Antimicrobials VII Flashcards
abacavir
NRTI
ABC
didanosine
NRTI
ddl
emtricitabine
NRTI
FTC
lamivudine
NRTI
3TC
stavudine
NRTI
d4T
tenofovir
NRTI
TDF
zidovudine
NRTI
ZDV
NRTIs
competitive inhibition of nucleotide binding to reverse transcriptase
termination DNA chain
tenofovir
nucleotide - does not need to be phosphorylate
all other NRTIs - need to be phosphorylated
prophylaxis of HIV positive pregnant woman to prevent fetal transmission
zidovudine
adverse NRTI
bone marrow suppression
reversed with G-CSF and EPO
delaviridine
NNRTI
efavirenz
NNRTI
nevirapine
NNRTI
NNRTIs
bind reverse transcriptase site different than NRTI
don’t require phosphorylation
CI in pregnancy
delaviridine and efavirenz
NNRTIs
enfuvirtide
bind gp41 - inhibit HIV viral entry
maraviroc
bind CCR-5 on T cell/monocyte
inhibit interaction with gp120
interferon
glycoprotein - normally synthesized - viral infected cells
-antiviral and antitumor properties
IFN-a
tx hep B and C, kaposi sarcoma, hary cell leukemia, condyloma acuminatum, renal cell carcinoma, malignant melanoma
IFN-B
tx multiple sclerosis
IFN-gamma
tx chronic granulomatous disease
adverse IFN
neutropenia, myopathy
ribavirin
inhibit synthesis guanine nucleotides
-competitive inhibit inosine monophosphate DH
simeprevir
HCV protease inhibitor - prevent viral replication
sofobuvir
inhibit HCV RNA dependent RNA polymerase
-chain terminator
tx chronic HSV
ribavarin
combo with simeprevir and sofosbuvir
adverse ribavirin
hemolytic anemia
teratogen
adverse simeprevir
photosensitive rxn, rash
adverse sofosbuvir
fatigue, HA, nausea
autoclave
pressure steam at 120C
-may be sporicidal
alcohol
denature protein and disrupt cell membrane
not sporicidal
chlorhexidine
denature protein and disrupt cell membrane
not sporicidal
hydrogen peroxide
denature protein and disrupt cell membrane
sporicidal
iodine and iodophors
halogenation of DNA, RNA, proteins
may be sporicidal
disinfection
organism number to safe level
sterilization
inactivate self propagate biologic entities
sulfonamides in pregnancy
kernicterus
aminoglycoside in pregnancy
ototoxicity
fluoroquinolone in pregnancy
cartilage damage
clarithromycin in pregnancy
embryotoxic
tetracycline in pregnancy
discolored teeth
inhibit bone growth
ribavirin in pregnancy
teratogen
griseofulvin in pregnancy
teratogen
chloramphenicol in pregnancy
gray baby syndrome