New Antimicrobial deck Flashcards

1
Q

What are the classes of Beta Lactams?

A

Penicillins, Antistaphlococcal, aminopenicillins, and antipseudomonal,

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2
Q

What is Beta lactams mechanism of action

A
  1. inhibits transpeptidase
  2. activates cell destruction to break down the cell wall
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3
Q

What is generation 1 penicillins?

A

Penicillin G and Penicillin V

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4
Q

What is the drug of choice for treponium pallidum?

A

Penicillin G

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5
Q

What is generation 1 penicillins effective against?

A

gram positive bacteria, and some small gram negative bacteria (neisseria gonorrhea)

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6
Q

What is susceptible to bacterial lactamase?

A

generation 1 penicillins and aminopenicillins

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7
Q

What are antistaphlococcals?

A

methicillin and dicloxacillin

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8
Q

what does antistaphlococcal treat?

A

Gram positive: blepharitis and internal hordeolum

NO gram negative activity

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9
Q

what drug(s) stimilate(s) wafarin metabolism?

A

methicillin and dicloxacillin

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10
Q

What is beta lactamase resistant?

A

Antistaphlococcal penicillins

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11
Q

What is aminopenicillins effective against?

A

mostly gram positive but some gram negative rods

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12
Q

What are specific aminopenicillins

A

ampicillin, aminopenicillins, augmentin

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13
Q

What is the drug of choice for listeria monocytogenes?

A

Ampicillin

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14
Q

What does ampicillin treat?

A

listeria
respiratory and GIT infections

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15
Q

What does amoxicillin treat?

A

has more gram negative coverage

respiratory infections
H pylori ulcers
preseptal cellulitis
darcrocystitis
pediatric hemophilus

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16
Q

what does augmentin treat

A

preseptal cellulitis
internal hordeolum
darcryocystitis
hemophilus

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17
Q

what is the most commonly prescribed antibiotic

A

amoxicillin

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18
Q

What is the order of gram positive effective cephalosporins

A

1>2>3

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19
Q

What is the order of gram negative effective cephalosporins

20
Q

what are specific first generation cephalosporins

A

cefazolin
cephalexin

21
Q

what are specific second generation cephalosporin

A

cefuroxime
cefoxitin

22
Q

what does first generation cephalosporins treat

A

gram postive: staph and strep

soft tissue infections
hordeolum
lid trauma
darcyoadenitis
dacryocystitis
respiratory and urinary tract infections

23
Q

What does second generation cephalosporin’s treat

A

more gram negative bacteria

often used in ear, skin, respiratory infections

24
Q

what more specific bacteria does second generation cephalosporin’s treat

A

hemophilus
Enterococcus
neisseria
preoteus
e. coli
klebsiella

25
what more specific bacteria does third generation cephalosporin's treat
H pylori Enterococcus neiseccera pseudomonas e. coli klebsiella
26
what are specific third generation cephalosporins
ceftriaxone cefixime ceftazidime
27
what does third generation cepharlosporin's treat
gram negative bacteria orbital cellulitis (nafcillin and cephalosporin) -->IV neisseriagonorrhea
28
What are specific carbapenems?
imipenem
29
what drug causes seizures
imipenem's
30
What is the number one drug that causes allergic reactions?
penicillins
31
what can cause cross reactions with penicillins
cephalosporins with the highest being first generation
32
What drugs can penetrate CSF?
imipenem and aztreonam
33
What is the specific monobactam
aztreonam
34
what is aztreonam effective agaisnt?
gram negative only aeruginosa and enterobacter
35
what are the types of glycoproteins
vancomycin and bacitracin
36
what is vancomycin's mechanism of action
binds to pentopeptide preventing the binding of transpeptidase
37
What is the drug of choice for c diff?
vancomycin
38
what is the drug of choice for MRSA
vancomycin
39
what is the side effects of vancomycin
ototoxicity nephrotoxicity redman syndrome
40
What is bacitracin's mechanism of action
prevents the recycling of the lipid carrier
41
what is bacitracin effective against
gram positive
42
what is bacitracin used to treat
blepharitis neisseria and haemophilus
43
what is a side effect of bacitracin
nephrotoxicity
44
what is polymixin's mechanism of action
binds to bacterial membrane phospholipids --> osmotic stress and cell death
45
what is polymixin effective agaisnt
gram negative bacteria
46
what is a side effect of polymixin B
nephrotoxiciy
47
what antimicrobials have side effects of nephrotoxicity
vancomycin bacitracin polymixin B