antibiotics Flashcards

1
Q

what do bactericidal do ?

A

kill bacteria

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2
Q

what do bacteriostatic do ?

A

inhibit bacterial growth

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3
Q

what antibiotics don’t work on the cell wall ?

A

penicillin
Cephalosporins - ceftriaxone
glycopeptides - vancomycin

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4
Q

how do penicillins inhibit cell wall synthesis ?

A

by preventing cross-linking of peptidoglycan subunits

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5
Q

what is penicillin classed as ?

A

batericidal

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6
Q

what is flucloxacillin ?

A

gram positive organism
very narrow spectrum antibiotic

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7
Q

what is flucloxacillin commonly used for ?

A

skin and soft tissue infection
wound infection
cellulitis

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8
Q

what antibiotics are bactericidal ?

A

cephalosporins
glycopeptides

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9
Q

describe cephalosporins

A

bactericidal

inhibit cell wall synthesis

may induce clostridium difficile so their use is limited in hospital

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10
Q

What is glycopeptides ?

A

cell wall active antibiotics

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11
Q

how does glycopeptides work ?

A

binds to end of growing chain
prevents cross-linking
weakens bacterial cell wall

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12
Q

when does glycipeptides work ?

A

only active against organisms with gram positive cell walls

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13
Q

what antibiotics inhibit protein synthesis ?

A

macrolides
tetracyclines
aminoglycosides

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14
Q

what are examples of macrolides ?

A

erythromycin
clarithromycin
azithromycin

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15
Q

What are examples of tetacyclines ?

A

doxyxycline

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16
Q

give an example of an aminoglycosides ?

A

gentamicin

17
Q

are drugs that inhibit protein synthesis bacteriostatic ?

A

yes, only macrolides and tetracyclines

18
Q

what do macrolides, tetracyclines and aminoglycosides have in common ?

A

antibiotics that inhibit protein synthesis
attach to bacterial ribesomes

19
Q

what are charecteristics of macrolides ?

A

lipophilic
pass through cell membranes easily

20
Q

what organisms are aminoglycosides mainly active against ?
give two examples

A

gram negative aerobic organisms
e.g. coliforms and pseudomonas

21
Q

what can aminoglycosides be classed as ?

A

bactericidal

22
Q

what is a downside of aminoglycosides ?

A

very toxic
kidney damage
damage of CN VIII (vestibulocochlear)

23
Q

what can damage of CN VIII cause ?

A

deafness and dizziness

24
Q

what antibiotics act on bacterial DNA ?

A

Metronidazole
Trimethoprim
Fluroquinolones

25
Q

how do metronidazole work ?

A

causes strand breakage of bacterial DNA

26
Q

what do metronidazole treat ?

A

treat true anaerobic infections

27
Q

how does trimethoprim work ?

A

inhibits bacterial folic acid synthesis

28
Q

what do trimethoprim fight against ?

A

gram negative and gram positive

29
Q

What are example of fluoroquinolones ?

A

ciprofloxacin
levofloxacin

30
Q

what do fluoroquinolones prevent ?

A

supercoiling of bacterial DNA

31
Q

what class are fluroquinolones ?

A

bactericidal

32
Q

what is a disadvantage of fluoroquinolones ?

A

restricted use in order to prevent clostridium difficile

33
Q

describe gram positive and gram negative organisms ?

A

gram positive organisms - cell wall has thick layer of peptidoglycan and a single phospholipid bilayer

gram negative - cell wall has two phospholipid bilayers and a thin layer of peptidoglycan