Antibiotics Flashcards
Renal tubular reabsorption of penicillin inhibited by _
Probenecid
Bacterial cell wall synthesis inhibitors
Penicillin
Cephalosporins
VACCIB (Vanc, aztreonam, cycloserine, clavulanic acid, imipinem, bacitracin)
Renal tubular reabsorption inhibited by probenecid
Pen G
Pen V
Inactivated by penicillamase
Pen G/V
Ampicillin/amoxicillin
Piperacillin
Penicillin for staph infections
Methicillin
Nafcillin
Oxacillin
Cloxacillin
Penicillin that can cause interstitial nephritis
Methicillin
Penicillin that can cause neutropenia
Nafcillin
SE of methicillin
Interstitial nephritis
Narrow spectrum penicillin
Pen G (inject) Pen V (oral)
Coverage of amox/ampi
HiB E. coli Listeria Proteus Salmonella Enterococci
Penicillin that can cause pseudomembranous colitis
Ampicillin
SE of ampicillin
Pseudomembranous colitis
Rash
Antipseudomonal penicillins
Ticarcillin
Piperacillin
Carbenicillin
Drug interaction of antipseudomonal penicillin with aminoglycosides
Synergism
Antipseudomonal penicillin that can cause bleeding
Ticarcillin (antiplatelet)
Cephalosporin with greatest bone and tissue penetration
1st gen (cefazolin)
Coverage of 1st gen cephalosporins
Gram positive
Proteus, E. coli, Klebsiella
Coverage of second gen cephalosporin
Gram positive
HiB, Enterobacter, Neisseria, Proteus, E. coli, Klebsiella, Serratia
Cephalosporins with disulfiram reaction
Cefamandole
Cefotetan
Cefoperazone
Carbapenem
Imipinem
Meropenem
Ertapenem
Inhibits renal metabolism of imipinem
Cilastatin
Monobactam
Aztreonam
Coverage of aztreonam
Gram neg especially:
Klebsiella, Serratia, Pseudomonas
Uses of vancomycin
Pseudomembranous colitis (oral) MRSA
SE of nafcillin
Neutropenia
Treatment of red man syndrome
Slow infusion of vancomycin
Drugs of last resort
Imipinem Amikacin Meropenem Linezolid Streptogranin Vancomycin
Beta lactamase inhibitors
Clavulanic acid
Sulbactam
Tazobactam
Glycopeptide that inhibits cell wall synthesis by binding to the D-ala-D-ala terminal of nascent peptidoglycan
Vancomycin
Peptide antibiotic that interferes with late stage in cell wall synthesis in gram positive organisms
Bacitracin
Reserved for topical use only due to nephrotoxicity
Bactracin
SE of bacitracin
Nephrotixicity
Ketolide
Telithromycin
Second line drug for drug-resistant TB (cell wall synthesis inhibitor)
Cycloserine
Antipseudomonal cephalosporins
Ceftazidime
Cefoperazone
Cefepime
Bactericidal protein sythesis inhibitors
Aminoglycosides
Streptogramins
Bacteriostatic protein sythesis inhibitors
Tetracycline Chloramphenicol Erythromycin (macrolides) Lincosamides (clindamycin) Linezolid
SE of vanco
Red man syndrome
Nephrotoxic, ototoxic
Inhibits translocation
Lincosamides (clinda)
Macrolides (erythro)
Inhibits initiation complex in protein synthesis
Streptomycin
Inhibits binding of tRNA to A site
Tetracycline
Inhibits transpeptidation
Chloramphenicol