Antibiotics Flashcards
Drugs that kill or inhibit the growth of microorganism
Antibiotics
Inhibit bacterial growth and multiplication
Bacteriostatic
Kills bacteria
Inhibit formation of _____ during cell division
Bacteriocidal
Cell wall
What part of bacterial does bacteriostatic take effect
Exponential phase
Can bacteriostatic and bactericidal be combined?
No
They are antagonists
All cell wall synthesis inhibitors are cidal or static
Barteriocidal
Cell wall synthesis inhibitor drugs (4)
PCMC - beta lactam rings
Glycopeptides - Vancomycyn
Bacitracin - topical antibiotic
Cycloserine - for TB
Beta lactam drugs
PCMC
Penicillin
Cephalosporins
Monobactams
Carbepenems
Tx for pseudomembranous colitis
Vancomycin
Pseudomembranous colitis is associated with what drug
How to treat
Clindamycin
Vancomycin
Metronidazole
Tx for MRSA or methicillin resistant staph aureus
Vancomycin
Used drugs if thereโs infection gram + strep or staph (4)
Penicillin
Erythromycin
Cephalosporins
PEC
Antibiotics for oral infections has min of ___ days
5 days
Enzyme against penicillin
Penicillinase aka beta lactamase!! Since. Ay beta lactam rings ang penicillin
Resistant to penicillins aka
Penicillin resistant staph aureus (PRSA)
Type of penicillins classified as penicillinase resistant penicillins
Methicillin
Methicillin resistant aka
Methicillin resistant staph aureus (MRSA)
Drug for MRSA
Vancomycin (IV)
Last resort to antibiotics
Colistin
Protein synthesis inhibitor drugs (6)
AT30MCC50S
Aminoglycosides Tetracycline fam Macrolides Clindamycin Chloramphenicol
Lincomycin
Only bactericidal protein synthesis inhibitory drug
Aminoglycosides
Blocks 30s with very broad spectrum or BROADEST SPECTRUM *
Tetracycline family
Aminoglycosides drugs (4)
Streptomycin
Gentamicin
Tobramycin
Neomycin
Tetracycline drugs (3)
TetraCYLCINE
DoxyCYLCINE
MinoCYCLINE
Adverse effect of aminoglycosides
Ototoxicity
Adverse effect of tetracyclines
Hepatotoxic
Photosensitivity
Resistant and superinfections
Tooth discoloration
Drugs common with photosensitivity (3)***
Tetracycline
Ibuprofen
Naproxen
Macrolides drugs (3)
MACE
Azithromycin
Clarithromycin
Erythromycin
First macrolide with most severe side effect
Erythromycin
Blocks 50s ribosomal unit used when allergic to penicillin
Clindamycin
Blocks 50s ribosomal unit use as last resort due to high toxicity and adverse effect
Chloramphenicol
AE of chloramphenicol (2)
Gray baby syndrome
Hemolytic anemia
If dose is increased in clindamycin it will be converted into ____
Bactericidal effect
Biosynthetic pathway inhibitor drugs (3)
Trimethoprim
Sulfonamides
Fluroquinolones
Sulfa drugs that mimics PABA
Sulfonamides
Sulfonamides static or cidal
Static - mimic paba
Co trimoxazole (Bactrium) is a combination of what drugs
Trimethoprim
Sulfamethoxazole
Brand of co trimoxazole
Bactrim
Quinolones are derived from
Quinine
Quinidine is used for
Anti arrhythmic
Causes the antimicrobial property of penicillins
Beta lactam rings
Penicillins from fungi
Types (2)
Natural penicillins
Pen G
Pen VK
First penicillin produced
Pen G - IV
Benzylpenicillin
Pen VK aka
Phenoxybemethyl penicillin - oral
Penicillin from narrow to a little broad spectrum
But classified as BROAD SPECTRUM
Extended penicillins
Type of extended penicillins
Aminopenicillins
- Amoxicillin
- ampicillin
Most commonly used when giving oral prophylactic antibiotics
Amoxicillin
Dosage of amox and ampicillin prior to invasive procedure
2 g or 2000 mg
30-60 mins
Dosage of amox to children
50 mg/kg
Given if oral route is not available alternative for amox
Ampicillin (parenteral)
Has the widest spectrum of all penicillins aka
Broad spectrum penicillin
Antipseudomonas penicillins
Broad spectrum penicillin drug (2)
Piperacillin
Ticarcillin
Dosage of clindamycin in adult and kids
20 mg /kg
600 mg
Oral/IM/IV
Penicillinase resistant penicillins aka
Antistaphylococcal penicillins
Drugs resistant to penicillinase (5)
Methicillin Nafcillin Cloxacillin Oxacillin Dicloxacillin
Major disadvantage of broad antibiotics (2)
Resistance
Superinfections
Co amoxiclav (Augmentin) is a combination of
Amoxicillin
Clavulanic acid
Clavulanic acid has ____ inhibitor
Beta lactamase
Has cross allergenicity to penicillins
Cephalosporins
doc for upper respiratory tract infections
Co amoxiclav
Broad spectrum antibiotics with four generations
Has disulfiram
With beta lactam rings
Cephalosporins
With low cross allergenicity to penicillins
Monobactams
Drugs with slight resistance to penicillinase (3)
Cephalosporins
Monobactams
Carbapenemes
Topical antibiotics (3)
Bacitracin
Polymyxin B
Neomycin
Antifungal Drugs administered parenteral
Amphotericin B
Most potent antifungal drug
Griseofulvin