Antimicrobials Flashcards
Beta-lactam antibiotics
Penicillinase-sensitive penicillins Penicillinase-resistant penicillins Antipseudomonal penicillins Cephalosporins Carbapenems Monobactams
Beta-lactam antibiotics have what type of structure
Four member beta-lactam ring
What other drug is given along with beta-lactam antibiotics
beta-lactamase inhibitors
Beta-lactams have strong activity against what type of bacteria?
Gram-positive like Staph and Strep
Mechanism of beta-lactam antibiotics
Prevent cell wall synthesis by blocking transpeptidase cross-linking of peptidoglycan in cell wall.
Prototype beta-lactam antibiotics
Penicillin G and V
Target of Penicillinase
Cleave beta-lactam ring
Extended spectrum antibiotics that cause pseudomembranous colitis
Amoxicillin, ampicillin, aminopenicillin
Beta-lactamase resistant, broad-spectrum carbapenem
Imipenem
What drug is given with Imipenem and why?
Cilastatin decreases inactivation of Imipenem in renal tubules
What does cilastatin inhibit?
Dehydropeptidase I
What antibiotic is given prior to surgery to prevent Staph aureus infection
Cefazolin
First generation cephalosporins
Cefazolin and cephalexin
First generation cephalosporins cover what organisms
Proteus, E coli, Klebsiella (PEcK)
Organisms not typically covered by 1st - 4th generation cephalosporins?
Listeria, Atypicals, MRSA, Enterococci