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Health, Medicine, Nursing
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English (U.S.)
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Advance Pharmacology Assignment: Antimicrobial Agents

Coursework Instructions:

ssignment:
Antimicrobial Agents
Antimicrobial agents are essential components in the treatment of various bacterial infections as they help to kill or prevent the growth of microbes such as bacteria, fungi, and protozoans. Prior to the discovery of antimicrobial agents, treatment options for patients with bacterial infections were limited. For many patients, treatment often resulted in the amputation of limbs or even death. Today, treatment options for bacterial infections typically have a more positive prognosis. Due to the various types of infections presented in patients, it is essential to be able to identify the underlying cause of the infection—whether bacterial or viral—before recommending drug treatments. This will help you identify whether or not an antimicrobial agent would be appropriate and which specific agent would target the infection. In this Assignment, you consider the appropriate use of antimicrobial agents for infections.
To prepare:
• Review this week’s media presentation on principles of antimicrobial therapy, as well as Chapter 8 of the Arcangelo and Peterson text.
• Consider the categories of antimicrobial agents.
• Think about differences between viral and bacterial infections.
• Reflect on why proper identification of the infection is key to selecting the proper antimicrobial agent.
By Day 7
Write a 2- to 3- page paper that addresses the following:
• Describe the categories of antimicrobial agents.
• Describe differences between viral and bacterial infections.
• Explain why proper identification of viral and bacterial infections is key to selecting the proper antimicrobial agent.
Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter(dot)waldenu(dot)edu/57.htm). All papers submitted must use this formatting.
Learning Resources
This page contains the Learning Resources for this week. Be sure to scroll down the page to see all of this week's assigned Learning Resources. To access select media resources, please use the media player below.
Required Readings
Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.
• Chapter 8, “Principles of Antimicrobial Therapy” (pp. 111-134)
This chapter covers factors that impact the selection of an antimicrobial treatment regimen. It also examines the clinical uses, adverse events, and drug interactions of various antimicrobial agents such as penicillin.

• Chapter 12, “Fungal Infections of the Skin” (pp. 163-196)
This chapter explores the pathophysiology of several fungal infections of the skin as well as related drug treatments and examines the importance of patient education when managing these infections.

• Chapter 14, “Bacterial Infections of the Skin” (pp. 181-196)
This chapter begins by examining causes of bacterial infections. It then explores the importance of selecting an appropriate agent for treating bacterial infections.

• Chapter 32, “Urinary Tract Infection” (pp. 519-526)
This chapter covers drugs used to treat urinary tract infections and identifies special considerations when treating geriatric patients, pediatric patients, and women.

• Chapter 35, “Sexually Transmitted Infections” (pp. 512-535)
This chapter outlines the causes, pathophysiology, and drug treatment of six sexually transmitted infections, including gonorrhea, syphilis, and human papilloma virus infection (HPV). It also examines the importance of selecting the proper agent and monitoring patient response to treatment.

• Chapter 49, “Human Immunodeficiency Virus” (pp. 843-860)
This chapter presents the causes, pathophysiology, diagnostic criteria, and prevention methods for HIV. It also covers various methods of drug treatment and patient factors to consider when selecting, administering, and managing drug treatments.
Krummenacher, I., Cavassini, M., Bugnon, O., & Schneider, M. (2011). An interdisciplinary HIV-adherence program combining motivational interviewing and electronic antiretroviral drug monitoring. AIDS Care, 23(5), 550–561.
Note: Retrieved from the Walden Library databases.

This article analyzes medication adherence in HIV patients and examines factors that increase adherence as well as factors that contribute to termination or discontinuation of treatment.
Drugs.com. (2012). Retrieved from http://www(dot)drugs(dot)com/

This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker.
Scourfield, A., Waters, L., & Nelson, M. (2011). Drug combinations for HIV: What's new? Expert Review of Anti-Infective Therapy, 9(11), 1001–1011.
Note: Retrieved from the Walden Library databases.

This article examines current therapies and strategies for treating HIV patients. It also examines factors that impact selection of therapy, including drug interactions, personalization of therapy, costs, management of comorbidities, and patient response.
Required Media
Laureate Education, Inc. (Executive Producer). (2012). Antimicrobials. Baltimore, MD: Author.

This media presentation outlines principles of antimicrobial therapy

Note: The approximate length of this media piece is 7 minutes.
Optional Resources
Mayer, K. H., & Krakower, D. (2012). Antiretroviral medication and HIV prevention: New steps forward and New Questions. Annals of Internal Medicine, 156(4), 312–314.
Note: Retrieved from the Walden Library databases.

Coursework Sample Content Preview:

Advanced Pharmacology Assignment: Antimicrobial Agents
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Advanced Pharmacology Assignment: Antimicrobial Agents
Introduction
Antimicrobial agents are drugs that act to kill or inhibit the growth of pathogens in the body. Pathogens can be classified into four major categories , including bacteria, viruses, fungi, and helminths. The drugs against these different pathogens have specific and varying modes of action and agents against bacteria are known as antibiotics and drugs against viruses are called antiviruses. Chemical agents against fungi are referred to as antifungals while those acting against helminths are known as antihelminths. This paper discusses the categories of antimicrobial compounds and how proper identification of viral and bacterial infections is necessary for drug selection process to ensure effective management of diseases caused by the pathogens.
Categories of Antimicrobial Agents
Antibiotics, also known as antibacterial drugs are antimicrobial agents that act against bacteria by either killing the pathogen or inhibiting their growth (Cheng et al., 2014). They are classified classes depending on their modes of action. These drugs inhibit the synthesis of bacterial cell wall, proteins, nucleic acid, and essential metabolites such as folate. Others such as miconazole injure bacterial cell membrane thus killing the pathogen. An example of these drugs include aminoglycosides, cephalosporins, and penicillins. Aminoglycosides have remained to be an important class of antimicrobial agents despite the advent of several categories of novel antibiotics over the last several years (Arcangelo, Peterson, Willbur, & Reinhold, 2017). However, this class of antimicrobial agents present major drawbacks in terms of toxicities making its use and the duration of therapy to be restricted. Aminoglycosides are generally considered to be bactericidal and act against both gram-positive and gram-negative bacteria, including Proteus mirabilis and Escherichia coli. Examples of aminoglycosides include streptomycin, gentamicin and amikacin.
Another class of antimicrobial agents is antiviral agents such as peramivir (Rapivab), oseltamivir phosphate (Tamiflu), and zanamivir (Relenza). These drugs are used for the treatment of a range of diseases including infections caused by HIV and herpes simplex virus (De Clercq, 2013). Antiviral drugs were discovered 30 years after Alexander Fleming first described the mode of action of penicillin in 1929. The synthesis of 5-iodo-2’-deoxyuridine (IDU) by Prusoff ushered a new era of antiviral research and discovery. The discovery of HIV in 1980s led to the development of several antiviral drugs against AIDS (De Clercq, 2013). Today, antiviral compounds used for HIV treatment and management are also effective in the treatment of hepatitis B virus infections.
Other categories of antimicrobial agents include antifungals and anthelminthics. Antifungals are used in the treatment of infections due to fungi while anthelminthics kill endoparasites that live inside the host. F...
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