ABX-Buckley Flashcards
Penicillins
Ampicillin
Amoxicillin
Pen G
Penicillins MOA, classification
- MOA: bind to penicillin binding proteins to disrupt cell wall synthesis
- bactericidal, time dependent
Penicillins spectrum
- mainly gram positive, some activity against gram negatives but not reliable
- active against most anaerobes except bacteroides
- little activity against pseudomonas
Cephalosporins
1st gen: cefazolin, cephalexin
2nd gen: cefoxitin, cefuroxamine
3rd gen: cefotaxime, ceftiofur, ceftriaxone, cefpodoxime, ceftazidime
Cephalosporins MOA, classification
- MOA:inhibit cell wall synthesis
- bactericidal, time dependent
Cephalosporins spectrum
As you go from 1st to 3rd generation, the spectrum changes from gram positive (g1) to mainly gram negative (g3)
Lincosamides
clindamycin
Lincosamides MOA, classification
- MOA: prevent protein synthesis by binding to 50S ribosome
- bacteriostatic, time dependent
Lincosamide spectrum
- clindamycin (only lincosamide taught in this course) has good activity against gram positive aerobes including MRSA and against anaerobes
- resistance is about 50% in Bacteroides spp.
- they have little efficacy against gram negative organisms.
Potentiated Penicillins
ampicillin-sulbactam (unasyn), amoxicillin-clavulanate (clavamox)
Potentiated Penicillins MOA, classification
- MOA: inhibit cell wall synthesis
- bactericidal, time dependent
Potentiated Penicillins spectrum
- good activity against gram positive organism, improved activity against gram negative bacteria as compared to regular penicillins
- improved activity against Bacteroides spp. (90% effective)
Fluoroquinolones
enrofloxacin (baytril), marbofloxacin, ciprofloxacin
Fluoroquinolones MOA, classification
- MOA: bind to DNA gyrase and topisomerase IV to prevent gene transcription
- bactericidal, concentration dependent
Fluoroquinolones spectrum
- good activity against gram negative organisms, poor activity against gram positives or anaerobes
- high doses can be used for Pseudomonus spp.
- toxic to cats at high doses (>5mg/kg = retinal degeneration)