Anti-Microbials Flashcards
Chemoprophylaxis for meningococcus?
Rifampin
Antibiotic with MAO-I properties? (can cause serotonin syndrome)
Linezoid
Penicillian - used for?
Mostly gram+ rods (Strep pneumo, strep pyo, actinomyces)
Also spirochetes, meningitdis
Penicillian MoA?
bind transpeptidases that cross-link membrane
interstitial nephritis - adverse effect of what antibiotic?
Naf-, Oxa, Dicloxa- cillian
Psudomembranous colitis and rash - what antibiotic?
Ampicillian/Amoxicillian
Ampicillian/Amoxicillian kills?
Enterococci - HELPSS H flu E coli Listeria Proteus Salmonella Shigella
Antibiotic for psuedomonas?
Ticarcillian, Pipercillian
Cephalosporins do not cover?
LAME
Listeria, Atypicals (chlaydia, mycoplasma), MRSA, Enterococci
Only cephalosporin to cover MRSA?
Ceftaroline
1st gen Cephaosporin? kills?
Cefazolin. PEcK
Proteus, E coli, Klebsiella
2nd generation Cephaosporins? kills?
Cefoxitine, Cefaclor, cefuroxime.
HENS PeCK
H Flu, enterobactor, Neisseria, Serratia, Proteus, E coli, Klebsiella
Cephaosporin for meningitis and gonorrhea?
Ceftriaxone
Cephaosporin for pseudomonas?
Cefazidime,
CeftAZidime for pseudomonAZ
Vit K deficieny with what antimicobes?
Cephaosporin
These drugs increase this toxicity of aminoglycosides?
Cephaosporin increase nephrotoxicity
Use against gram-negative rods?
Aztreonam
Drug that binds to PBP3 is synergistic with this drug?
Aztreonam. Aminoglycosides
This PBP binding drug can be given to people with a penicillan allergy?
Aztreonam
MoA of drug that is administered with Imipenem?
Cilastatin - inhibitor of renal dehydropeptidase
Toxicity of vancomycin?
NOT that common
Nephrotoxicity, Ototoxicity, Thrombophlebitis and Red Man syndrome
Affect 30S subunit?
Affect 50S subunit?
Aminoglycosides, Tetracyclines
Chloramphenicol, Clindamycin
Erythromycin
Linezolid
Aminoglycosides used for?
aerobic gram-negative rods
Aminoglycosides - toxicity?
Mean GNATS caNNOT kill anerobes
"ear shaped" body parts Nephrotoxicity Neuromuscular blockade Ototoxicity Teratogen
Tetracycline used as a diuretic?
Demeclocycline (used for SIADH)
Decreased absorption of tetracyclines with?
milk, antacids, divalent cations
Clindamycin used to treat?
anaerobes
To treat anaerobes above diaphragm vs treat anerobes below diaphragm?
Clindamycin vs metronidazole
Sulfonamides - MoA? Used for?
PABA antimetabolites inhibit dihydropteroate synthesis
gram positives, negatives, chlamydia and nocardia
Sulfonamides - toxicities?
Sulfa - hemolysis, nephrotoxicity, photosensitivity, kericterus
Trimethoprin - MoA? Use?
Inhibit dihydrofolate reductase. Used with Sulfoamides for UTIs, shigella, salmonella, PCP
Trimethoprin - toxicities?
Megaloblastic anemia
Fluoroquinolones used for? Mech?
gram neg rods (including pseudomonas), neisseria. Inhibit DNA gyrase and topoisomerase
Fluroquinolones - toxicities?
tendon rupture, dysglycemia, prolonged QT
Metronidazole - use for?
GET GAP
Giardia, entamoeba, trichomonas
Gardnerella, anaerobes (bacteriodes, c diff) and h pylori
Metronidazole - do not take?
Alcohol - disulfiram-like reaction
TB drugs?
RIPE - rifampin, isonizaid, pyrazinamide, ehtanmbutol
MAI drugs?
Azithromycin, rrifampin, ethambutol, streptomycin
Leprae drugs?
Dapsone, rifampin
isoniazid MoA?
precent mycolic acid synthesis