Antifungals - General and Pneumocystis Flashcards
Alter cell membrane permeability
Polyenes
Azoles
Allylamines
Block nucleic acid synthesis
Flucytosine
Disrupt MT function
Griseofulvin
Disrupt cell wall
Echinocandins
Systemic drugs for systemic and superficial mycoses
Amphotericin B
Flucytosine
Azoles
Echinocandins
Systemic drugs for superficial mycoses
Griseofulvin
Terbinafine
Keto/Fluco/Itraconazole
Topical drugs for superficial mycoses
Nystatin
Amphoteracin B
Imidazoles
Terbinafine
Why doesn’t PCP respond to antifungals
No ergosterol
What is the most common opportunist infection
PCP
PCP Sx
Fever
Dyspnea
Cough
DOC PCP
Cotrimoxazole
Alternative PCP therapies
Clindamycin + Primaquine
Dapsone + TMP
Atorvaquone
Pentamidine
When should you add prednisone to PCP Tx regimen
Moderate to severe disease
Indicated by low PO2