Antibacterials Flashcards
Gram+ Bacteria (7)
- Cocci
- Spore forming
- Non-spore forming
Cocci
-Staph, Strep, Entero
Spore forming
-Clostridium, Bacillus
Non-spore forming
-Corneybacterium, Listeria
Sulfonamides
Gram?
Static/cidal?
Fun facts?
Sulfonamides
Gram+ & Gram-
Bacteriostatic
Crystalluria in children; Steven’s Johnson in adults
Trimethoprim
Gram?
Static/cidal?
Fun facts?
Trimethoprim
Gram+ & Gram-
Bacteriostatic
Tx community acquired MRSA
Rifampin
Gram?
Static/cidal?
Fun facts?
Rifampin
TB
Bactericidal
Makes pee orange/red
Quinolones Gram? Static/cidal? Fun facts? Generations?
Quinolones Gram depends on analog Bactericidal Concentration & Time dependent 1st: Nalidixic acid 2nd: Ciprofloxacin, Ofloxacin, Norfloxacin 3rd: Levofloxacin --> Gram+ 4th: Moxifloxacin --> Gram+
Nitrofurans
Gram?
Fun facts?
Nitrofurans
Gram+ & Gram- (except P. aeruginosa)
Used only for UTIs
Methanamine
Gram?
Fun facts?
Methanamine
Gram-
Only for UTI prophy
Metronidazole
Gram?
Static/cidal?
Fun facts?
Metronidazole
Gram+ & Gram- ANAEROBES
Bactericidal
CANNOT drink alcohol
Penicillins (general)
Static/cidal?
Mechanism?
Fun facts?
Penicillins (general)
Bactericidal
Ties up penicillin binding protein (PBP) inhibiting cell wall synthesis
Time dependent
Methicillin Class (Penicillin)
Spectrum?
Drugs?
Fun facts?
Methicillin Class (Penicillin)
Narrow spectrum –> Staph & Strep
Nafcillin, Oxacillin, Cloxacillin
Beta-Lactamase resistant
Amino-Penicillin Class
Spectrum?
Drugs?
Fun Facts
Amino-Penicillin Class
Broad Spectrum
Amoxicillin, Ampicillin
NOT effective against Beta-Lactamases and P. aerugenosa
Anti-Pseudomonal Penicillins
Spectrum?
Drugs?
Anti-Pseudomonal Penicillins Extended spectrum (staph, gram-, and pseudomonas) Carbencillin, Piperacillin, Ticarcillin
Cephalosporins (Beta-Lactams)
Gram?
Static/cidal?
Cephalosporins (Beta-Lactams)
Better against gram-
Bactericidal
Cephalosporin Drugs (Beta-Lactams) 1st Gen: 2nd Gen: 3rd Gen: 4th Gen:
Cephalosporin Drugs (Beta-Lactams)
1st Gen: Cefazolin (gram+ esp. E. coli)
2nd Gen: Increased gram- activity
3rd Gen: Ceftazide (only Pseudomonas), Ceftriaxone
4th Gen: Cefepine (only Pseudomonas), Ceftolozane
Carbapenems (*IMPENEM) (Beta-Lactams)
Gram?
Fun facts?
Carbapenems (*IMPENEM) (Beta-Lactams) Broad spectrum; gram+ & gram- Beta-Lactamase resistant Effective against Pseudomonas & Acinetobacter *Administered with Cilastatin
Monobactams (Beta-Lactams)
Gram?
Fun facts?
Monobactams (Beta-Lactams)
Aerobic gram- including pseudomonas
Drug: Aztreonam
Beta-Lactamase Inhibitors (Suicide inactivators)
Drugs?
Beta-Lactamase Inhibitors (Suicide inactivators)
Clavulanic acid
Sulbactam
Tazobactam
Vancomycin
Gram?
Static/cidal?
Fun facts?
Vancomycin ONLY gram+ Bactericidal Tx severe C. diff and MRSA Time dependent Can result in hearing loss/red neck
Bacitracin
Gram?
Fun facts?
Bacitracin
Gram+ cocci
Tx superficial skin infections; topical application
Polymyxins
Gram?
Static/cidal?
Fun facts?
Polymyxins
Gram-
Bactericidal
Nephrotoxic; topical & oral
Daptomycin
Gram?
Static/cidal?
Fun facts?
Daptomycin Gram+ Bactericidal Concentration dependent Not effective in lungs
Aminoglycosides (Protein synth inhibitors) Gram? Static/cidal? Drugs? Fun facts?
Aminoglycosides (Protein synth inhibitors)
Gram-
Bactericidal
Streptomycin, Kanamycin, Neomycin (topical)
Concentration dependent
Ototoxicity (hearing); Nephrotoxic (reversible)
Protein Synthesis Inhibitors Aminoglycosides - gram? - cidal/static Tetracyclines - gram? - cidal/static Chloramphenicol - cidal/static Clindamycin - gram? - cidal/static Erythromycin (macrolides) - gram? - cidal/static Linezolid - cidal/static Quinupristin & Dalfopristin - cidal/static
Protein Synthesis Inhibitors
Aminoglycosides - gram(-) - Bactericidal
Tetracyclines - gram- & gram+ - Bacteristatic
Chloramphenicol - Bacteristatic
Clindamycin - gram+ anaerobes - Bacteristatic
Erythromycin (macrolides) - gram+ - Bacteristatic
Linezolid - Bacteristatic
Quinupristin & Dalfopristin - Bactericidal