Microbiology and Infectious Diseases Flashcards
Inhibit bacterial growth by inhibiting protein synthesis
Bacteristatic
Kill bacteria
Bactericidal
Minimum Inhibitory Concentration
Minimum concentration of antibiotic at which visible growth is inhibited
Give a syndergistic example of 2 types of antibiotics used to treat streptococcal endocarditis
Aminoglycoside and beta lactam
Which types of antibiotics target the bacterial cell wall?
Beta lactams and glycopeptides
What is the name of the major constituent of bacterial cell walls and name the 2 glucose derivatives that it is made up of
Peptidoglycan
N-acetyl muramic acid (NAM)
N-acetyl glycosamine (NAG)
Describe the beta lactam ring
C-C-C-N in a ring structure. Structural analogue of D-alanyl D-alanine
How do beta lactams work?
Interfere with the function of the ‘penicillin binding proteins’ (transpeptidase enzymes) involved in the peptidoglycan cross linking
Name 4 types of beta lactams
Penicillins, cephalosporins, carbapenems,monobactams
Amoxicillin is an example of what type of antibiotic?
Penicillin- beta lactam
cefuroxime is an example of what type of antibiotic?
cephalosporin-beta lactam
meropenem is an example of what type of antibiotic?
carbapenem
azteronam is an example of what type of antibiotic?
monobactam
Give an example of a glycopeptide
Vancomycin
How do glycopeptides work?
Bind directly to terminal D-alanyl-D-alanine on NAM to prevent binding of transpeptidases and thus peptidoglycan cross linking
Glycopeptides work on what sort of bacteria?
Gram +ve- unable to penetrate outer membrane on gram -ves
Name the different antibiotics that act as protein synthesis inhibitors
Aminoglycosides Macrolides, Lincosamides, streptogramins (MLS) Tetracyclines Oxazolidinones (others e.g. mupirocin, fusidic acid)
Name an example of an aminoglycoside
Gentamycin
How do aminoglycosides work?
Bind to 30s ribosomal subunit
Name an example of a macrolide
Erythromycin