Drug mechanisms Flashcards
Macrolide mechanism
inhibit protein synthesis by blocking translocation; bind to 23S rRNA of 50S ribosomal subunit. Bacteriostatic
Macrolide mechanism of resistance
methylation of 23S rRNA binding site prevents binding of drug
Vancomycin mechanism
binds to pentapeptide side chain of peptidoglycan precursor molecules, preventing formation of cross-bridges needed for functional bacterial cell wall
Vancomycin mechanism of resistance
bacteria alter termini of side chains from D-ala-D-ala to D-ala-D-lactate
Sulfa drugs mechanism
competitively inhibit production of folic acid by bacteria
Fluoroquinolone mechanism
inhibit DNA gyrase, bacteria need to replicate DNA
Fluoroquinolone mechanism of resistance
selection for mutations in gene for DNA gyrase
penicillin resistance mechanism
bacterial production of beta-lactamases that cleave the drugs
Drugs affecting bacterial folic acid synthesis
sulfonamides
Drugs acting on DNA topoisomerases
fluoroquinolones
Drugs damaging bacterial DNA
metronidazole
Drugs affecting mRNA synthesis
rifampin
Drugs affecting protein synthesis
Macrolides, Streptogramins, Aminoglycosides, Tetracyclines, choramphenicol, clindamycin, linezolid
drugs affecting 30S subunit in bacterial protein synthesis
Aminoglycosides (amamikacin, Gentamycin, neomycin, streptomycin, tobramycin), Tetracyclines (doxy-, mino-, tetra-)
Drugs affecting 50S Subunit in protein synthesis
Chloramphenicol, Clidamycin, Linezolid, Macrolides (azithromycin, clarithro-, eriythro-), Streptogramins