Unit 3 Review Flashcards
Penicillin G
Natural penicillin. Must be injected
Narrow-spectrum, but still useful against most staph and strep
Penicillin V
natural penicillin. Taken orally
Methicillin
Semisynthetic penicillin. First penicillinase resistant antibiotic. Led to MRSA, discontinued
Oxacillin
Semisynthetic penicillin. Penicillinase resistant antibiotic. Replaced methicillin in clinical use
Ampicillin
Broad-spectrum semisynthetic penicillin.
Amoxicillin
Broad-spectrum semisynthetic penicillin
Augmentin
Amoxicillin plus potassium clavulanate (a penicillinase inhibitor)
Primaxin
Related to penicillin but classified as a carbapenem
Given as intramuscular injection
These types of antibiotics are leading to resistance, CRE organisms
Cephalosporins
Similar to penicillin. Bacteria have developed beta-lactamases that destroy cephalosporins
Grouped by generations
Bacitracin
Topical polypeptide antibiotic found in Neosporin/triple antibiotic
Effective against gram positive
Vancomycin
Penicillinase resistant polypeptide antibiotic
narrow spectrum but kills MRSA
led to VRE
Enterococcus faecium a common nosocomial problem in U.S
Isoniazid
Antimycobacterial antibiotic. Inhibits mycolic acid synthesis
Treatment time is 6 months
tuberculosis
Ethambutol
Antimycobacterial antibiotic. Less effective, but used to avoid resistance problems.
Chloramphenicol
Protein synthesis inhibitor
Cheap broad-spectrum
Toxicity concerns, so only used if there are no suitable alternatives
Streptomycin
Protein synthesis inhibitors
Broad-spectrum aminoglycoside
high resistance`
Neomycin
Protein synthesis inhibitor
Broad-spectrum aminoglycoside
Topical agent found in Neosporin/triple antibiotic
Gentamicin
Protein synthesis inhibitor
Broad-spectrum aminoglycoside
Useful against pseudomonas infections. Used with Cystic Fibrosis patients for this reason
Tetracycline
Protein synthesis inhibitor
Broad-spectrum. Also effective against intracellular pathogens like chlamydia and rickettsia’s
can lead to superinfection
Erythromycin
Protein synthesis inhibitor
Macrolide antibiotic
Narrow-spectrum (gram +)
Polymixin B
Topical antibiotic found in Neosporin/triple antibiotic
Effective against gram-negative, including Pseudomonas
causes injury to the plasma membrane: Rare since it is difficult to find a way to make them selectively toxic
Rifampin
Inhibitors of nucleic acid synthesis: Rare
Very important in the treatment of Tuberculosis
Nalidixic acid
inhibitors of nucleic acid synthesis: Rare since it is difficult to find a way to make them selectively toxic
Synthetic quinolone useful ONLY in the treatment of urinary tract infections
Ciprofloxacin (Cipro)
inhibitors of nucleic acid synthesis: rare
broad spectrum
kills gram +
not as toxic
Trimethoprim-sulfamethoxazole
Broad-spectrum
bacteriostatic
inhibit the conversion of PABA into folic acid, which blocks the
production of DNA and RNA
The 2 drugs act synergistically
slows down drug resistance
sulfa drugs can also be used on …
burns
What is the most common source of antibiotics found in nature?
streptomycin in soil
What does broad spectrum mean versus narrow spectrum? Why should narrow spectrum antibiotics be used whenever possible?
broad spectrum: you can kill/inhibit multiple types of microbes
narrow spectrum: you can kill one or the other (gram + OR gram - bacteria)
narrow spectrum should be used because theres less damage
What is a superinfection?
secondary infection you get after using antibiotics
ex: yeast infections or C.diff
Why is it harder to develop antimicrobial drugs against
eukaryotes like protozoa?
because we are eukaryotes and we are similar, narrow spectrum drugs usually
Which type of penicillin must be injected? Why?
penicillin G because it’s not stable in stomach acid
Why is Methicillin no longer in use in America?
evolution, used too much to the point where it doesn’t work anymore
What is the difference between Amoxicillin and Augmentin?
both semi-synthetic penicillin
amoxicillin: with a penicillinase inhibitor called potassium clavulanate
augmentin: stronger, inhibitor, top of the line penicillin
Know the 3 antibiotics in topical triple antibiotic preparations.
polymyxin B (inhibits gram - bacteria)
bacitracin (kills gram +)
neomycin (broad spectrum)
What is the primary role in the drug Ethambutol in the treatment of TB?
usually paired with isoniazid (stronger)
we use ethambutol because combining the two slows evolution/resistance