Antibiotics: Part 3 Flashcards
Carbapenems:
Imp Drugs
Imipenem
Meropenem
Doripenem
Ertapenem
Carbapenems:
Mode of Action
Interfere w/ transpeptidation reaction to inhibit cell wall synthesis - kill cells during active bacterial growth
Carbapenems:
Mode of resistance
1) Porin channels
2) Upregulation of carbapenemases
Carbapenems:
Spectrum
Mostly everything, especially Gram negative
Not good:
- C diff
- MRSA
- Enteroccus faecium
Monobactams:
Imp Drugs
Aztreonam
Monobactams:
Mode of Action
Interfere w/ transpeptidation reaction to inhibit cell wall synthesis - kill cells during active bacterial growth
Monobactams:
Mode of Resistance
Beta lactamases
Monobactams:
Spectrum
Gram negative and aerobes
Glycopeptides:
Imp Drugs
Vancomycin
Glycopeptides:
Mode of Action
Bind cell wall precursor units
Glycopeptides:
Mode of Resistance
Changes in glycopeptide binding site
Glycopeptides:
Spectrum
Gram positive bacteria & resistant streptococci
Lipoglycopeptides:
Imp Drugs
Telavancin
Dalbavancin
Oritavancin
Lipoglycopeptides:
Mode of Action
Disrupt bacterial membrane
Lipoglycopeptides:
Mode of Resistance
Too big to penetrate Gram negaive bacteria