Microorganisms and drugs Flashcards
Cause of pneumonia: strep pneumoniae
Typical gram positive
Staphylococcal aureus is a typical or atypical cause of pneumonia
Typical, gram positive
Is beta haemolytic strep a typical or atypical cause of pneumonia?
Typical, gram positive
Viridans group strep, typical or atypical pneumonia ?
Typical, gram positive
Is pseudomonas a typical or atypical pneumonia?
Typical, gram negative
Is klebsiella a typical or atypical pneumonia?
Typical, gram negative
Is E.coli a typical or a typical cause of pneumonia?
Typical gram negative
Is haemophilus a typical or a typical cause of pneumonia?
Typical, gram negative
Is Enterobacter a typical or a typical cause of pneumonia?
Typical, gram negative
Is Is Mycoplasma a typical or a typical cause of pneumonia?
Atypical bacteria
Is Chlamydia a typical or a typical cause of pneumonia?
Atypical bacteria
Is Legionella a typical or a typical cause of pneumonia?
Atypical bacteria
How is legionella commonly caught?
Poor air conditioning in foreign countries
Is Infleunza A/B a typical or a typical cause of pneumonia?
Atypical virus
Is Parainfluenza a typical or a typical cause of pneumonia?
Atypical virus
Is Adenovirus a typical or a typical cause of pneumonia?
Atypical virus
Is respiratory syncytial virus a typical or a typical cause of pneumonia?
Atypical virus, most commonly in childhood
Pneumonia in HIV patients is most commonly caused by
Streptococcus pneumoniae, Haemophilus influenzae, Staphylococcus aureus and Mycobacterium tuberculosis
Atypical causes of pneumonia in patients with HIV
Chlamydophila pneumoniae, mycoplasma pneumoniae, coxiella burnetti and legionella.
PCP stands for
Pneumocystis jiroveci pneumonia
Most common opportunistic infection in people who get AIDS
PCP/ PJP
Beta-lactams mechanism of action
Inhibit the synthesis of the peptidoglycan layer of bacterial cell walls - prevents cross linking so cell walls do not contain cell contents
Types of betalactam
Penicillin, cephalosporins, carbapenems, monobactams
Vancomycin mechanism of action
Inhibition of cell wall biosynthesis. Also alters cell membrane permeability and RNA synthesis. Active against gram negative bacteria
Aminoglycosides mechanism of action
Irreversibly bind to 30S ribosomal proteins
Tetracyclines mechanism of action
Block tRNA binding to 30S ribosome-mRNA complex
Example of an aminoglycoside
Gentamicin
Mechanism of action of macrolides
Reversibly bind to 50s ribosome, blocking peptide elongation
Example of a macrolide
Clarithromycin
Chloramphenicol
Binds to 50S subunit blocking peptide elongation
Clindamycin
Binds to 50S ribosome subunit, inhibits a transferase enzyme, blocking peptide elongation
Mechanism of polymyxins
Increase membrane permeability causing cytoplasmic leaking; killing the cell
Quinolones mechanism of action
Inhibit DNA gyrase, stopping nucleic acid synthesis
Rifampin mechanism of action
Binds to RNA polymerase inhibiting initiation of RNA synthesis
Trimethoprim mechanism of action
Inhibits dihydrofolate reductase, preventing synthesis of folic acid
Sulphonamides mechanism of action
Competitive inhibitor of dihydropteroate synthase, prevents synthesis of folic acid
Diphtheria antibiotics
Erythromycin, penicillin and anti toxins
Legionnaires disease antibiotic
Flouroquinolones, macrolides
Whooping cough antibiotics
Macrolides
Q fever (caught from cattle and sheep) antibiotics
Doxycycline, hydroxychloroquine
Scarlet fever antibiotics
b-lactams
TB antibiotics
RIPE. Rifampin, isoniazid, pyrazinamide, ethambutol
Streptococcus pneumoniae antibiotic
Usually penicillin - amoxicillin or benzylpenicillin
Haemophilus influenzae antibiotic
Usually amoxicillin (10% are resistant) so use co-amixiclav/doxycycline/trimethoprim
Staphylococcal pneumonia antibiotic
Usually sensitive to flucloxocillin, co-amoxiclav, cefurozime
Atypical bacteria antibiotics: mycoplasma, chlamydophila, legionella
Not sensitive to penicillins, treat with tetracycline or macrolide antibiotics
Influenza A or B antibiotics
Oseltamivir/ Zanamivir
Herpes simplex virus drug
Aciclovir
RSV - respiratory syncytial virus
Ribavirin