T1: CEPHALOSPORINS & TETRACYCLINES Flashcards
First discovered in seawater-fungus called cephalosporium acremonium
CEPHALOSPORINS
Are bactericidal and act by attaching to penicillin binding proteins to inhibit bacterial cell wall synthesis
CEPHALOSPORINS
Have a beta lactam ring that is mostly responsible for their antimicrobial activity.
CEPHALOSPORINS
The primary therapeutic use as a class is for gram negative infection and the clients who can’t tolerate the less expensive penicillin
CEPHALOSPORINS
Effective against gram positive and Gram negative bacteria and resistant to beta lactamase (an enzyme that acts against the beta lactam structure of penicillin)
CEPHALOSPORINS
Cause bacteria cell lysis and bacterial cell dies.
CEPHALOSPORINS
Most effective against gram positive bacteria (streptococci, and most staphylococci).
Effective against most gram-negative bacteria (E. Coli, species of Klebsiella, Proteus, Salmonella and Shigella)
FIRST GENERATION CEPHALOSPORINS
Therapeutic Indication: respiratory tract (strep pneumonia) otitis media and skin infection
FIRST GENERATION CEPHALOSPORINS
Cephalexin (Keflex)
FIRST GEN. CEPHALOSPORINS
Cefazolin sodium (Ancef, kefzol)
FIRST GEN. CEPHALOSPORINS
Cefadroxil (duricef)
FIRST GEN. CEPHALOSPORINS
Cephapirin (cefadyl)
FIRST GEN. CEPHALOSPORINS
- More potent, more resistant to beta lactamase, and exhibit a broader spectrum against gram negative organisms (Haemophilus influenzae, Neisseria gonorrhea, Neisseria meningitidis and several anaerobic organisms) than the first-generation drugs.
- Less effective against Gram-positive bacteria
SECOND GENERATION CEPHALOSPORINS
Cefaclor (ceclor)
SECOND GEN. CEPHALOSPORINS
Cefuroxime (ceftin, kefurox, zinacef)
SECOND GEN. CEPHALOSPORINS
Cefmetazole (Zefazone).
SECOND GEN. CEPHALOSPORINS
Have a longer duration of action than 2nd generation agents
THIRD GENERATION CEPHALOSPORINS
Broader spectrum against gram negative organisms, and are resistant to beta lactamase.
THIRD GENERATION CEPHALOSPORINS
Sometimes the drug of choice against infection by pseudomonas, klebsiella, neisseria, proteus, and haemophilus influenza.
THIRD GENERATION CEPHALOSPORINS
Less effective against gram positive bacteria.
THIRD GENERATION CEPHALOSPORINS
Cefixime (suprax)
3RD GEN. CEPHALOSPORINS
Cefdinir (Omnicef)
3RD GEN. CEPHALOSPORINS
Ceftriaxone (rocephin)
3RD GEN. CEPHALOSPORINS
Cefotaxime (claforan)
3RD GEN. CEPHALOSPORINS
Effective against organisms that have developed resistance to earlier cephalosporins.
FOURTH GENERATION CEPHALOSPORINS
are capable of entering the cerebrospinal fluid (CSF) to treat CNS infections.
3rd and 4th generation agents
Effective against E.coli, klebsiella, Proteus, streptococci, certain staphylococci, Pseudomonas
aeruginosa
FOURTH GENERATION CEPHALOSPORINS
Cefepime (Maxipime)
4TH GEN. CEPHALOSPORINS
Acts by inhibiting bacterial protein synthesis, by binding to the bacterial ribosome and have a bacteriostatic effect
TETRACYCLINES
Is isolated from Streptomyces Aureofaciens in 1948.
TETRACYCLINES
The first broad spectrum antibiotics effective against gram positive and gram negative bacteria and many other organisms – mycobacteria, rickettsiae, spirochetes and clamydiae.
TETRACYCLINES
Demeclocycline (Dectomycin)
Example of Tetracycline Drugs
Doxycycline (Vibramycine, others)
Example of Tetracycline Drugs
Minocycline (rondomycine)
Example of Tetracycline Drugs
Tetracycline (Achromycine, others)
Example of Tetracycline Drugs
Tigecycline (Tigacil)
Example of Tetracycline Drugs
Rocky mountain spotted fever
Spread through infected tick.
Cholera
Severe diarrhea
Lyme disease
Black-legged tick
Peptic ulcers
Caused by helicopter pylori
Chlamydial infection
STD
Inhibit protein synthesis by binding to the bacterial ribosome
MACROLIDES
Bind to the bacterial cell ribosomes and change or alter protein production/function leading to impaired cell metabolism and division
MACROLIDES
Effective against most gram positive and many gram negative species
MACROLIDES
Indicated for the pharmacological treatment of respiratory disorders
MACROLIDES
Safe alternative to penicillin
MACROLIDES
Azithromycin (Zithromax) – 3-4 DAYS (5 days w/ covid)
Example of Macrolides Drugs
Clarithromycin (Biaxin)
Example of Macrolides Drugs
Dirithromycin (Dynabac)
Example of Macrolides Drugs
Erythromycin (E-mycin, Erythromycin)
Example of Macrolides Drugs
has extended haft life that is administered only for 3 to 4 days
Azithromycin (Zithromax)
the first macrolides, was derived from the
fungus-like bacteria Streptomyces erythreus in 1950.
Erythromycin
For the treatment of Whooping cough, legionnaires disease and infection by streptococcus, H. influenza, and Mycoplasma pneumonia
INDICATIONS OF MACROLIDES
Used against bacteria inside host cells such as listeria, chlamydia, dyptheria, pertussis, and gonorrhea
INDICATIONS OF MACROLIDES
Are bactericidal and act by inhibiting bacterial protein synthesis and causing synthesis of abnormal proteins.
AMINOGLYCOSIDES
Reserved for serious systemic infections caused by aerobic gram negative bacteria.
AMINOGLYCOSIDES
Sometimes administered concurrently with penicillin, for enterococci infection
AMINOGLYCOSIDES
If used in a systemic viral infection, IV route (parenterally)
AMINOGLYCOSIDES
First aminoclyosides and was named after
Streptomyces griseus, the soil organism from it was isolated in 1942.
STREPTOMYCIN
Used to treat tuberculosis (now restained)
STREPTOMYCIN
Drug of choice to treat tularemia and bubonic pneumonic forms of plaque
STREPTOMYCIN