Antibiotics Flashcards
B- Lactams
Spectrum: G+ cocci, bacilli
Not active on G- bact (except the sythetic ones)
Actions: on actinomycetes and spirochetes
Penicilin and ce`phalosporine are bactericidal
Side efffects on pencilin: high doses are neurotoxic (SNC)
AMYNOGLICOSIDES
Associated to B-lactamos
active on G+ and G-
More active on acid alcohol resistant bacillus
Mode of action: Bactericidal in the multiplication and resting phase bacteria
Side effects: neurotoxic (cranial nerve pait VII) and nephrotoxic (during renal elimination -> degenerative process)
Side effect on streptomycin: affects vestibular branch, balance problems
Side effect on dihydrostreptomycin: alters cochlear branch-> deafness or decreased hearing capacity
Macrolides
SPECTRUM: More active on : G+ cocci and bacilli Less active over: G- cocci and G- bact More: actynomices, mycoplasma, protozoa Action: bactericidal or bacteriolytic (depends on the dose) Indications: respiratory, genitourinary, enteritis Farmacs: - Erythromycin lactobionate - Erythromycin Thyocinate - Tylocin
Sinergistine
cocci G+ and G- and G+ bacilli
NOT ACTIVE over G- bacilli
Acts on actinomycete, mycoplasma and some protozoa
Cyclic Polypeptides
Structure: amino acids and a fatty acid
Side effects: extremely toxic
Head pf series: Polymyxin (A, B, C, D, E)
Action: bactericidal or bacteriostatic (regardless of the development stage of the bact)
Active on (spectrum): G-. E.coli, pseudomonas
Farmac:
- Bacitracin: bacteriostatic, cocci G+ and G- and G+ bact
Tetracyclines
Wide Spectrum: cocci (G+ and -), rickettsiae, spirochetes, mycoplasmas, actinomycetes, some protozoa
Action: bacteriostatic (by chelating metals that are necessary for the development and multpl of the bact)
SIde effects: Hepatotoxic (degenerativ phenomena on hepatocytes) specially when using chlortetracycline
Chloramphenicol
Mode of action: bacteriostatic (cannot b associated w b- lactams)
Side effects: in high doses / long ttmnts-> degenerative process on hematopoietic organs (bone marrow)
Spectrum: wide (Cocci both, bacillus both…)
Crosses the HEB
Metab by feces, kidney and bile
Esters of Penicilin G
Association w:
- crystalized penicilin G
- crystialine penicillin G
- procaine penicillin (tripedine, propamicin)
Example: Benzathine peniciline, procaine peniciline (ester of benzyl penicilin G)
The antibiotic base: the quantity of a pure antibiotic, w/out taking into account its actual salt
Ampicillin
Semisynthetic penicilin
Spectrum: wide (max action on G- bacilus)
Adm (oral/parenteral)
Ticarcillin
Semisynthetic Penicilin
Spectrum: (aerobic and anaeribic G+ and -)
Cephalosporines
Structure: contains b-lactames ring More resistant to b-lactamases produced by staphilococcus, They can have_ - Total resistance to all lactamases - Resistant to one or more lactamases - No resistance
Classes of cephalosporins:
- Extraction
- Semisynthetic
- Synthetic
Pharmacokinectics of Cephalosporines
Great diffusion
Good penetration in parenchima, pleura, peric, synovialis
Bad penetration: eyes, CSF
Last gen penetrates HEB
Mode of action: bactericidal (mechanismo similiar to penicilins)
1st Gen Cephalosporines
Spectrum:
- Great action: G+ bact and G+ cocci
- Avarage action: G-cocci (more intensive in staphylococcus)
Restricted act: Gram - bact
2nd gen cephalosporines
Action: G+ bact
Active: G-: E.coli, Proteus, Klebsiella, Pasteurella, Salmonella
Very active against: Indole + species (Proteus)
Resistance: Citro and Enterobacter and P.aeuriginosa
2nd gen cephalosporines
Action: G+ bact
Active: G-: E.coli, Proteus, Klebsiella, Pasteurella, Salmonella
Very active against: Indole + species (Proteus)
Resistance: Citro and Enterobacter and P.aeuriginosa
2nd gen cephalosporines
Action: G+ bact
Active: G-: E.coli, Proteus, Klebsiella, Pasteurella, Salmonella
Very active against: Indole + species (Proteus)
Resistance: Citro and Enterobacter and P.aeuriginosa
2nd gen cephalosporines
Action: G+ bact
Active: G-: E.coli, Proteus, Klebsiella, Pasteurella, Salmonella
Very active against: Indole + species (Proteus)
Resistance: Citro and Enterobacter and P.aeuriginosa
3rd gen cephalosporines
Spectrum:
- The widest (representative against P. aureginosa)
- Weaker action against G+
- Stronger against: G-
- Active against: pseudomonas, B. bronchioseptica
Side effects cephalosporines
Consideren non - toxic High doses: hepatotoxic and nephrotoxic (human) In animals irritation on th injection site Recommended in: - Resp infec - Excret systm infec -Osteomyelitis Mastitis
Cefiotour
(Cephalosporin)
Mode of action: inhibition of the bacterial wall synthesis
Spectrum: wide (effective on most germs) (not active against mycoplasma)
Comercial: Vetimast (cefacetril), Pathozone, Excenel (ceftiofur)
Side effects: the ones in general