MISC. Abx Flashcards
Fluoroquinolones Drugs
Ciprofolxacin* (Cipro)
Levofloxacin* (Levaquin)
Moxifloxacin* (Avelox)
Fluoroquinolones
Bactericidal with good distribution into most tissues and fluids except the CNS
Fluoroquinolones MOA
Inhibit the ability of the bacterial DNA to replicate.
Inhibit DNA gyrase and topoisomerase IV necessary for replication of bacteria
Fluoroquinolones Spectrum of activity
Bug: Pseudomonas Aeruginosa
Drug: ciprofloxacin and levofloxacin
Bug: Aerobic gram negative
Drug: All fluoroquinolones
FQ: Black box warning
WARNING: Fluoroquinolones, including LEVAQUIN®, are associated with an increased risk of tendinitis and tendon rupture in all ages
FQ Side effects
Nausea Diarrhea Dizziness Confusion Tendon rupture QT prolongation** Tendonitis Peripheral neuropathy**
Sulfonamides
Sulfamethoxazole/Trimethoprim (SMX-TMP) (Bactrim DS, Septra)
ORAL ONLY!
Sulfonamides MOA
Folic acid synthesis inhibitors
Bacteria need to produce folic acid to survive
Sulfonamides uses
Urinary tract infections (most common) PCP or P. jiroveci pneumonia Toxoplasmosis Gram positive and negative infections MRSA NOT USED for Sinusitis and otitis media
Sulfonamides SE
Rash Fever Nausea, vomiting, diarrhea Stevens-Johnson syndrome Vasculitis Hemolytic anemia if underlying G6PD deficiency thrombocytopenia
Nitrofurantion (Macrobid)
ONLY for treatment and prevention of uncomplicated urinary tract infections
PO
Nitrofurantion (Macrobid): Effective against common organisms that cause UTIs
E. Coli Citrobacter Staph saprophyticus Enterococcus faecalis Eneterococcus faecium
Some emerging resistance against Enterobacter and Kelbsiella
Nitrofurantion (Macrobid) Side effects
Most common: Nausea and vomiting Pulmonary reactions (rare) Hepatic effects (rare) Peripheral neuropathy in long term use in patients with renal failure NO SIGNIFICANT DRUG INTERACTIONS
Metronidazole (Flagyl)
Anti-Anerobic
Inhibitor of bacterial protein synthesis.
Good activity against gram positive and negative anaerobes
Oral, IV, and Topical
Metronidazole (Flagyl) Treatment of choice for
Bacterial vaginosis
Trichomoniasis
C. difficile diarrhea