Antibiotics Flashcards
Aminopenicillin
Amoxicillin
Cefazolin use
Surgical site infections
Quinupristin-dalfopristin side effects
- hyperbilirubinemia
- arthralgia
- phelbitis
Amoxicillin use
URI
Macrolides use
Respiratory tract infections
Atypical
Peptic ulcer
Inhibit DNA topoisomerase
Fluoroquinolones
Aztreonam use
Pseudomonas
Drug of choice for CDAD
Metro
BBW avoid with MAOIs
Linezolid
Side effects of chloramphenicol
Gray baby syndrome
Aplastic anemia
BM suppresion
Cipro use
UTIs Gastroenteris Antrax Plague Influenzae
Tetracycline MOA
Bacteriostatic
30S
Inhibit binding tRNA to A —> prevent addition of AA
Vanco use
MRSA
CDAD
Anti-staph penicillin
Nafcillin
Fidaxomicin use
C diff
Alternative to metro and vanco
Lower risk of recurrence
Drugs decreased kidney function
Aminoglycosides Vanco Cephalo SMX/TMP Penicillin Carbapenems Aztreonam
Alternative for metronidazole for CDAD
Vanco
Doxycycline use
Atypicals
Tick
Peptic ulcer
Malaria
TMP/SMX MOA
bactericidal
Quinupristin-dalfopristin use
MRSA
VRE
Fosfomycin use
UTIs
Inhibit RNA polymerase
Fidaxomicin
Doxycycline side effects
- teeth
- superinfection
- photosensitive
Respiratory FQ
Cipro
Standard penicillin
Pen g
SMX MOA
Bacteriostatic
Competitive inhibitor of dihydropteroate synthesis
Prevents DNA replication
BBW carcinogenic in animals
Metro
Tigecycline BBW
Increase all cause mortality
Nitroimdazole MOA
Bactericidal
Prodrug
Reduction of nitro group
Side effects of imipenem-cilastatin
N/D
Hypersensitivity
Seizures
Bind 30S
Aminoglycosides
Tetracyclines
Only cephalosporin active against MRSA
Ceftaroline
Fluoroquinolone MOA
Inhibit topoisomerases
Bactericidal
Cefepime use
Nosocomial
Febrile neutropenia
Linezolid MOA
23s RNA of 50S
Imipenem-cilastatin use
MSSA
MDR
Clindamycin MOA
Bacteriostatic
50S
Block peptide formation
BBW MG
Cipro
Biliary sludging
Ceftriaxone
Time dependent
Cell wall inhibitors
Macrolides
Tetracycline
Chloramphenicol BBW
Blood dyscrasias
Aminoglycosides use
Endocarditis
Serious G- infections
Tularemia & plague
- UTIs
Which drugs have a prolonged cardiac QT?
Macrolides
Fluoroquinolones
SMX side effects
Kernicterus
Rash & SJS
Hemolytic anemia (G6PD)
Anti-pseudomonal penicillin
Piperacillin-tazobactam
Tetracyclines
Doxycycline
Tigecycline
Macrolides
Azithromycin
Clarithromycin
TMP side effects
BM suppression
Hyperkalemia
Macrolides MOA
Bacteriostatic
50S
Inhibit translocation of protein elongation
Which drug is mainly used outside of the US?
Chloramphenicol
TMP use
UTIs
Otitis media
Chloramphenicol use
Outside of US: MRSA, VRE
US: meningitis
Alternative to extended spec penicillin and aminoglycosides
Aztreonam
Post-antibiotic effect
Aminoglycosides
Amikacin/gentamicin
Peak concentration dependent
Aminoglycosides
Fluoroquinolones
1st gen ceph
Cefazolin
DI metro
Ethanol: disulfiram like reaction
Drug can’t be taken with dairy
Tetracyclines
Fluorquinolones
Jarisch Herxheimer
Pen G
4th gen ceph
Cefepime
Linezolid side effects
- myelosuppresion
- neuropathy
- lactic acidosis
Inhibitor of transglycosylation
Glycopeptides
Ceftaroline use
MRSA
Fosfomycin MOA
- inhibit murein monomers in cytosol
- glycerophosphate transporter
- bactericidal
Chloramphenicol MOA
50S
Inhibit binding tRNA to A
In liver
BBW increase all cause mortality
Tigecycline
Inhibitor of transpeptidation
Beta lactam
Vanco MOA
Block Nam-Nag
Metro BBW
Carcinogenic in animals
DI with doxycyline
With Pen G against pneumo meningitis
Inhibit folic acid synthesis
sulfonamides
Trimethoprim
Linezolid BBW
Avoid with MOAIs
TMP/SMX side effects
Well tolerated
HIV S
Same as individual drugs
DNA damage
Metronidazole
Fluoroquinolone
Cipro
Quinupristin-dalfopristin MOA
D: 23S RNA of 50S
Q: 50S
Bactericidal
Cipro side effects
CDAD
Hepatotoxicity
Photosensitive
Hypoglycemia
Drugs decreased liver function
Clindamycin Macrolides Chloramphenicol Tetracycline Metro
TMP MOA
Bacteriostatic
Prevent reduction of dihydrofolate to form THF
Prevent DNA replication
Nafcillin use
MSSA
Non-allergic maculopapular rash
Amoxicillin
Metronidazole use
CDAD Anaerobic Bacterial vag Peptic ulcer Parasites
Aminoglycosides side effects
Ototoxicity
Nephrotoxicity
NM blockade
3rd gen ceph
Ceftriaxone
AUC dependent
Tetracycline
Vancomycin
BBW clindamycin
CDAD
May develop after withdrawn
Aminoglycosides
Amikacin
Gentamicin
BBW blood dyscrasias
Chloramphenicol
Inhibitor of murein presursor synthesis
Fosfomycin
BBW tendon rupture
Cipro
2nd gen ceph
Cefoxitin
Metro side effects
HA GI Metallic taste Dark red brown urine Neuropathy
Piperacillin-tazobactam use
PEK (pseudomonas, enterobacter, klebsiella
TMP/SMX use
- UTIs
MDR
Pneumonia
Bind 50S
Macrolides
Chloramphenicol
Clindamycin
Vano side effects
- ototoxic
- nephrotoxic
- red man syndrome
5th gen ceph
Ceftaroline
Tigecycline use
MRSA & VRE
Linzeolid use
MDR
VRE
MRSA
Avoided during pregnancy
Aminoglycosides Tetracycline Sulfonamide Trimethoprim Fluoroquinolones
Aztreonam resistance
Highly resistant to most B-lactamases
Except KPC
BBW CDAD
Clindamycin
What drug has transporter to cytosol?
Fosfomycin
Ceftriaxone use
Meningitis
Amoxicillin-clavulante use
Mixed infections
Nosocomial
URI
Aminoglycosides MOA
Bactericidal
16S within 30S
Irreversible
Premature termination of protein synthesis
Fidaxomicin MOA
RNA pol inhibitor
Bactericidal
Cipro BBW
Tendon rupture
MG
Clindamycin use
MRSA
Acne
Bacterial vaginosis