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Antibiotics

  • Drugs that fight infections caused by bacteria e.g. Penicillin
  • 2 types: 
  • Bactericidal Antibiotics
    • Kill bacteria by disrupting:
      • Cell wall, cell membrane or action of essential enzymes
  • Bacteriostatic Antibiotics
    • Prevent bacteria from reproducing usually by disrupting proteins synthesis
      • Broad spectrum antibiotics affect a wide range of different types of bacteria
      • Narrow spectrum antibiotics only affect specific types of bacteria

Antivirals

  • Antivirals treat infections caused by viruses
  • Work by inhibiting replication of the virus, e.g. acyclovir (Zorivax) for herpes infections

Vaccines

  • Contain antigens that trigger immunity but do not cause the disease
  • Induce long-term immunity to specific pathogenic infections by stimulating production of memory cells
  • Developed to have active artificial immunity

Attenuated vaccines

  • Weakened form of pathogen
    • Generally unable to cause disease
  • Strain replicates in vaccine recipient
    • Causes infection with undetectable or mild symptoms
    • Results in long-lasting immunity
  • Advantages
    • Single-dose usually sufficient to induce long-lasting immunity
      • Due to multiplication of microbe in body
      • Continued stimulation of immune system
    • Vaccine has added potential for being spread
      • “Disease“ after immunisation could be spread to un-immunised individuals inadvertently
  • Disadvantages
    • Have potential to cause disease in immunocompromised individuals
    • Pregnant women should also avoid immunisation with attenuated vaccines
  • Attenuated vaccines in use include:
    • Sabin polio vaccine
    • MMR
    • Yellow fever (jaundice)

Inactivated vaccines

  • Used killed or inactivated version of pathogen
  • Advantages
    • Generally considered to be safe
    • Easy to manufacture
    • More stable than live vaccines
  • Disadvantages
    • Immunity not as prolonged therefore boosters will be required for ongoing immunity against diseases
  • E.g. Polio vaccine

Toxoid Vaccines

  • Use a toxin made by the pathogen
  • Immune response targeted to the toxin instead of the whole pathogen
  • Advantages
    • Toxoid vaccines are safe as long as they cannot cause the disease they prevent
    • Stable, less susceptible to changes in temperature, humidity and light
  • Disadvantages
    • Immunity is not prolonged, may need booster shots for ongoing immunity 
  • E.g., tetanus

Subunit Vaccines

  • Uses specific pieces of the pathogen to focus immune response to a specific target
  • Advantages
    • Immune response that is targeted to key parts of the pathogen
    • Safe to use, even on immunocompromised people 
  • Disadvantages
    • Immunity is not prolonged, may need booster shots for ongoing immunity
  • E.g., HPV virus (Human Papillomavirus)

COVID-19 Vaccines

  • mRNA
    • Pfizer, BioTech
    • Moderna
  • Viral Vector 
    • AstraZeneca