Antimicrobials Flashcards
Prototypical Penicillins
Penicillin G, penicillin V
Penicillinase resistant penicillins
Methicillin, Oxacillin
dicloxacillin, cloxacillin
Extended spectrum penicillins
Amoxicillin, Ampicillin
Antipseudomonal penicillins
Piperacillin
Ticarcillin, Mezlocillin, Carbenicillin
Penicillin plus beta-lactamase inhibitor combos
- Amoxicillin/clavulanate (Augmentin)
- Piperacillin/Tazobactam
(Ampicillin/Sulbactam; Ticarcillin/Clavulanate)
How many cephalosporin generations
5
1st gen cephalosporins
-Cephalexin, Cefazolin
Cephradine, Cefadroxil
2nd gen cephalosporins
Cefuroxime, Cefaclor
Cefotetan, Cefoxitin, Cefprozil, Locarbef, Cefmetazole, Cefonicid
3rd gen cephalosporins
-Ceftriaxone, Ceftazidime, Cefdinir, Cefepime
Cefotaxime, Cefoperazone, Cefixime, Cefpodoxime, Ceftibutin, Ceftizoxime
Carbapenems
-Imipenem/Cilastatin, Ertapenem
Meropenem
Monobactams
Aztreonam
Cell wall synthesis inhibitors
Penicillins, Cephalosporins, Carbapenems, Monobactams, Vancomycin
Protein synthesis inhibitors
Aminoglycosides Tetracyclines Macrolides Lincomycins Synthetic agents Streptogramins Oxazolidinones Spectinomycin
Aminoglycosides
-Tobramycin, Gentamicin
Amikacin, Netilmicin, Paromomycin, Streptomycin
Tetracyclines
“-cyclines”
-Tetracycline,
Doxycycline, Minocycline
(Demeclocycline, Methacycline, Oxytetracycline, Tigecycline)
Macrolides
“-mycins”
- Erythromycin, Azithromycin, Clarithromycin
(telithromycin, dirithromycin, troleandomycin)
Lincomycins
Clindamycin
Synthetic agents
Chloramphenicol
Streptogramins
Quinupristin/Dalfopristin
Oxazolidinones
Linezolid
Inhibitors of Intermediary Metabolism
Sulfonamides
Sulfonamides
Sulmethoxazole/Trimethoprim
Interference with nucleic acid processing
Quinolones
Fluoroquinolones
Quinolones & Fluoroquinolones
= “xacin”
-Ciprofloxacin, Levofloxacin, Moxifloxacin
(Cinoxacin, Enoxacin, Nalidixic acid, Gemifloxacin, Lomefloxacin, Norfloxacin, Ofloxacin)
Beta-lactam drugs
penicillins, cephalosporins, carbapenems, monobactams, vancomycin, bacitracin, cycloserine (TB)
Antimetabolites
trimethoprim, sulfonamides, sulfones
- affect folic acid metabolism
Sulfonamides MOA
inhibit dihydropteroate synthase (first step in folic acid synthesis)
- bacteriostatic
Trimethoprim MOA
act at 3rd step of folic acid synthesis to inhibit dihydrofolate reductase
- faster action than sulfonamides
Sulfonamides resistance mechanism
- acquired, bypass