139 - Treatment and Prophylaxis of Bacterial infections Flashcards
Which Abx belong to the B-lactams?
penicillin
cephalosporines
monobactam
carbapenem
Which Abx belong to the glycopeptide and lipoglycopeptides?
vancomycin
teicoplanin
Both __ and __ Abx are cell wall inhibitors
B-lactams
glycopeptide
Protein synthesis inhibitor Abx inhibit bacterial ribosomes (__/__). Most of them are __ beside __ which are bacteriocidic
30s
50s
bacteriostatic
aminoglycosides
Mention 3 aminoglycosides:
streptomycin
amikacin
gentamicin
Aminoglycosides attach to the sub unit of __s ribosome
30
Which Abx are protein synthesis inhibitors?
aminoglycoside
tetracycline
macrolides
lincosamides
Tetracycline attach to the sub unit of __s ribosome
30
Macrolides attach to the sub unit of __s ribosome
50
Mention 3 macrolides:
azithromycin
clarithromycin
erythromycin
Mention 2 folate synthesis Abx groups:
sulfonamides
trimethoprim
Name 3 sulfonamides:
sulfisoxazole
sulfadiazine
sulfamethoxazole
Name the 4 DNA/RNA synthesis inhibitors Abx groups:
quinolones
rifamycin
nitrofurantoin
metronidazole
List 3 quinolones:
remember they inhibit DNA synthesis
levofloxacin
ciprofloxacin
moxifloxacin
___ is a well membrane Abx
daptomycinq
__ is a nephrotoxic Abx which when given at a __rate may cause red man syndrome
vancomycin
high
__ is a nephrotoxic and __ Abx which may cause both vestibular and cochlear damage
aminoglycosides
__ is an hepatoxic Abx. The risk increase when it is given with other anti TB drugs
rifampin
Linezolid can cause __, __ and __ __ and __. most of those symptoms are linked with prolonged use
myelosuppression optic peripheral neuropathy lactic acidosis
Macrolides can cause __ distress and __ prolongation
GI
QT
Linezolid increase the liver metabolism of __ making it less effective, which leads to lower __
coumadin
INR
Beside being __, TMP-SMX can also lead to hypersensitivity reactions:3
nephrotoxic
nausea/vomiting
diarrhea
rash
The following Abx require level adjustment to renal function: 4
penicillin, cephalosporins (B-lactam)
gentamycin and other aminoglycosides
vancomycin and other glycopeptide
What is the most common mechanism of resistance against beta lactam? which bacteria is it especially true for?
b-lactamase
G (-)