Chapter 36
Infectious Diseases
Choosing the right drug for the right bug
Principles of Anti-Infective Therapy
Anti-infective agents treat infection by suppressing or destroying the causative microorganisms. Antibiotics derive from natural substances and antimicrobials from synthetic ones -- the terms are now used interchangeably. They should be used only when a significant infection is diagnosed or strongly suspected, or an established prophylactic indication exists.
Before therapy, obtain a Gram stain, culture, and susceptibility tests (without contaminating the specimen). Choice of agent depends on the drug's pharmacological properties, spectrum of activity, and host (patient) factors.
Gram Stain Basics
Gram-positive organisms stain blue/purple; gram-negative stain red/rose-pink. The Gram stain (done on all specimens except blood cultures) gives an immediate clue that guides empiric drug choice before culture results return.
๐ โAnti-infectives suppress/destroy microorganisms. Antibiotics (natural) vs antimicrobials (synthetic), used interchangeably. Use only for diagnosed/suspected infection or prophylaxis. Gram stain, culture, susceptibility first. Gram-positive = blue/purple; gram-negative = red/pink.โ