Antimicrobial Flashcards
Give examples of beta lactams.
Penicillin, cephalosporins
Give examples of aminoglycosides
Amikacin, gentamicin
Give examples of macrolides
Erythromycin, azithromycin, tylosin
Beta lactams - MOA
Cell wall synthesis
Fluoroquionolones MOA
Nucleic acid synthesis
Specifically DNA gyrase inhibition
Aminoglycoside MOA
30s
Tetracycline MOA
30s
Hint: AT 30s
Lincosamides MOA
50s
Hint: CLM 50s
Chloramphenicol MOA
50s
Hint: CLM 50s
Macrolide MOA
50s
Hint: CLM 50s
Sulfas MOA
prevent folate synthesis for DNA
Specifically:
Sulfa- dihydropteroate synthetase
Trimotoprim - dihyodrofolate reductase
Gentamicin affects ___ in the kidney
Proximal tubule
Which abx can penetrate the prostrate
TMS (KCS, anemia, folate deficiency), enrofloxacin, chloramphenicol (good against anaerobe)
Macrolide can penetrate but do not have g- spectrum
UTI - deference btw reinfection vs relapse
Reinfection - infected with different bacteria
Relapse - infected with SAME bacteria
Persistence - inability to clear current infection with appropriate rx ( requires culture of bacteria while on abx or within 1 week of termination)
Superinfection - infected with a DIFFERENT bacteria while on abx
This breed is more susceptible to side effects of TMS
Doberman
CYB5R3
Abx that inhibit cytochrome P450?
Chloramphenicol
Azithromycin
Enrofloxacin
Concentration vs time dependent abx
Concentration - fluoroquinolone, aminoglycoside, metronidazole. TMS. chloramphenicol (FAT MC)
Time - beta, macrolides, lincosamide, tetracycline, vancomycin
Sensitizer to RT
Metronidazole
MDR1 - gene and protein affected
ABCB1
P glycoprotein
Macrocyclic lactose MOA on invertebrates and mammals
Invertebrates: Bind Cl channels - influx of Cl into parasite neurons —> hyperpolarization, paralysis, death
Mammals: bind GABA channels (present in CNS), BBB usually prevents ML entry