Antimicrobials: MOA Flashcards
Bactericidal antibiotics
penicillins
cephalosporins
vancomycin
aminoglycosides
fluroquinolones
rifampin
polymyxins, daptomycin
Prototypical Penicillins (All penicillins): MOA
Stage 3 Cell Wall Synthesis: PG cross-linking, bacteriocidal
Penicillinase Resistant Penicillins
- Stage 3 Cell Wall Synthesis: PG cross-linking, bacteriocidal
- Penicillinase resistant
Penicillin + ß lactamase inhibitor: MOA
- Stage 3 Cell Wall Synthesis: PG cross-linking, bacteriocidal
- b-lactmase (resistance factor) inhibitor
Cephalosporins: MOA
Stage 3 Cell Wall Synthesis: PG cross-linking, bactericidal. Penicillinase resistant.
Carbapenems: MOA
- Stage 3 Cell Wall Syntheis inhibition -
- Bacteriocidal
- Beta lactamase resistant
Monobactams: MOA
Stage 3 Cell Wall Synthesis: Peptidoglycan cross linking - Bacteriocidal
Vancomycin: MOA
- Stage 2 Cell Wall Synthesis: Peptidoglycan Synthesis Polymerization
- Binds D-ala d-ala of precursors
- Bacteriocidal
Macrolides: MOA
- Protein synthesis inhibition: 50S
- Blocks translocation.
- Bacteriostatic/cidal.
- “MacroSlides”
Lincomycin: MOA
Protein Inhibition: 50S, Bacteriostatic
Oxazolidinones (Linezolid): MOA
Protein synthesis inhibition 50S, bacteriostatic (-cidal for strep)
Tetracylines: MOA
- Protein Inhibition: 30S
- Blocks A site tRNA binding
- Bacteriostatic
Aminoglycosides: MOA
Protein Inhibition: 30S. Block formation of initiation complex. Bactericidal. Require O2 for uptake.
“A initiates the alphabet”
Metronidazole: MOA
Forms free radical toxic metabolites that damage DNA. Bacteriocidal.
Fluoroquinolones (-“oxacin”): MOA
DNA Gyrase Inhibition, bacteriocidal