Antimicrobials Flashcards
What type of ABX are bactericidal?
What type of ABX are bacteriostatic?
- cidal: cell wall synthesis inhibitors
- static: protein synthesis inhibitors
Which ABX are bactericidal?
B-lactams
Glycopeptides
Lipoglycopeptides
MOA for Glycopeptides
Binds to D-Ala-D-Ala on cell wall glycoproteins
MOA for B-lactams
B-lactam inhibits PCN binding protein (transpeptidase)
1st generation Cephalosporins cover:
G+ cocci - PEK
P. mirabilis
E. coli
Klebsiella
*think UTIs
2nd generation Cephalosporins cover:
G+ cocci - HENS H. influenzae Enterobacter Neisseria Serratia
3rd generation Cephalosporins cover:
G-
Meningitis
PID
GI tract infections
What is the 1st line TX for meningitis?
Ceftriaxone
What kind of spectrum for 4th and 5th generation Cephalosporins have?
Broad
Major Cephalosporin TX for Pseudomonas:
4th gen. -> Cefepime
Major TX for MRSA
5th gen. -> Ceftaraline
Vancomycin S/E
Red man syndrome
What are the only protein synthesis inhibitors that are NOT bacteriostatic?
Aminoglycosides
S/E associated w/ Oxalizolidinones
Myeloid suppression
Thrombocytopenia
What is the best TX for atypical pneumonias?
Erythromycin - Macrolides