Erythromycin 1952 1955 1956

    Vancomycin 1956 1972 1987Gentamycin 1963 1967 1970Chloramphenicol - 1949 1953

    Quinolone - 1962 -

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    KHNG SINH NGUN GC Penicillin Penici ll ium notatum Polymyxin Bacil lus polymyxa Streptomycin Str eptomyces griseus Chlortetracycline (Aureomycin)

    v Tetracycline

    Str eptomyces aureofaciens

    Erythromycin Str eptomyces erythraeus Bacitracin Bacil lus subtil is Gentamycin M icromonospora purpurea Chloramphenicol Streptomyces venezuelae Cephalothin Cephalosporium Sulfonamid Ha hc- Thuc nhum mu

    vi si

    Khng sinh v ngun gc vi sinh vt

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    Cu Trc Ha Hoc Ca Peptodoglycan

    C CH TC DNG CA PENICILLIN V CEPHALOPOR

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    Cc khng sinh penicillin v cephalospin (beta-lactamin)

    Tn khng sinh ngun gc Tc dng trn vikhun

    V d

    Cc penicillint nhin

    Penicilliumnotatum

    Cc vi khun Gramdng

    PenicillinG

    Cc penicillinbn tng hp

    Bn tng hp Cc vi khun Gramdng v Gram m

    AmpicillinAmoxicillin

    Cc penicillin khngpenicillinase

    Bn tng hp Vi khun Gramdng

    MethicillinOxacillin

    Monobactam Chromobacteriumviolaceum

    Vi khun Gramdng v Gram m

    Aztreonam

    Carboxypenem Streptomycescattleya

    Vi khun Gramdng v Gram m

    Imipenem

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    Cephalosporint nhin ( thh 1)

    Cephalosporin Vi khun Gramdng

    Cephalothin

    Cephalosporinth h 2

    Bn tng hp Vi khun Gramdng v Gramm

    Cefuroxim,Cefotetan

    Cephalosporinth h 3

    Bn tng hp Vi khun Gramm v Gramdng

    CefotaximCeftazidime

    Cephalosporinth h 4

    Bn tng hp Vi khun gramdng v Gramm

    cepemine

    Cc cephalosporin

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    Tc dng trn vch t bo ca vi khu

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    C Ch Tc Dng Ca Khng Sinh

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    Polymyxin

    Vch ca vi khun Gram m Vch ca vi khun Gram dng

    c ch chc nng ca mng nguyn tngvi khun

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    Cu to ca ribosome vi khun

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    Cc kiu c ch tng hp protein ca vi khun

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    Khng sinh Tetracyclin v Chloramphenicol

    Tn khng sinh ngun gc Tc dng trn vikhun

    Chloramphenicol Streptomycesvenezuelae

    Gram dngGram mRickettsia

    Tetracyclin Streptomyces Vi khun Gramdng,Gram m,

    Rickettsia,ChlamydiaMycoplasma

    Doxycyclin Bn tng hp Minocyclin Bn tng hp

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    Khng sinh aminoglycosideTn khng sinh ngun gc Tc dng trn vi

    khun

    Streptomycin Str eptomyces griseus Gram dng,Gram m,

    vi khun Lao Gentamycin M icromonospora purpurea Gram dng,

    Gram mKanamycin Streptomyces

    kanamyceticus Gram dng,

    Gram m,vi khun Lao

    Amikacin Bn tng hp Gram dng,Gram m

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    Tn khng sinh ngun gc Tc dng trn vi khun Erythromycin Streptomyce

    s erythreus

    Vi khun Gram dng,

    Campylobacter, HelicobacterVibrioAzithromycin Gram dng, Chlamydia

    Mycoplasma pneumoniaClarithromycin

    Khng sinh Macrolid

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    Para-aminobenzoic acid

    Dihydropteroic acid

    Dihdrofolic acid

    Tetrahydrofolic acid

    PurinDNA, RNA

    Dihydrofolatereductase

    Trimethoprime

    S ulfonamid

    C ch tc dng ca cc sulfonamid

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    Sulfonamid khnghp thu qua tiu ha

    Sulfaguanidine Khng cn dng

    Sulfonamid dng tonthn

    SulfadiazineSulfamerazine

    c ch cc vikhun Gramdng v gramm

    Sulfonamid chm SulfamethoxazolSulfadoxin

    Sulfonamid phi hp CotrimoxazolFansidar

    Cc cht sulfonamid

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    A.Bt hot thuc do enzym1. Penicillins & Cephalosporins - b-lactamases (penicillinases)2. Aminoglycosides - phosphorylation, adenylation, or acetylatio3. Chloramphenicol acetylation4. Macrolides - erythromycin esterase

    Cc c ch khng c hiu

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    B.Thay i tnh thm mng t bo : Gr ( ), Change in porins or transport proteins.- tetracyclines, b-lactams, aminoglycosides,quinolones

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    C. Bm ngc thuc ra ngoi- tetracyclines,

    - quinolones,- macrolides

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    D. Thay i c quan ch trong t bo

    1. Macrolides - methylation of 23S ribosomal RNA,blocking erythromycin binding

    2. Aminoglycosides - altered protein in 30S ribosome

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    F. Tng sn xut enzym ch 1. Sulfonamides - increased levels of dihydropteroate

    synthetase

    2. Trimethoprim - increased levels of DHFR

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    Ngun gc khng thuc

    1. khng thuc do tnh trng sinh l ca vi k

    - Do vi khun trng thi sinh l khng pht tv nhn ln ( nha bo,

    - Vi khun ng trong t bo ( vi khun lao) 2. khng thuc mc phi

    - Do t bin nhim sc th - Do tip nhn plasmid khng thuc

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    Phng thc ly truyn tnh khng thu Qua c ch giao phi (thng lin h n plasmid

    Yu t lm tng kh nng ly nhim gen khng thuS c mt ca on gen nhy ( transposon)

    S c mt ca ca on gen chn (inserted elements)

    http://trc.ucdavis.edu/biosci10v/bis10v/week7/20f/Slide4.gifhttp://ridge.icu.ac.jp/biobk/71241jwa.jpg
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    Q h bi

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    Qua c ch bi n np

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    Qua c ch ti np do phage