Beta Lactams Antibiotics Flashcards

1
Q

Why is the beta lactam antibiotics called beta lactam

A

Because they have a betalactam ring in their structure, which is attached to thiazolidine ring attached through an amide linkage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Name the classes of drugs that comes under beta LACTAM

A

Penicillin, CEPHALOSPORINS CAARBAPENEMS MONOBACTAM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the main reason for stability and rigidity in the bacterial cell wall?

A

Cross linkages between the NAM units

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How is cross linkages between the NAM units are formed in bacterial cell wall?

A

The NAM units of the bacterial cell wall have pentamer of five peptide chains, the enzyme transpeptidase present in the bacterial cell wall cleaves the terminal D alanine of the peptide chain. The energy that is released from this cleavage is utilised for formation of cross linkages.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Explain the mechanism of action of beta Lactam antibiotics

A

Beta LACTAM antibiotics bind to the penicillin binding protein in the bacterial cell wall, which in turn inhibits transpeptidase enzyme located in the bacterial cell wall. Therefore, this inhibits cleavage of decline from the peptide chain due to which no energy is produced. This prevents cross linkage formation in the cell wall. The bacterial cell that is formed due to cell division of these susceptible bacteria is called as cell deficient bacteria. This cell deficient bacteria is hyper osmotic due to loss of cell wall. This causes swelling and burst of the bacterial cell. Therefore, the bacteria gets lied.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What type of action bactericidal or bacteriostatic action does the beta lactam antibiotics shows

A

Bactericidal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Beta lactam is more active against which type of bacteria either gram negative or gram positive

A

Beta LACTAM is more active against gram positive bacteria because gram positive bacterial cell wall has a thicker peptidoglycan layer of about more than 50 or hundred layers, thick

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Penicillin is non-toxic to man or animals. Give reason.

A

Penicillin are the first discovered non-toxic antibiotics. These belong to class beta LACTAMS which mainly aim at inhibiting cell wall synthesis since peptidoglycan is a special part of bacterial cell wall, and also it is absent in human and animals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How does bacteria gain resistance against beta LACTAMS

A

There are four mechanisms in which bacteria gains resistance against beta LMS
1. Reduction in the membrane permeability which decreases influx and increases if flux of beta LACTAN antibiotics.
2. Production of beta LACTAMASE or penicillinase by the bacteria, which degrades the beta LACTAM ring and inactivates the antibiotic
3. altered penicillin binding proteins that lack the binding affinity for penicillin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which mechanism of resistance is adapted only by gram negative bacteria?

A

Reduction of membrane permeability which called decreases influx and increases effluent of beta AM antibiotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which mechanism of resistance is adapted by both gram and gram bacteria

A

Production of beta lacatamase or penicillinase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Which mechanism of resistance is adapted by staphylococcus aureus

A

Altered penicillin binding protein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Against which antibiotic the staphylococcus aureus is a resistant to

A

MRSA met hill in resistant staph aureus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which was the first antibiotic to be discovered and by whom

A

The first antibiotic to be discovered was penicillin. It was discovered by Alexander Fleming, who was known as father of antibiotics.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the source of penicillin?

A

Penicillin was first obtained from a fungus penicillium notatum and presently the source and high yielding source for penicillin is penicillium. CHRYSOGENUM.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Mention the classification of penicillin

A
  1. natural penicillin, example, benzyl penicillin or penicillin G
  2. Semisynthetic penicillin further sub divided into acid resistant alternative to penicillin, G exampl phenoxy methyl penicillin
    3.Penicillinase resistance penicilline eg. CONDoM - CLOXACILLIN, OXACILLIN, NAFCILLIN, DICLOXACILLIN, METHICILLIN
  3. extended spectrum - three typesamino penicillins- eg, AMPICILLIN, AMOXICILLIN , BACAMPICILLIN
    UERIDO PENICILLINASE. EG, PIPERACILLIN
    CARBOXYPENICILLIN EG. CARBENICILLIN
  4. Beta LACTAMASE inhibitors eg. CAVULANIC ACCID SULBACTAM. TAZOBACTAM