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Derive the function that relates oral dosage to the number of surviving bacteria using composition of functions.

Mathematics

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Here's how to solve the problem using function composition:

The given functions are:

  • Bioavailability (oral): h(x)=12xh(x) = \frac{1}{2}x mg (amount in bloodstream from oral dose xx)
  • Amount absorbed into infection site: g(x)=4xx+4g(x) = \frac{4x}{x+4} mg (amount at infection site from xx mg in bloodstream)
  • Number of surviving bacteria: f(x)=32008+x2f(x) = \frac{3200}{8+x^2} CFU (surviving bacteria from xx mg at infection site)

a) Derive the function that relates oral dosage to the number of surviving bacteria using composition of functions.

Step 1: Determine the amount of antibiotic in the bloodstream from an oral dose xx.
This is given by h(x)=12xh(x) = \frac{1}{2}x.

Step 2: Determine the amount of antibiotic absorbed into the infection site from the amount in the bloodstream.
This is g(h(x))g(h(x)). Substitute h(x)h(x) into g(x)g(x):

g(h(x))=g(12x)=4(12x)(12x)+4=2xx2+4=2xx+82=4xx+8g(h(x)) = g\left(\frac{1}{2}x\right) = \frac{4\left(\frac{1}{2}x\right)}{\left(\frac{1}{2}x\right)+4} = \frac{2x}{\frac{x}{2}+4} = \frac{2x}{\frac{x+8}{2}} = \frac{4x}{x+8}

Let Aoral(x)=4xx+8A_{oral}(x) = \frac{4x}{x+8} be the amount at the infection site for an oral dose xx.

Step 3: Determine the number of surviving bacteria from the amount at the infection site.
This is f(Aoral(x))f(A_{oral}(x)). Substitute Aoral(x)A_{oral}(x) into f(x)f(x):

f(Aoral(x))=f(4xx+8)=32008+(4xx+8)2f(A_{oral}(x)) = f\left(\frac{4x}{x+8}\right) = \frac{3200}{8 + \left(\frac{4x}{x+8}\right)^2} =32008+16x2(x+8)2=32008(x+8)2+16x2(x+8)2= \frac{3200}{8 + \frac{16x^2}{(x+8)^2}} = \frac{3200}{\frac{8(x+8)^2 + 16x^2}{(x+8)^2}} =3200(x+8)28(x2+16x+64)+16x2=3200(x+8)28x2+128x+512+16x2= \frac{3200(x+8)^2}{8(x^2+16x+64) + 16x^2} = \frac{3200(x+8)^2}{8x^2+128x+512 + 16x^2} =3200(x+8)224x2+128x+512= \frac{3200(x+8)^2}{24x^2+128x+512}

Factor out 8 from the denominator:

=3200(x+8)28(3x2+16x+64)=400(x+8)23x2+16x+64= \frac{3200(x+8)^2}{8(3x^2+16x+64)} = \frac{400(x+8)^2}{3x^2+16x+64}

The function relating oral dosage to surviving bacteria is:

Poral(x)=400(x+8)23x2+16x+64\boxed{P_{oral}(x) = \frac{400(x+8)^2}{3x^2+16x+64}}

b) Suppose the antibiotics is instead administered by injection. Derive the function that relates dosage to the number of surviving bacteria using composition of functions.

Step 1: If administered by injection, the entire dose xx mg is directly in the bloodstream. So, the amount in the bloodstream is simply xx.

Step 2: Determine the amount of antibiotic absorbed into the infection site from the injected dose xx.
This is g(x)=4xx+4g(x) = \frac{4x}{x+4}. Let Ainject(x)=4xx+4A_{inject}(x) = \frac{4x}{x+4} be the amount at the infection site for an injected dose xx.

Step 3: Determine the number of surviving bacteria from the amount at the infection site.
This is f(Ainject(x))f(A_{inject}(x)). Substitute Ainject(x)A_{inject}(x) into f(x)f(x):

f(Ainject(x))=f(4xx+4)=32008+(4xx+4)2f(A_{inject}(x)) = f\left(\frac{4x}{x+4}\right) = \frac{3200}{8 + \left(\frac{4x}{x+4}\right)^2} =32008+16x2(x+4)2=32008(x+4)2+16x2(x+4)2= \frac{3200}{8 + \frac{16x^2}{(x+4)^2}} = \frac{3200}{\frac{8(x+4)^2 + 16x^2}{(x+4)^2}} =3200(x+4)28(x2+8x+16)+16x2=3200(x+4)28x2+64x+128+16x2= \frac{3200(x+4)^2}{8(x^2+8x+16) + 16x^2} = \frac{3200(x+4)^2}{8x^2+64x+128 + 16x^2} =3200(x+4)224x2+64x+128= \frac{3200(x+4)^2}{24x^2+64x+128}

Factor out 8 from the denominator:

=3200(x+4)28(3x2+8x+16)=400(x+4)23x2+8x+16= \frac{3200(x+4)^2}{8(3x^2+8x+16)} = \frac{400(x+4)^2}{3x^2+8x+16}

The function relating injected dosage to surviving bacteria is:

Pinject(x)=400(x+4)23x2+8x+16\boxed{P_{inject}(x) = \frac{400(x+4)^2}{3x^2+8x+16}}

c) If someone has to take 3 mg of antibiotics, which treatment is the best?

To find the best treatment, we need to calculate the number of surviving bacteria for both oral and injection treatments with a 3 mg dose (x=3x=3) and choose the one with the lowest number of surviving bacteria.

Step 1: Calculate surviving bacteria for oral treatment with x=3x=3 mg.

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