Monobactams Flashcards
1
Q
MOA
A
Inhibit cell wall synthesis by inhibiting PBP
Specifically PBP-3 which allows for enhanced Gram (-) activity
Bactericidal–>Time-dependent
2
Q
MOR
A
B-lactamase production: Klebsiella, Enterobacter, Pseudomonas
Decreased permeability due to hydrolysis of B-lactams
3
Q
Spectrum of activity
A
Gram (-) aerobes
Pseudomonas aeruginosa
4
Q
Distribution
A
Widely distributed into tissues and fluids
Aztreonam can penetrate the CSF in the presence of inflamed meninges–> MENINGITIS
5
Q
Elimination
A
Eliminated unchanged in the urine
Dose adjustments in renal insufficiency
t1/2= 1.3-2.2 hours
6
Q
Clinical uses
A
Gram (-) aerobes
Pseudomonas aeruginosa
Can be used in patients who have had a significant penicillin allergy