Antibiotics mechanisms and toxicities Flashcards
What is the mechanism of action of beta lactams?
Peptidoglycan analogue, inhibit cross-linking of the cell wall, bactericidal
What is the mechanism of action of glycopeptide antibiotics
Prevents cross linking of the peptidoglycan cell wall
Name a glycopeptide antibiotic
Vancomycin
What is the mechanism of action of aminoglycosides?
- Bacteriostatic effect due to binding of 30s ribosome
* bactericidal effect due to effect on the cell membrane
Name an amino glycoside
Gentamicin
What is the mechanism of action of the macrolides?
50s ribosome
Name a macrolide
- Clarithromycin
* Erythromycin
What is the mechanism of action of clindamycin?
50s ribosome and stops exotoxin production
What is the mechanism of action of the tetracyclines?
30s ribosome
Name a tetracycline
Doxycycline
What is the mechanism of action of quinolones
Inhibit DNA gyrase
Name a quinolone
Ciprofloxacin
What is the mechanism of action of Rifampicin?
Inhibits RNA polymerase
What is the mechanism of action of trimethoprim?
Dihydrofolate reductase inhibitor
Adverse effects of macrolides
- Diarrhoea and vomiting
- QT prolongation
- Hearing loss with longterm use
- Avoid stimvastatin and atorvastatin and warfarin