Antimicrobial Chemotherapy 4 Flashcards
What is the function of Penicillin Binding Proteins (PGP) 2?
Transglycoslase and transpeptidase activities
- initiates peptidoglycan insertion at new growth site
Give examples of antibiotics which target PGP 2
Mecillinam
Imipenem
What is the function of Penicillin Binding Proteins (PGP) 3?
Transglycolase and transpeptidase activities
- formation of the cross-wall at cell division
What is the function of Penicillin Binding Proteins (PGP) 4?
DD-carboxypeptidase
- control of peptidoglycan cross-linking
DD-endopeptidase
- hydrolysis of cross-links during elongation
Give examples of antibiotics which target PGP 4
Benzylpenicillin
Ampicillin
Imipenem
Give an antibiotic which targets PGP 7
Penems
Give examples of antibiotics contra-indicated in penicillin allergy
Amoxicillin
Ampicillin
Co-amoxiclav
- Augmentin
Flucloxacillin
Benzylpenicillin
Penicillin V
- phenoxymethylpenicillin
Piperacillin with tazobactam
- Taxocin
Pivmecillinam
Ticarcillin
Ticarcillin with clavulanic acid
Give examples of antibiotics contraindicated in severe penicillin allergy, or cautioned in non-severe penicillin allergy
Cefalexin
Cefaclor
Cefixime
Cefotaxime
Ceftazidime
Ceftriaxone
Cefuroxime
Cefuroxime
Imipenem plus cilastatin
Meropenem
Aztreonam
Ertapenem
Which antibiotics should be used in high-risk patients when treating Clostridium difficile?
2nd generation cephalosporins
- cefuroxime
- cefaclor
3rd generation cephalosporins
- cefotaxime
- ceftazidime
- ceftriaxone
Which antibiotics should be used in medium-risk patients when treating Clostridium difficile?
Co-amoxiclav
Amoxicillin
1st generation cephalosporins
- cefalexin
Carbapenems
- meropenem
- imipenem
- ertapenem
Give two examples of glycopeptide antibiotics
Vancomycin
Teicoplanin
What is the indication for vancomycin?
Prophylaxis and treatment of endocarditis and other serious infections caused by gram-positive bacteria
- Multi Drug Resistance
Treatment of peritonitis
What is the indication for teicoplanin?
Bactericidal against gram-positive aerobes and anaerobes
- Multi Drug Resistance staphylococci
What is the mechanism for teicoplanin?
Inhibition of peptidoglycan synthesis by inhibiting transglycosylase which produces linear strands of peptidoglycan
Prevent the transfer and addition of muramyl-pentapeptide building blocks
What is the target for glycopeptides?
Recognise the D-Ala-D-Ala bond