Antibiotics Flashcards
bacteriostatic
inhibits a metabolic pathway
bactericidal
outright kills bacteria via lysis
sulfonamide mechanism
inhibits dihydropteroate synthesis
sulfonamide contraindication
pregnancy
sulfonamide synergizes with
DHFR inhibitor
sulfisoxazole w/erythromycin
oral SULF for otitis media
sulfamethoxazole w/trimethoprim
oral SULF for urinary, respiratory, and GI infections
dapsone
oral SULF for leprosy and pneumonia
sulfacetamide
topical SULF for ulcerative blepharitis and bacterial conjunctivitis
silver sulfadiazine
topical SULF for burns and preventing sepsis
mafenide
topical SULF for burns
crystalluria
crystals in urine (SULF SE)
kernicterus
bilirubin encepalopathy (SULF SE)
blood discrasias
SULF SE
hypersensitivity
SULF SE
erythema multiforme
asymptomatic macules on extremities
Stevens-Johnson Syndrome
blisters in airway/mouth
Rx fever
hypersensitivity
hyperkalemia
high potassium
fluoroquinolone mechanism (G-)
inhibits DNA gyrase
fluoroquinolone mechanism (G+)
inhibits topoisomerase IV
cirpofloxacin
2nd gen FQ for anthrax [decreases theophylline clearance, inhibits CYP3A4/CYP1A2]
ofloxacin
2nd gen FQ [avoid if bacterial resistance or liver disease]
gatifloxacin
3rd gen FQ [avoid if pt has diabetes]
gemifloxacin
3rd gen FQ for chronic bronchitis and pneumonia
levofloxacin
3rd gen FQ [avoid if cardiac conduction anomalies]
motifloxacin
3rd gen FQ [avoid if hepatic disease]
besifloxacin
4th gen FQ for bacterial conjunctivitis
finafloxacin
4th gen FQ for otitis externa
phototoxicity
burning, redness, swelling, blisters, rash (FQ SE)
arthropathy
damages growing cartilage (FQ SE)
peripheral neuropathy
FQ SE
tendon rupture
FQ SE & black box warning
diplopia
tendonitis of extraocular muslces (FQ SE)
C difficile
induces diarrhea and pseudomembranous colitis
fidaxomicin
FQ for C difficile
penicillin mechanism
inhibits transpeptidase
penicillinases
beta-lactamases
Pfizerpen
IM/IV PCN G
procaine
local anesthetic that slows absorption of PCN
benzathine
long-acting suspension for PCN
penicillin V
oral [food interferes]
dicloxacillin
PCNase resistant oral PCN
oxacillin
PCNase resistant parenteral PCN
nafcillin
PCNase resistant parenteral PCN
ampicillin
oral or IV aminoPCN
sulfactam
PCNase inhibitor given with ampicillin
unasyn
given with ampicillin due to bacteroides fragilis
amoxicillin
tables, oral suspension, or pediatric drop aminoPNC for otitis med or prophylaxis
augmentin
amoxicillin + clavulanate
clavulanate
beta-lactamase inhibitor given with amoxicillin
ticarcillin + clauvulanate
parenteral
piperacillin + tazobactam
parenteral
tazobactam
beta-lactamase inhibitor given with piperacillin
superinfection
kill off organisms that allow others to grow w/o competition
Jarish-Herxheimer reaction
found in patients with secondary syphilis
cephalosporin mechanism
inhibit transpeptidase
cephalosporin advtantage
resistant to many PCNases
cefazolin
1st gen IV CF for G+ and PEcK G-
cephalexin
1st gen oral CF for G+ PEcK G-
cefadroxil
1st gen oral CF for G+ and PEcK G-
cefaclor
2nd gen oral CF for HNPEcK
cefuroxime
2nd gen oral/IV/IM CF for HNPEcK
cefoxitin
2nd gen IV/IM CF for bacteriodes fragilis
cefotetan
2nd gen IV/IM CF [antagonizes vitamin K, must be supplemented]
cefprozil
2nd gen oral CF
ceftriaxone
3rd gen IV CFF [flush line between doses]
cefotaxime
3rd gen IV/IM CF
ceftazidime
3rd gen IV/IM CF [dont use if history of epilepsy]
cefpodoxime
3rd gen oral CF
cefdinir
3rd gen oral CF [decreases absorption]
cefepime
4th gen IV/IM CF [don’t use if hx of epilepsy)
cefditoren
4th gen prodrug CF activated via esterase hydrolysis
cefaroline
advanced gen IV prodrug CF for community bacterial pneumonia and MRSA
cefolozane
advanced gen CF for complicated UTIs and kidney infection