Antimicrobial chemotherapy Flashcards

1
Q

what bacteria is gentamicin active against?

A

gram negative bacilli

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2
Q

what are the side effects of gentamicin?

A

renal and ototoxicity

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3
Q

what class of drug is gentamicin?

A

amino glycoside

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4
Q

what class of antibiotic is ceftriazone and what bacteria is it good against?

A

cephalosporin

broad spectrum esp gram negative bacilli

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5
Q

what type of bacteria is flucloxacillin active against?

A

staphylococci

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6
Q

what antibiotic drug is effective against pseudomonas?

A

piperacillin / tazobactam

gentamicin

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7
Q

what are the side effects of quinolones?

A

c. diff

affects growing cartilage therefore contraindicated in children

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8
Q

what class of drug is vancomycin and what are the side effects?

A

glycopeptide

nephrotoxicity

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9
Q

what type of bacteria is vancomycin active against?

A

gram positive bacteria only

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10
Q

what does it mean by empiric prescribing?

A

prescribing antibiotics without the microbiology diagnosis

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11
Q

what methods can detect antibiotic resistance?

A

sensitivity testing;

  • disk defusion method
  • Etest
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12
Q

through what mechanisms does bacterial resistance spread?

A

plasmid mediated - congugation

chromosomal mediated - mutation in gene coding for drug target or transport system

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13
Q

how doe bacteria replicate?

A

binary fission

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14
Q

what are the 4 mechanisms of resistance?

A

enzymatic inactivation of drug
modified targets for drugs
reduced permeability to drug
efflux of drug

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15
Q

what antibiotic is MRSA resistant to?

A

flucloxacillin

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16
Q

what antibiotic is vancomycin resistant enterococci sensitive to?

A

linezolid

17
Q

how does VRE infections occur?

A

VRE colonise the gut in patients exposed to multiple antibiotics

18
Q

what are ESBL’s and what antibiotic are they resistant to?

A

extended spectrum beta-lactamase

resistant to beta lactam antibiotics & often cephalosporins

19
Q

what type of bacteria are enterobacteraciae?

A

gram negative

live within the gut

20
Q

what does CPE ?

A

carbapenem producing enterobacteriacae
colonise gut of healthy individuals
few treatment options

21
Q

what drug is used for penicillin allergic patients?

A

vancomycin

22
Q

what antibiotic is good for treating skin and soft tissue infections?

A

flucloxacillin

23
Q

what is the most important possible hypersensitivity reaction from antibiotics that we have to be aware of?

A

anaphylaxis

24
Q

what antibiotics have good biofilm activity?

A

rifampicin
daptomycin
ceftrobiprole