Antibacterials 6 Flashcards
50S inhibitors
Chloramphenicol
Macrolides
Clindamycin
100 % oral bioavailability, 7% renally excreted
Chloramphenicol
Binds reversibly to 50s subunit, inhibits peptide bond formation, bacteriostatic broad spectrum, active against Rickettsiae not chlamydiae
Chloramphenicol
Cloramphenicol inactivation
Glucuronidation
Reduction to aryl amines
Oral formulation for bacterial meningitis for penicillin sensitive patients
Chloramphenicol
Topical for eye infection, typhus, Rocky Mountain spotted fever
Chloramphenicol
Adverse effect
Gray baby syndrome
Chloramphenicol
50S inhibitor that crosses the placenta and is present in breastmilk and CSF
Chloramphenicol
Macrocyclic lactone ring
Macrolides
Romycins
Macrolides
Blocks polypeptide exit tunnel
Erythromycin, macrolides
Special formulation of macrolides?
Enteric coating bec destroyed by stomach acid
50s inhibitor, lost in feces and bile
Erythromycin
Drug of choice in corynebacterial infections
Diptheria, sepsis, erythrasma
Erythromycin
Macrolide more active against M avium complex
Clarithromycin