CSP Antibodies Revision Flashcards

1
Q

Peptidoglycan Synthesis (cell wall synthesis)

A

GLYCOPEPTIDES

  • vancomycin
  • bacitracin
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2
Q

Folic Acid Synthesis and reduction (DNA methylation)

A

SULFONAMIDES

TRIMETHOPRIM

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3
Q

Peptidoglycan Cross Linking (cell wall synthesis)

A
CARBAPENEMS
MONOBACTAMS
ANTIPSEUODMONAL
CEPHALOSPORINS
PENICILLINS
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4
Q

DNA Integrity (via free radicals)

A

Metronidazole

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5
Q

mRNA Synthesis (RNA polymerase)

A

Rifampicin

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6
Q

Gyrase

A
FLUOROQUINOLONES
- ciprofloxacin
- levofloaxacin
QUINOLONE
- nalidixic acid
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7
Q

PROTEIN SYNTHESIS

A

50S SUBUNIT

  • chloramphenicol
  • clindamycin
  • linezolid
  • macrolides = erythromycin, clarithro, azithro
  • streptogramins = quinupristin, dalfoprisitn

30S SUBUNIT

  • aminoglycosides = gentamycin, neomycin, amikacin, streptomycin
  • tetracycline (doxy, mino)
  • glycylcyline
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8
Q

Fluoroquinolones

A
  • oral
  • inhibit DNA gyrase via topoisomerase II)
  • ciprofloxacin, levofloxacin
  • for gram -ve
  • only oral anti-pseudomonal
  • can cause C. difficile and tendonitis
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9
Q

Aminoglycosides

A
  • 30S subunit protein synthesis
  • gentamicin, streptomycin, amikacin
  • IV
  • SE = ototoxicity, nephrotoxicity
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10
Q

Tetracyclines

A
  • 30S subunit protein synthesis
  • oral or IV
  • tetracycline, doxycycline
  • SE = photosensitivity
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11
Q

Macrolides

A
  • 50S subunit protein synthesis
  • oral or IV
  • clarithromycin, azithromycin, erythromycin
  • SE = QT prolongation
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12
Q

Lincosamides

A
  • 50S subunit protein synthesis
  • clindamycin, lincomycin
  • SE = C difficile
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13
Q

Beta Lactams

A
  • cell wall synthesis
  • penicillin
  • cephalosporins
  • carbapenems
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14
Q

Penicillin

A
  • cell wall synth
  • IV or oral
  • amoxicillin, flucloxacillin, piperacillin
  • more effective with beta lactamase inhibitors which inhibit bacterial breakdown of penicillin’s
  • SE = allergies, cholestasis (amox), hypernatremia (pipera)
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15
Q

Cephalosporins

A
  • IV
  • cell wall synth
  • cefuroxime
  • ceftriaxone
  • SE = C difficile
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16
Q

Carbapenems

A
  • meropenem
  • cell wall synth
    SE = C difficile
17
Q

Glycopeptides

A
  • cell wall synth
  • vancomycin
  • against MRSA, C difficile (hospital acquired)
  • takes long time to reach lungs (7 days)
  • SE = red man syndrome as excessive histamine release (vanco), nephrotoxicity
18
Q

S penumoniae which AB?

A
  • amoxicillin

- Co-amoxiclav

19
Q

S. aureus which AB?

A
  • flucloxacillin

- vancomycin (MRSA)

20
Q

Pseudomonas which AB?

A
  • piperacillin
  • piptazobactam
  • genatmicin
  • carbapenem
21
Q

C difficile which AB?

A
  • vancomycin

- metronidazole

22
Q

Altered Target Resistance

A
  • rifampicin (RNA polymerase)
  • ciprofloxacin (DNA gyrase(
  • streptomycin (30S ribosome)
23
Q

Alternative Target Resistance

A

Penicillin binding protein in MRSA

24
Q

Modify/breakdown AB resistance

A

Beta lactamase

Aminoglycoside modifying enzymes

25
Q

Efflux pump resistance

A
  • tetracyclines
  • fluoroquinolones
  • beta lactams
26
Q

Bacterial Conjugation resistance how?

A

plasmid transfer via pili

27
Q

Transformation resistance how?

A

naked DNA taken up from surroundings

28
Q

Virus Life Cycle

A
  • entry
  • uncoating virus
  • nucleic acid synthesis
  • protein synthesis and virion assembly
  • release of progeny
29
Q

Ergosterol Inhibitors

A

Antifungals

  • ketoconazole, fluconazole
  • inhibits cell membrane function
30
Q

Polyenes

A

Antifungals

  • amphotericin B, nystatin
  • membrane leak = cell death
31
Q

Echinocandins

A

Antifungals

  • micafungin, capsofungin
  • inhibit cell wall formation