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14 Cards in this Set

  • Front
  • Back
What is the mechanism of action for each of the following groups of antibiotics: B-lactams (eg., penicillin, cephalosporins) and vancomycin?
lnhibit peptidoglycan synthesis; acts against the cell wall
Quinolones?
lnhibit DNA gyrase
Metronidazole?
Creates free oxygen radicals
Polymyxinf nystatin?
lncrease cellular permeability
Most others (aminoglycosides, linezolid, clindamycin, etc.)?
lnhibit protein synthesis (eg., through ribosomal activity, etc.)
What is the definition of inherent antibiotic resistance? Example?
Cell features that prevent antibiotic activity
Example: absence of a metabolic pathway
What is the definition of acquired antibiotic resistance? Example?
Resistance acquired through new cellular elements
Example: plasmids or transposons
How does staphylococcus develop resistance to penicillin? What gene is involved?
Penicillin-binding protein 2a (PBP2a) mecA
What is the spectrum of organisms generally susceptible to bacitracin?
Gram positive only
What two antibiotics can be added to bacitracin to broaden its spectrum?
Polymyxin
Neomycin
By what route is bacitracin administered?
Topically
What antibiotic achieves the highest concentration in bone?
Clindamycin
When antibiotics are added to cement, how long does the maximal effect last?
Approximately 2 weeks
After how long has all of the effectiveness generally been exhausted?
8 weeks