Antibiotics Flashcards
Penicillins w/ Beta lactamase inhibitors
drug examples
Ampicillin/sulbactam,
piperacillin/tazobactam
Quinolones
drug examples
Levofloxacin
Ciprofloxacin
Cefazolin
1st gen Cephalosporin, Ancef
MOA similar to PCNs, but usually stable against bac beta lactamases
gram+ and some gram-
Cefuroxime
3nd gen Cephalosporin
MOA similar to PCNs, but usually stable against bac beta lactamases
gram+ and more gram-
Cefoxitin
2nd gen Cephalosporin
MOA similar to PCNs, but usually stable against bac beta lactamases
gram+ and more gram-
Aminoglycosides
Drug examples
Gentamycin
Tobramycin
Clindamycin
Tetracycline
broad spectrum: gram+, gram-, anaerobes
good penetration at abscesses
risk factor for C. diff
Aminoglycosides
Drug examples and uses
Gentamycin
Tobramycin
Aerobic gram- enteric bacteria
Erythromycin
Macrolide
PCN sub for allergic pts
Aminoglycosides
MOA
Bactericidal
inhibit protein syntheses at the 30S rib subunit
transport is O2 dependent and enhanced w/ beta lactam drugs
Trimethoprim / Sulfamethaxazole combo
TMP-SMX combo
Sulfonamides
inhibit bacterial folate synthesis, no PABA
concentrates in prostatic fluid
Metronidazole
Anaerobic bacteria= GI and abscesses
Kills C. diff
Azithromycin
Macrolide
Good tissue penetration
Slow release from tissues
Z-pack
Neomycin-gramicidin-polymixin B
used in eyes for ophthalmic cases?
Quinolones
MOA
Inhibit bacterial topoisomerase II (DNA gyrase)
Quinolones
Uses
Excellent gram- and moderate gram+
good empiric therapy for UTIs
Quinolones
Adverse effects
QT prolongation
Avoid in pregnant and peds( fucks closed growth plates)
Tendonitis
Quinolones
Adverse effects
QT prolongation
Avoid in pregnant and peds (fucks closed growth plates)
Tendonitis
Surgical Prophylaxis
Need serum and tissue of drug > MIC for bug
start infusion 60min before cut
120min for quinolone and vancomycin
need redose for long cases
Surgical Procedures that need Anaerobic drugs
Colorectal, Gynecologic, OB, head/neck cases
Cefotetan
2nd gen Cephalosporin
MOA similar to PCNs, but usually stable against bac beta lactamases
gram+ and more gram- AND Anaerobes