Mechanisms of Action Flashcards
Penicillins
Cell wall synthesis (cross linking peptidoglycan strands)
Cefalexin (Cephalosporins)
Cell wall synthesis (bind to PBPs) - use in cases of penicillin allergy
Vancomycin (Carbapenams)
Cell wall synthesis
Glycopeptides (vancomycin, -planins)
Cell wall synthesis (block peptidoglycan adding on)
Ciprofloxacin (Fluroquinolone)
DNA gyrase (topoisomerase II and IV)
Cefuroxime (Cephalosporins)
Cell wall synthesis (bind to PBPs) - penicillin allergy
Metronidazole
DNA synthesis - (selectively reduced by anaerobic bacteria)
Erythromicin (macrolide)
Inhibits 50S subunit assembly
Clarithromycin (macrolide)
Inhibits 50S subunit assembly
Gentamicin (Aminoglycosides)
Binds to 30S subunit - inability to recognise incorrect pairing, resulting in faulty protein sequences
Streptomycin (Aminoglycosides)
Binds to 30S subunit
Doxycycline (Tetracycline)
Binds to 30S subunit, preventing binding of tRNA
Trimethoprim
Inhibits folate synthesis (therefore DNA synthesis) - don’t give in pregnancy
Sulfonamides
Inhibits folate synthesis
Clotrimazole - Canestan
Inhibits ergosterol biosynthesis, essential for fungal cell membranes