Antibiotic mechanisms, uses Flashcards
Block cell wall synthesis by inhibiting peptidoglycan cross-linking (4)
-cillins, imipenem, aztreonam, cephalosporins
Block peptidoglycan synthesis (2)
bacitracin
vancomycin
Disrupt bacterial cell membranes
Polymixins
Block nucleotide synthesis (2)
Sulfonamides
Trimethoprim
Block DNA topoisomerases
Fluoroquinolones
Block mRNA synthesis
Rifampin
BLock protein synthesis at 50s ribosomal subunit (5)
Chloramphenicol Macrolides Clindamycin Streptogramins Linezolid
Block protein synthesis at 30S ribosomal subunit (2)
Aminoglycosides
Tetracyclines
Penicillin: uses (4)
Gram positive cocci
Gram positive rods
gram negative cocci
Spirochetes
Penicillinase-resistant penicillins: use
Staph aureus (not MRSA)
Ampicillin, amoxicillin: uses (6)
H influenza E. coli Listeria monocytogenes Proteus mirabilis Salmonella enterococci
Ticarcillin, carbenicillin, piperacillin: use
gram - rods (pseudomonas)
1st gen cephalosporins: uses (3)
Proteus, E. Coli, Klebsiella
2nd gen cephalosporins: uses (7)
H influenza, Enterobacter aerogenes, Neisseria, Proteus mirabilis, E. Coli, Klebsiella, Serratia marcescens
3rd gen cephalosporins: use
serious, beta-lactam resistant gram negatives
4th gen: uses (2)
Pseudomonas, gram-positive organisms
Tetracyclines: use
V cholerae Acne Chlamydia Ureaplasma Urealyticum M pneumonia Tularemia H pylori Borrelia burgdorferi Rickettsia
Vancomycin: use
serious, gram+ multidrug resistant organisms
Aminoglycosides: use
severe g- rods, use with beta lactams
Chloramphenicol: use
meningitis
Fluoroquinolones: main uses (2)
UTIs, GI infections
Metronidazole: uses (6)
Giardia
Entamoeba
Trichomonas
Gardnerella vaginalis
Anaerobes,
h Pylori
Isoniazid: use
mycoplasma tuberculosis prophylaxis
Isoniazid: mechanism
decreased synthesis of mycolid acids
Rifampin: mechanism
Inhibits DNA-dependent RNA polymerase