Microbio Pages 187-191 Flashcards
Which topoisomerases do FQ inhibit
II & IV
What drugs shouldn’t be paired with FQ?
antacids
MOR of FQ
efflux pumps, plasmid mediated resistance
Do FQ’s have any cardiac side effects
torsades de pointes (inc QT interval)
Why are FQs CI in preganancy
damage to cartilage in fetus
FQ’s are used against
mostly gram neg UTI and GI infections, Pseudomonas, Neisseria, B. anthracis
Clinical use of Daptomycin
MRSA skin infections, VRE, endocarditis
Which path is daptomycin CI in?
pneumonia (inactivated by surfactant)
AA of daptomycin?
myopathy, rhadomyolysis
Which bugs is metronidazole DOC for?
Giardia, Entamoeba, Trichomona, C. Diff, Gardnerella vag
does metronidazole affect taste
yes. metallic taste
Prophylaxis for M. Tuberculosis?
INH
Prophylaxis for MAI?
Azithromycin
doe the therapy change for M. leprae depending on stage?
Yes tuberculous= dapsone +rifampin
Lepromatous= dapsone + rifampin + clofazimine
Which rifamycin is DOC in HIV patients?
Rifabutin
AA of Rifampin
red/orange urine, CytP450 inducer
INH AA?
hepatotoxicity, neurotoxicity, CytP450 inhibitor
INH neurotoxicity Tx?
B6 prophylaxis
MOR for INH
decreased KatG expression
AA for Pyrzinamide
Hyperuricemia, hepatotoxicity
AA for Ethambutol
optic neuropathy (red green color blind)
Prophylaxis for UTIs
SMP-TMX
Prophylaxis for gonorrhea exposure
Ceftriaxone
Prophylaxis for syphilis
Penicillin G
Prophylaxis for dental procedure
Amoxicillin
Prophylaxis for HIV pts (CD count
SMP-TMX (PCP)
Prophylaxis for HIV pts (CD count
Azithromycin (MAI)
TX for acinobacter baumannii
colisitin/polymyxin B&E
Tx for fungal meningitis?
intrathecal Amphotericin B
fingual infecting the nail tx?
terbinafine (onychomiciosis)
TX for Candida thrush
Nystatin (swish & swallow)
Combo therapy for cryptococcal meningitis
Amphotericin B + Flucytosine
AA of Azoles?
CyrP450 inhibition, gynaecomastia, liver dysfunction
Tx for Toxoplasmosis?
Pyrmethamine
Tx for Trypanosoma bruceii
Suramin/Melarsoprol
Tx for for Trypanosoma cruzi?
Nifurtimox
Tx for Leishmaniasis?
Na Stibogluconate