Antimicrobial Chemotherapy Supplementary Deck Flashcards

1
Q

How do β-lactams work?

A

Inhibit cell wall synthesis: disrupt peptidoglycan synthesis by inhibiting enzymes responsible for cross linking the carbohydrate chains.

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2
Q

How to glycopeptides work?

A

Inhibit cell wall synthesis: inhibiting formation of a glycopeptide precursor

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3
Q

Which bacteria are sensitive to glycopeptides?

A

Gram positive only

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4
Q

Give two examples of glycopeptides

A

Vacomycin

Teicoplanin

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5
Q

How to aminoglycosides work?

A

Inhibit protein synthesis

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6
Q

How do macrolides work?

A

Inhibit protein synthesis

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7
Q

Which bacteria are sensitive to aminoglycosides?

A

Most staphlococci

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8
Q

Which bacteria are sensitive to macrolides?

A

Gram positive

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9
Q

How do tetracyclines work?

A

inhibit protein synthesis

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10
Q

How do oxazolidinones work?

A

Inhibit protein synthesis

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11
Q

Give an example of an Oxazolidinone

A

Linezolid (the only one)

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12
Q

What is Linezolid primarily used for?

A

MRSA infections

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13
Q

How do cyclic lipopeptides work?

A

Inhibit protein synthesis

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14
Q

Give an example of a cyclic lipopeptide

A

Daptomycin

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15
Q

What is Daptomycin useful for?

A

MRSA infections

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16
Q

How does Trimethoprim work?

A

Inhibits purine synthesis

17
Q

How does Sulphamethoxazole work?

A

Inhibits purine synthesis

18
Q

Why might Co-trimoxazole by considered better than a penicillin?

A

Less likely to cause C. diff infection

19
Q

How do fluoroquinolones work?

A

Inhibit enzymes involved in DNA synthesis

20
Q

Give an example of a fluoroquinolone?

A

Ciprofloxacin

21
Q

Which bacteria are sensitive to ciprofloxacin?

A

Gram negative only

22
Q

How do polyenes work?

A

Binds to ergosterol in the fungal cell wall increasing its permeability

23
Q

Why are polyenes toxic?

A

Also bind to cholesterol

24
Q

Give two examples of polyenes

A

Amphotericin B

Nystatin

25
How do imidazoles work?
Inhibition of ergosterol synthesis
26
Give two examples of imidazoles
Miconazole | Ketoconazole
27
How do triazoles work?
Inhibit ergosterol synthesis
28
Give three examples of triazoles
Fluconazole Itraconazole Voriconazole
29
How do allylamines work?
Inhibiton of ergosterol synthesis (different stage in pathway to azoles)
30
Give an example of an allylamine
Terbinafine
31
How do echinocandins work?
Inhibit glucan polysaccharide synthesis
32
Give three examples of echinocandins
Caspofungin Mycafungin Anidulafungin
33
Which fungi are echinocandins used for and are they fungicidal or inhibitory
``` Serious: Candida infections (Fungicidal action) Aspergillus infections (Inhibition) ```