Powerpoint 22 Flashcards
These mechanisms of action cause inhibition of cell wall synthesis
-peptidoglycan cell wall unique to bacteria
B-lactam drugs- the pencillins
Vancomycin
Bacitracin
These mechanisms of action cause inhibition of nucleic acid synthesis
Fluoroquinolnes
Rifamycins
These mechanisms of action cause inhibition of protein synthesis
Aminoglycosides Tetrecyclines Macrolides Chloramphenicol Lincosamides Oxazolidinones Streptogramins
These mechanisms of action cause inhibition of metabolic pathways
Sulfonamides
Trimethoprim
These mechanisms of action cause inhibition of cell membrane integrity
Polymyxin B
interfere with the formation of the peptide side chains between adjacent strands of peptidoglycan by inhibiting penicillin-binding proteins
B-lactam drugs
binds to the amino acid side chain of NAM molecules interfering with peptidoglycan synthesis
vancomycin
interferes with the transport of peptidoglycan precursors across the cytoplasmic membrane
Bacitracin
each member has a common structure
-modified side chains create derivatives
the penicillins
These drugs are called B-lactans
penicillins and cephalosporins
Inhibit peptide bridge formation between molecules of PTG
B-lactams
- completely inhibits function of penicillin-binding protein
- accessory protein PBP cannot form this bridge because active site is blocked
B-lactams
- some organisms resist effects through production of the B-lactamase enzyme
- other organisms use enzymes that only attack natural penicillins these enzymes are called
Penicillinase
these are more effective B lactams for gram negative
Cephalosporin’s
are resistant to certain beta-lactamases
Cephalosporins
effective against Gram + and some gram - cocci
- Natural penecillins
- -Narrow spectrum
side chains prevent inactivation from penicillinase* enzymes
penicillinase-resistant penicillin
effective against Gram + and Gram -
broad spectrum penicillins
-greater effectiveness against Pseudomonas ( a Gram -) species
Extended spectrum penicillins
less effective against Gram + organisms
Extended spectrum penicillins
Augumentin= amoxicillin + clavulanic acid
Penicillins + B lactamase inhibitor
inhibits formation og PTG chains through interactions with D-ala amino acid
Vancomycin
Important in treating infections caused be penicillin resistant Gram + organisms
Vancomycin
- Does not cross LPS outer membrane of Gram -
- most Gram - are initially resistant
Vancomycin
Must be given intravenously sue to poor absorption from intestinal tract
Vancomycin
e.e. PBP, cannot access this site because vancomycin is bound
Accessory protein
interfere with PBP by directly binding to the protein
B-lactams
interferes with crosslink by binding to the tetra peptide
Vancomycin
-this causes PTG to be disrupted
PTG can be disrupted by
B-lactams
-bad for bacteria