Antibiotics Flashcards
Bactericidal
kills bacteria
no host response needed
Bacteriostatic
inhibit bacterial growth
rely on host defences to clear bacteria
Narrow spectrum
active against a small group of bacteria
Broad spectrum
active against a wide variety of bacteria
Resistance
organism doesn’t respond to antimicrobial
Resistance is associated with _________ in vivo
failure
Sensitive
organism responds to antimicrobial
Sensitivity is associated with ____________ in vivo
activity
what are the 4 antimicrobial targets?
- cell wall synthesis
- nucleic acid synthesis
- protein synthesis
- folic acid synthesis
what 2 types of antibiotics target the cell wall?
- beta lactams
- glycopeptides
what is the central component of beta lactam antibiotics?
beta lactam ring
are beta lactams bactericidal or bacteriostatic?
bactericidal
what are the 3 classes of beta-lactams (from narrow to broad)?
- penicillin
- cephalosporins
- carbapenems
how do beta lactams inhibit cell wall synthesis?
bind and inhibit transpeptidase
prevents peptidoglycan crosslinkage
what are some examples of penicillins?
penicillin G
penicillin V
cloxacillin
amoxicillin
what is an example of a 1st generation cephalosporin?
ampicillin
what is an example of a 2nd generation cephalosporin?
cefazolin
what are 3 examples of 3rd generation cephalosporins?
ceftazidime
ceftriaxone
cefixime
what are 2 examples of carbapenems?
ertapenem
meropenem
carbapenems should be reserved for ______________
multi drug resistant superbugs
last resort
do beta-lactams antibiotics act on gram negatives or gram positives?
both
are glycopeptides bactericidal or bacteriostatic?
bactericidal
do glycopeptides act on gram positives or gram negatives?
gram positives
how do glycopeptides inhibit cell wall synthesis?
stop extension of peptidoglycan
what are 2 examples of glycopeptide antibiotics?
vancomycin
teicoplanin
how do antibiotics inhibit protein synthesis?
bind ribosomes
what are the 3 types of protein synthesis inhibitors?
macrolides
tetracyclines
chloramphenicol
what is the MOA of macrolides?
prevent continuation of protein synthesis
what is the MOA of tetracylines?
block tRNA
what is the MOAA of chloramphenicol?
prevent peptide bond formation
what are the nucleic acid inhibitors?
fluoroquinolones
are fluoroquinolone bactericidal or bacteriostatic?
bactericidal
do fluroquinolones target gram positives or gram negatives?
gram positives
how do fluoroquinolones inhibit nucleic acid synthesis?
bind topoisomerase and DNA gyrase
what is an example of an fluoroquinolone?
ciprofloxacin
what is ciprofloxacin commonly used to treat?
UTIs
are folic acid inhibitors bactericidal or bacteriostatic?
bacteriostatic
what are 2 examples of folic acid inhibitors?
- trimethoprim
- sulfamethoxazole
what is trimethoprim?
analogue of DHF
inhabits dihydrofolate reductase
what is sulfamethoxazole?
analogue of PABA
inhibits DHF synthesis