Lecture 18 Flashcards
What chemical do agents that suppress wall synthesis attack?
Murein
If there is no murein in a cell wall, what happens to the cell?
It bursts (lysis or plasmoptysis)
Natural forms for antibiotics that supress cell wall synthesis tend to be what spectrum?
Narrow
What are the three types of penicillin?
- Natural 2. Semi-synthetic 3. Repository
Natural penicillins fall under what spectrum?
Narrow spectrum, most effective against G+
Why are natural penicillins best against G+ verses G-?
G+ have more murein in the cell wall
a higher osmotic pressure (20-30atm)
G- have an outer membrane which blocks the penicillin
Are natural penicillins effective against all G+?
No, only against growing bacteria
Name 4 bacteria that naturall penicillins are good against
- Group A streptococci (like streptococci pyrogenes) because they never developed resistance
- Clodtridium perfringens (gas gangrene)
- Neisseria meningitis (G-)
- Treponema palligum (G-, syphillis)
What is natural penicillin isolated from?
The mold, penicillium
What is the common name for Benzyl Penicillin?
Penicillin G
What is the mode of action for Benzyl Penecillin?
Suppression of cell wall synthesis
What is the common name for Phenoxymethyl Penicillin?
Penicillin V
What natural penicillin is able to resist the acid in your stomach, making it possible to take it orally?
Phenoxymethyl Penicillin (aka Penicillin V)
What is the mode of action for Phenoxymethyl penicillin?
Suppression of cell wall synthesis
What are repository penicillins?
Time-released capsules created by taking penicillin G and making it less soluble
Name 2 repository penicillins
- Procane penicillin 2. Benzathine penicillin
What is the mode of action for procane penicillin?
Suppression of cell wall synthesis
What is the mode of action for benzathine penicillin
Suppression of cell wall synthesis
What is benzathine penicillin used to treat
Infections of syphilis that are less than 1 year old
What advantage do repository penicillins have over natural penicillins?
Despite having lower levels of it in the blood stream, repository penicillins last all day so that the patient doesn’t need injections hourly
Name 4 semi-synthetic penicillins
- Ampicillin 2. Amoxicillin 3. Carbencillin 4. Tricarcillin
What is the chemical makeup of ampicillin?
penicillin G with an amino group attached, making it broad spectrum
Is ampicillin broad spectrum or narrow spectrum?
Broad
Ampicillin is a DOC for what?
Very resistant UTIs caused by proteus mirabilis
What is the mode of action of ampicillin?
Suppression of cell wall synthesis
Amoxicillin is penicillin G with what group attached to it?
an OH group
Is amoxicillin broad or narrow specturm?
Broad
What is the mode of action for Carbencillin?
Suppression of cell wall synthesis
Carbencillin was the first drug effective against what organism?
Pseudomonas aerasinosa, but it is no longer used to treat it because there are more effective drugs on the market
What is the mode of action for Tricarcillin?
Suppression of cell wall synthesis
Tricarcillin is a DOC for?
pseudomonas aerasinosa
Ticarcillin is ____ times more active against ________ than carbenicillin
Ticarcillin is 2-4 times more active against pseudomonas than carbenicillin
Name 5 Beta-Lactamase resistant penicillins
- Methicillini 2. Oxcillin 3. Cloxacillin 4. Augmentin 5. Zosyn
What does MSSA stand for?
Methicillin Sensitive Staph Areus
What does MRSA stand for?
Methicillin Resistant Staph Aureus
Why is MRSA resistant to all forms of penicillin?
They have a secondary mode of resistance, involving penicillin binding proteins, which are proteins that block pinicillin activity as well as build up murein. They also have efflux pumps, which get rid of toxins in the cells, making them resistant to aminoglycosides
What was the first B-lactamase penicillin?
Methicillin, but it is not longer used in America
What is the mode of action for methicillin?
Suppression of cell wall synthesis
Oxacillin is used to treat what?
More serious infections (systemic, IV, never orally)
What is the mode of action for Oxacillin?
Suppression of cell wall synthesis
What is the mode of action for cloxacillin?
Suppression of cell wall synthesis
How is cloxacillin administered?
Orally
What is the mode of action for augmentin?
Suppression of cell wall synthesis