Antimicrobials Flashcards

1
Q

what class of antibiotics inhibit cell wall growth?

A

beta lactams
glycopeptides

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2
Q

What class’s inhibit protein synthesis?

A

tetracyclines
macrolides
aminoglycosides
chloramphenicol
oxazolidinones

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3
Q

Inhibitors of RNA synthesis

A

Rifamycin

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4
Q

type of rifamycin?

A

rifamicin

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5
Q

DNA inhibitors?

A

Quinolones
nitroimidazoles

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6
Q

Type of quinolone ?

A

fluoroquinolones
levofloxacin
moxifloxacin

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7
Q

type of nitroimidazole

A

metronidazole

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8
Q

mycoplasma as an organism cannot be targeted by beta lactams - why?

A

lacks a peptidoglycan cell wall

so in the gram stain it would not be visiible

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9
Q

bacteriacidal

A

kills bacteria

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10
Q

bacteriostatic

A

stops growth

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11
Q

Name a broad spectrum penicillin

A

amoxicillin

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12
Q

name a thrid generation cephalosporin

A

ceftriaxone

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13
Q

name a carbapanem

A

meropenem

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14
Q

can beta lactams cross blood brain barrier?

A

No

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15
Q

type of glycopeptides

A

vancomycin (nephrotoxic)

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16
Q

type of aminoglycoside

A

gentamicin (ototoxic and nephrotoxic)

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17
Q

Type of tetracycline?

A

Doxycycline
broad spectrum

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18
Q

macrolide

A

clarithromycin
work mainly on gram +

19
Q

which drug is rarely used due to ‘grey baby syndrome’

aplastic anaemia?

A

chloramphenicol

this happens as baby has inability to metabolise drug

inhibits formation of peptide bonds : 50S ribosome unit

20
Q

another drug that atrgets protein synthesis

very effective against gram +, incl MRSA but need approval from ID

may cause optic neuritis ?

A

class: Oxazolidinones
Linezolid

21
Q

Does teicoplanin have any gram negative coverage?

A

no
used in serious staph/strep infections

22
Q

what two organisms can penicillin not target? why

A

mycoplasma
chlamydia

no cell wall

23
Q

pseudomonas is what type of microbe?

what antibiotic targets it?

A

encapsulated
gram negative
rod shaped

tazocin (piperacillin)

24
Q

Piperacillin

A

is a penicillin but broken down by beta lactamase (produced by bacteria)

however there is a beta lactamase inhibitor called tazobactam

which can inhibit the bacteria

= thus combination of both makes

tazocin- effective against pseudomonas and able to survive

25
what is co amoxiclav?
clavulanic acid and amoxicillin beta lactamase inhibitor alongside the abx - combination therapy
26
which antibiotic (beta lactam) is stable against beta lactamase?
flucloxacillin
27
what is ESBL?
extended spectrum beta lactamase producing organisms resistant to cephalosporins
28
which beta lactam are stable to ESBL?
carbapenems
29
Klebsiella is a ______ enzyme producing organism
carbapenemase - so resistant to carbapenems
30
why are glycopeptides effective against gram + only?
too big of a molecule to penetrate neg cell wall
31
what is an aerobic bacteria?
needs oxygen to survive mycobacterium tuberculosis bacillus
32
Macrolides are effective against?
gram pos
33
what is a Facultative anaerobe?
metabolise without oxygen but can use oxygen
34
obligate anaerobe?
completely incapable of aerobic respiration clostridium
35
aerobic bacteria
e.coli klebsiella salmonella
36
campylobacter and legionella pneumonia is treated with what abx?
macrolide: erythromycin/ clarithromycin, azithromycin
37
oxazolidinones are active against?
MRSA and VRE (vancomycin resistant enterococci)
38
what is a protazoa?
one celled organism that are eukaryoates, true nucleus and membrane envelope amoeboid, cillia, flagellates, motile malaria plasmodium toxoplasmosis gondii
39
what is colistin?
polymyxin abx treats gram neg comes from bacillus colistinus
40
are sulphonamides always given with something else?
Yes not used alone in combination with trimethoprim (diaminopyrimidine) sulfamethazole
41
staph aureus is described as?
gram positive cocci in clusters
42
gram + in chains
streptococcus
43
enterococci
gram positive
44