Antimicrobials IV Flashcards
prophylaxis for TB
isoniazid
tx for TB
RIPE
rifampin
isoniazid
pyrazinamide
ethambutol
prophylaxis for MAI
azithromycin
rifabutin
tx of MAI
more drug resistant than TB
azithromycin or clarithromycin and ethambutol
add rifabutin or cipro
tx of m. leprae tuberculoid form
long term tx - dapsone and rifampin
tx of m. leprae lepromatous form
long term tx - dapsone and rifampin
add clofazimine
rifampin
rifamycin
rifabutin
rifamycin
rifamycin
inhibit DNA dependent RNA polymerase
rifampin in leprosy tx
delays resistance to dapsone
adverse of rifampin
increase P450
orange body fluids
rifabutin vs. rifampin
rifabutin favored in HIV patient - due to less P450 activation
resistance rifamycins
mutation reduce drug binding RNA polymerase
isoniazid
inhibit synthesis mycolic acid
to activate isoniazid
require bacterial catalase-peroxidase (KatG gene)
adverse isoniazid
neurotoxic
hepatotoxic
prevent neurotoxic - vit B6 - pyridoxine
prevent neurotoxicity of isoniazid
vit B6 - pyridoxine
resistance to isoniazid
mutation to underexpression of KatG
pyrazinamide
prodrug - converted to active compound pyrazinoic acid
adverse pyrazinamide
hyperuricemia
hepatotoxicity
ethambutol
decreased carb polymerization of mycobacterium cell wall - block arabinosyltransferase
adverse ethambutol
optic neuropathy
-red-green color blindness
“eye” thambutol
prophylaxis for pt at risk for endocarditis with dental or surgical procedure
amoxicillin
prophylaxis for exposure to gonorrhea
ceftriaxone
prophylaxis for recurrent UTIs
TMP-SMX
prophylaxis for exposure to meningoccal drugs
ceftriaxone
ciprofloxacin
rifampin
prophylaxis pregnant women group B strep positive
PCN G
prophylaxis prevent gonococcal conjunctivitis in newborn
erythromycin ointment
prophylaxis prevent post surgery infection from staph aureus
cefazolin
prophylaxis strep pharyngitis in child with prior rheumatic fever
benzathine PCN G - or oral PCN V
prophylaxis exposure to syphilis
benzathine PCN G
prophylaxis for pneumo jirovecii
CD4 less than 200
TMP-SMX
prophylaxis for pneumo jirovecii and toxoplasmosis
CD4 less than 100
TMP-SMX
prophylaxis for mycobacterium avium complex
CD4 less than 50
azithromycin
tx of MRSA
vancomycin daptomycin linezolid tigecycline ceftaroline
tx of VRE
linezolid
streptogramins - quinupristin, dalfopristin
tx of multidrug-resistant pseudomonas
polymyxin B and E (colistin)
tx of multidrug resistant acinetobacter baumannii
polymyxin B and E (colistin)
amphotericin B
binds ergosterol
form membrane pore - leakage of electrolytes
adverse amphotericin B
fever/chills hypotension nephrotoxic arrhythmia anemia IV phlebitis
decrease nephrotoxicity of amphotericin B
hydration
tx cryptococcus meningitis
amphotericin B with/without flucytosine
tx blastomyces
amphotericin B
tx histoplasma
amphotericin B
tx candida
amphotericin B
tx mucor
amphotericin B
supplement with amphotericin B
K and Mg
because of altered renal tubule permeability