DRUGS: SKIN & SOFT TISSUE INFECTIONS Flashcards
Drugs used for Cellulitis?
- Cephalexin
- Clindamycin
Drugs used for Decubitus Ulcers?
- Ciprofloxacin
- Clindamycin
- Vancomycin
- Piperacillin-Tazobactam
Cephalexin
• MOA
• Adverse effects
MOA: Inhibits bacterial wall synthesis
ADVERSE EFFECTS:
More common - Rash, diarrhoea, thrombophlebitis
Less common - SJS, severe hypersensitivity
Cephalexin
• Pharm class
• Indication
Pharm Class:
Beta-lactam Abx (1st gen Cephalosporin)
Indication:
Cellulitis
Clindamycin:
• Pharm Class
• Indication
Pharm Class:
Lincosamide Protein Synthesis Inhibitor
Indication:
Cellulitis & Decubitus Ulcer
Clindamycin
• MOA
• Adverse Effects
MOA:
Inhibits protein synthesis
ADVERSE EFFECTS:
- Nausea, vomiting
- Diarrhoea, constipation
- Headache
Severe:
- Myopathy
- Pseudomembrane colitis
- Superinfection
- Anaphylaxis
Ciprofloxacin
• Pharm Class
• Indication
Pharm Class:
2nd Gen Fluoroquinolones
Indication:
Decubitus Ulcer
Ciprofloxacin
• MOA
• Adverse effects
MOA:
Inhibits DNA synthesis
ADVERSE EFFECTS:
- Nausea, vomiting, headache, pain at inj. site
Severe:
- Tendon rupture, seizures, photosensitivity
- Pseudomembrane colitis, peripheral neuropathy
- Hepatotoxicity
Which drug is not suitable for elderly with tendonitis & athletes with ruptured tendon?
Ciprofloxacin
Vancomycin
• MOA
• Adverse effects
MOA:
Inhibits bacterial cell wall synthesis and transglycosylation
ADVERSE EFFECTS:
- Ototoxicity
- Red Man’s Syndrome
- Anaphylaxis
- Nephrotoxicity
- Superinfection
- Nausea, vomiting
Piperacillin-Tazobactam (Pip-Taz)
• MOA
• Adverse effects
MOA:
Inhibits bacterial cell wall synthesis & transpeptidation
ADVERSE EFFECTS:
More common - Rash, diarrhoea, thrombophlebitis
Less common - SJS, severe hypersensitivity
Vancomycin
• Pharm Class
• Indication
Pharm Class:
Non-Betalactam; Glycopeptide
Indication:
Decubitus Ulcer
Piperacillin-Tazobactam
• Pharm Class
• Indication
Pharm Class:
Beta-lactam Abx with Oxapenams
Aminopenicillins
Indication:
Decubitus Ulcer
Which drug is reserved for MRSA?
Vancomycin
Which drugs are Broad Spectrum?
- Cephalexin
- Clindamycin
- Ciprofloxacin