Principles of Antimicrobial Therapy Flashcards
Penicillin MOA
Inhibits cell wall synthesis by binding to and inhibiting PBPs
Cephalosporins MOA
Inhibits cell wall synthesis by binding to and inhibiting PBPs
Carbapenems MOA
Inhibits cell wall synthesis by binding to and inhibiting PBPs
Monobactams MOA
Inhibits cell wall synthesis by binding to and inhibitings PBPs
Fluoroquinolones MOA
Inhibits DNA synthesis by inhibiting bacterial topoisomerases
Macrolides MOA
Inhibits protein synthesis by binding to 50S ribosomal subunits
Ketolides MOA
Inhibits protein synthesis by binding to 50S ribosomal subunits
Aminoglycosides MOA
Inhibits protein synthesis by irreversibly binding to 30S ribosomal subunits
Vancomycin MOA
Dalbavacin MOA
Inhibits 2nd stage of cell wall synthesis by binding to D-Ala-D-Ala cell wall precursors
Quinupristin-dalfopristin MOA
Inhibits protein synthesis by binding to 50S ribosomal subunits
Linezolid MOA
Tedizolid MOA
Inhibits protein synthesis by binding to 50S ribosomal subunit near 30S interface
Daptomycin MOA
Causes membrane depolarization by inserting lipophilic tail in cell wall
Telavancin MOA
Oritavacin MOA
Inhibits cell wall synthesis by binding to D-Ala-D-Ala cell wall precursors AND causes membrane depolarization by inserting lipophilic tail in cell wall
Tetracyclines MOA
Inhibits protein synthesis by binding to 30S ribosomal subunits
Glycylcyclines MOA
Inhibits protein synthesis by binding to 30S ribosomal subunits
Trimethoprim-sulfamethoxazole MOA
Sequential inhibition of microbial folic acid synthesis pathway by inhibiting bacterial dihydropteroate synthetase and dihydrofolate reductase
Polymyxins MOA
Binds to phospholipids in cell membrane causing displacement of Ca and Mg which leads to changes in cell wall permeability and leakage of cellular contents
Clindamycin MOA
Inhibits protein synthesis by binding to 50S ribosomal subunits
Metronidazole MOA
Prodrug activated by ferrdoxins whose activated metabolites damage bacterial DNA
Penicillins MOR
- Beta lactamase production
- Altered PBPs
- Decreased penetration through outer cell membrane
Cephalosporins MOR
- Beta lactamase production
- Altered PBPs
- Decreased penetration through outer cell membrane
Carbapenems MOR
- Beta lactamase production
- Altered PBPs
- Decreased penetration through outer cell membrane
Monobactams MOR
- Beta lactamase production
2. Decreased penetration through outer cell membrane
Fluoroquinolones MOR
- Mutation in genes that code for DNA gyrase or topoisomerase IV (change in binding site)
- Efflux
- Decreased penetration through outer cell membrane
Macrolides MOR
- Efflux
2. Change in ribosomal binding site
Ketolides MOR
- Change in ribosomal binding site
Aminoglycosides MOR
- Altered aminoglycoside uptake
- Synthesis of aminoglycoside modifying enzymes
- Alteration in ribosomal binding sites (strepto)
Vancomycin MOR
Dalbavancin MOR
- Modification of the D-alanyl-D-alanine vancomycin binding site
Quinupristin-dalfopristin MOR
- Alteration in ribosomal binding site
Linezolid MOR
Tedizolid MOR
- Alteration in ribosomal binding site (rare)
Daptomycin MOR
- Altered cell membrane binding through loss of membrane protein
Telavancin MOR
Oritavancin MOR
- Modification of the D-alanyl-D-alanine site
Tetracyclines MOR
- Tetracycline-specific efflux pumps
- Ribosomal protection proteins
- Enzymatic inactivation
Glycylcyclines
- Multidrug efflux pump
Trimethoprim-sulfamethoxazole MOR
- Mutation in dihydrofolate reductase or dihydropteroate synthase
Polymyxins MOR
- Alteration in outer cell membrane (reduction in calcium, magnesium, lipopolysaccharide content and/or outer membrane proteins)
Clindamycin MOR
- Alteration in ribosomal binding site
Metronidazole MOR
- Altered growth requirements
2. Reduced transcription of ferredoxin gene
Pencillins cidal or static?
bactericidal
Cephalosporins cidal or static
bactericidal
Carbapenems cidal or static?
bactericidal
Monobactams cidal or static?
bactericidal
Fluoroquinolones cidal or static?
bactericidal
Macrolides cidal or static?
bacteriostatic
Ketolides cidal or static?
bacteriostatic
Aminoglycosides cidal or static?
bactericidal
Vancomycin cidal or static?
Dalbavancin cidal or static?
bactericidal
Quinupristin-dalfopristin cidal or static?
bacteriostatic
Linezolid cidal or static?
Tedizolid cidal or static?
bacteriostatic
Daptomycin cidal or static?
bactericidal
Telavancin cidal or static?
Oritavancin cidal or static?
bactericidal
Tetracyclines cidal or static?
bacteriostatic
Glycylcyclines cidal or static?
bacteriostatic
Trimethoprim-sulfamethoxazole cidal or static?
bactericidal
Polymyxins cidal or static?
bactericidal
Clindamycin cidal or static?
bacteriostatic
Metronidazole cidal or static?
bactericidal
Penicillins time or concentration dependent
Time
Cephalosporins time or concentration dependent
Time
Carbapenems time or concentration dependent
Time
Monobactams time or concentration dependent
Time
Fluoroquinolones time or concentration dependent
Concentration
Macrolides time or concentration dependent
Time (azithromycin may be concentration dependent vs some organisms)
Ketolides time or concentration dependent
Concentration
Aminoglycosides time or concentration dependent
Concentration
Vancomycin time or concentration dependent
Dalbavancin time or concentration dependent
Time
Quinupristin-dalfopristin time or concentration dependent
Time
Linezolid time or concentration dependent
Tedizolid time or concentration dependent
Time for Linezolid
Concentration for Tedizolid
Daptomycin time or concentration dependent
Concentration
Telavancin time or concentration dependent
Oritavancin time or concentration dependent
Concentration
Tetracyclines time or concentration dependent
Time
Glycylcyclines time or concentration dependent
Time
Trimethoprim-sulfamethoxazole time or concentration dependent
Time
Polymyxins time or concentration dependent
Concentration
Clindamycin time or concentration dependent
Time
Metronidazole time or concentration dependent
Concentration