RNA: Pelvic Inflammatory Disease Flashcards
Pelvic Inflammatory Disease is caused by
Neisseria gonnorhea & Chlamydia trachomatis
Infectious and inflammatory disorder of the upper female genital tract, including the uterus, fallopian tubes and adjacent pelvic structures. It is sexually transmitted.
Pelvic Inflammatory Disease
Diagnosis of PID is clinically based on
History & Physical examination
Purulent _______ discharge is highly suggested. _____________ is almost always present.
Cervical. Cervical motion tenderness.m
Inhibits DNA gyrase
Quinolone
Enzymes that assist in formation of superhelices and regulate the breaking and regulate the breaking and rejoining of the DNA chain.
DNA topoisomerases
Usually bacteriocidal against susceptible organisms and exhibit postantibiotic effect.
Fluoroquinolones
Fluoroquinolones interfere with bacterial DNA synthesis by inhibiting ________ in gram negative organisms. Blocks relaxation of supercoiled DNA.
Topoisomerase II (DNA gyrase)
Fluoroquinolones interfere with bacterial DNA synthesis by inhibiting __________ in gram positive organisms. Interferes with the separation of replicated chromosomal DNA during cell division.
Topoisomerase IV
Resistance of Fluoroquinolones: decreased __________ accumulation of the drug via the production of efflux pumps.
Intracellular
Resistance of Fluoroquinolones: changes in _______ structure.
Porin
Resistance of Fluoroquinolones: changes in the _______ of the target enzymes via point mutations in the __________.
Sensitivity. Antibiotic binding regions.
Antimicrobial spectrum of Fluoroquinolones: 1st generation. ___________.
Urinary tract infection
Antimicrobial spectrum of Fluoroquinolones: 2nd generation. Gram ______, gonococci, gram positive cocci and ________.
Negative. Mycoplasma.
Antimicrobial spectrum of Fluoroquinolones: 3rd generation. _____ gram negative and _____ gram positive activity, streptococci and enterococci.
Less. More.
Antimicrobial spectrum of Fluoroquinolones: 4th generation. _______ spectrum. Including __________. With increasing generation, increasing gram positive activity. Unlike ________ where increasing generation leads to gram negative activity.
Broad. Anaerobes. Cephalosporins.