Exam 4 Flashcards
The 1st group of antimicrobials, whose therapeutic properties were described were the
Penicillins
The 1st group of antimicrobials used therapeutically were the
Sulfonamides
What was the heaviest used antimicrobials of the 1950s?
Tetracyclines
Synthetic penicillin were first utilized in
1959
List the 3 ways in which microorganisms can attain acquired resistance
- Change cell membrane permeability
- Change attachment site on cell membrane
- Produce an agent lethal to antimicrobials
List the 3 organisms used in the manufacturing of antibiotics
- Yeast
- Mold
- Bacteria
What is considered the hallmark with the use of antibiotics?
Produce inhibitory activity in low doses
List the 2 divisions of penicillin drugs
- Plain
2. Semi-synthetic **
What are the advantages of using semi-synthetic drugs?
- More broad spectrum against gram positive and some gram negative bacteria.
- Increased half life leading to a longer duration of action.
- Decreased dosing.
- Increased resistance to stomach acid making formulation more acid stable.
- Less resistance being created.
List the 2 general types of substances that create semi-synthetic penicillin drugs
- Organic compounds
2. Salts
List the 2 organic compounds that can be added to plain penicillin drugs
- Benzathine
2. Procaine
List the 3 salts that create semi-synthetic penicillin
- Sodium (solution)
- Potassium (solution)
- Trihydrates (suspension)
List two brand names of the combination penicillin drug called procaine benzylpenicillin and benzathine benzylpenicillin
- Flocillin
- Combipen
- Depo-Penicillin
Give the brand name for Ampicillin Trihydrate
Polyflex
Give the brand name for Ampicillin Sodium
Omnipen
Give the brand name for Potassium Hetacillin
Hetacin-K
List the 2 names the generic preparation amoxicillin are called
- Amoxi (tab, injection, drops)
2. Robamox
Give the brand name for Gentamicin Sulfate (Aminoglycoside)
Gentocin
Give the brand name for Kanamycin Sulfate (Aminoglycoside)
Kantrim
Kantrex
Give the brand name Amikacin Sulfate
Aminoglycoside
Amiglyde V
The most toxic aminoglycoside is
Neomycin Sulfate
The most broad spectrum aminoglycoside is
Amikacin Sulfate
The only aminoglycoside effective orally is
Kanamycin Sulfate
Why are most aminoglycosides are not effective orally?
Too acid labile
What is the most common route of administration for aminoglycosides?
Topical
The 2 main side effects of aminoglycosides are:
- Nephrotoxic
2. Ototoxic
How do tetracyclines work?
Inhibit protein synthesis.
What type of action is produced on the organisms sensitive to Tetracyclines?
Bacteriostatic