Antibiotic classes and actions Flashcards
Aminoglycosides
Gentamicin.
Inhibits bacterial 30S ribosome.
Beta Lactams
Penicillins and cephalosporins and carbapenems.
Inhibit cell wall synthesis
Glycopeptides (give example)
When would you use these and why?
Vancomycin
Inhibits cell wall synthesis: Bind to acyl-D-alanyl-D-alanine in peptidoglycan, preventing further elongation of peptidoglycan chain.
High toxicity so only use with people hypersensitive to beta lactams or with MRSA.
Tetracyclines
Doxycycline.
Inhibits bacterial 30S ribosome.
Macrolides
Azithromycin.
Inhibits 50S ribosomal subunit
Trimethoprim
Inhibits folic acid synthesis
Sulphonamides
Sulfamethoxazole
Inhibits folic acid synthesis
Fluoroquinolones
Ciprofloxacin
Inhibits DNA gyrase
Rifamycins
Rifampicin
Inhibits RNA polymerase
Nitroimidazoles
Metronidazole
Disrupts DNA strands
Treat tonsillitis?
Only if high fever, tender lymph nodes, white exudate on tonsils. Give oral penicillin or IV benzylpenicillin.
DDX for tonsilitis
EBV
CA Pneumonia antibiotics
Mild: Amoxycillin PO or doxycycline
Moderate: benzylpenicillin IV + doxycyline PO
Severe: IV ceftriaxone and arithromycin
HA pneumonia antibiotics
Mild: Augmentin PO (duofort)
Moderate: ceftriaxone IV
Severe: Tazosin (piperacillin + tazobactam) IV
Antibiotics for UTI + common causative organisms
E coli, proteus, staph sprophyticus, klebsiella
Trimethoprim for non-pregnant women and men
Cephalexin in pregnant women