Cell wall and folic acid inhibitors facts Flashcards
dihydropteroate synthetase
DHPS, enzyme needed in folic acid synthesis blocked by sulfonamides
Folate antagonists
They mimic the pteridine moiety of folate and inhibit bacterial dihydrofolate, reductase (DHFR)
Beta lactams
irreversible inhibitors of penicillin binding proteins PBPs
Prevents peptidoglycan synthesis
beta-lactamase
enzyme made by bacteria to hydrolyze ring
Prototype beta-lactams
Penicillin G and V
lactamase sensitive
Narrow spec beta-lactams
Methicillin, cloxacillin, oxacillin
lactamase resistant
Broad spec beta-lactams
Ampicillin, amoxicillin
lactamase sensitive
extended spec
Piperacillin, Ticarcillin
lactamase sensitive
penicillin excretion
90% eliminated via renal tubules
Cephalosporin generations
-Increase in lactamase resistance
-Increase to negative spec
-increase in BBB penetration
-3 and 4 lose gram positive spec
Transglycosylase and transpeptidase
cross link NAM and NAG