Antimicrobial Flashcards
maintains activity against most macrolide- resistant gram-positive organisms and does not induce a common macrolide resistance mechanism
Ketolides (Telithromycin)
inhibits the addition of amino acids to the growing peptide chain by reversibly binding to the 50S ribosomal subunit, inhibiting transpeptidation
Chloramphenicol
Lipopeptide agent for gram negative bacteria that could also be toxic to humans
Polymyxins
Example for this resistance mechanism is:
Staphylococcal resistance to
penicillin; resistance of
Enterobacteriaceae and
Pseudomonas aeruginosa
to several penicillins, cephalosporins, and aztreonam
Enzymatic destruction
broad spectrum of activity but is bacteriostatic
Tetracyclines
penicillin-resistant Neisseria gonorrhoeae)
Spread of “old” genes to new hosts
Examples of β-Lactam antibiotics
penicillins, cephalosporins
Example for this resistance mechanism is: Enterococcal and Staphylococcus aureus resistance to vancomycin
Altered target
Inhibit protein synthesis-interfere with the binding of the tRNA-amino acid complexes to the ribosome
Tetracyclines
Example for this resistance mechanism is: Enterococcal resistance to streptomycin (may also be mediated
by enzymatic modifications)
Altered target
Lipopeptide agent for gram positive
Daptomycin
this enzyme is capable of opening the beta-lactam ring
once it opens the beta-lactam ring it will alter its structure
and would prevent its subsequent binding to your penicillin binding proteins.
beta lactamase
Inhibit protein synthesis-by blocking the initiation step and translocation of peptidyl- tRNA from the A site to the P site
Oxazolidinones
Effective on most Aerobic Gram negative and certain gram positive bacteria (S.aureus)
Aminoglycosides
Resistance resulting from altered cellular physiology and structure caused by changes in a microorganism’s genetic makeup
Acquired resistance
Protein synthesis is inhibited by drug binding to the 23S ribosomal RNA (rRNA) on the bacterial 50S ribosomal subunit and subsequent disruption of
the growing peptide chain by blocking of translocation.
Macrolide-Lincosamide-Streptogramin group
methicillin-resistant
staphylococci, vancomycin-resistant enterococci)
Emergence of “new” genes
Inhibit protein synthesis-binding to protein receptors on the organism’s 30S ribosomal subunit
Aminoglycosides
Antimicrobial agent good for Gram-positive and gram negative (except P. aeruginosa)
Sulfamethoxazole