Antimicrobial Chemotherapy Flashcards
What patient characteristics have to be taken into account when prescribing medications?
Age Renal function Liver function Immunocompromised Pregnancy Known allergies
What are the most common bacterial causes of pneumonia?
Streptococcus pneumonia Haemophilus influenzae Staphylococcus aureus Klebsiella pneumonia Moraxella catarrhalis Mycoplasma pneumonia Legionella pneumonia Chlamydia pneumonia
What does bactericidal mean?
Act on cell wall
Kill organisms
Indications include neutropenia, meningitis and endocarditis
What does bacteriostatic mean?
Inhibit protein synthesis
Prevent corny growth
Require host immune system to “mop up” residual infection
Useful in toxin-mediated infection
What adverse allergic reaction effect can occur with medication?
Anaphylactic shock Rash Drug fever Serum sickness Erythema nodosum Steven-Johnson syndrome
What are the common gastrointestinal adverse effects from medication?
Nausea
Vomiting
Diarrhoea
What are the neurological adverse effects from medication?
Ototoxicity Optic neuropathy Convulsions Encephalopathy Peripheral neuropathy
What are the haematological adverse effects from medication?
Marrow toxicity
Megaloblastic anaemia
What are the antimicrobial classes of drugs?
Penicillins (Beta lactams) Cephalosporins (Beta lactams) Aminoglycosides Macrolides Quinolones Glycopeptides Anti fungals Anti virals Immunoglobulin
What are the 3 mechanisms which antimicrobial drugs use to work?
Inhibition of cell wall synthesis
Inhibition of protein synthesis
Inhibition of nucleic acid synthesis
What are the common penicillins used as medication?
Benzylpenicillin Penicillin V Amoxicillin Flucloxacillin Co amoxiclav Piperacillin Tazobactam
What are the main cephalosporins used as medication?
Cefradine Cefuroxime Ceftriaxone Cefotaxime Ceftazidime
What are the main ahminoglycosides used as medication?
Gentamicin
Amikacin
What are the main macrolides used as medication?
Clarithromycin
Erythromycin
Azithromycin
What are the main quinolones used as medication?
Ciproflaxacin
Levoflaxacin
Moxiflaxacin