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15 Cards in this Set

  • Front
  • Back
What type of antibiotic is Bacitracin? What is its mechanism of action?
Polypeptide antibiotic ;
inhibits cell wall synthesis
What type of antibiotic is vancomycin? Mechanism of action?
Glycopeptide antibiotic; inhibits cell wall synthesis
What is bacitracin useful against? What is it usually found in ?
Staph and Strep;
Triple antibiotic ointments
What is the spectrum for vancomycin? How is it adminstered?
Narrow (gram pos)
Parentally
What are the two bacteria that vancomycin used to be used for which currently have resistant strains?
S. aureus (VRSA)
Enterococcus (VRE)
What are the major concerns with using Vancomycin?
Ototoxicity and nephrotoxicity (monitor kidney fxn closely- may need to peak and trough levels)

If infused too rapidly could cause itching, rash, fever, and chills (red man syndrome)
How do carbapenams and monobactams differ from penicillins and cephalosporins?
both relatively resistant to beta-lactamases
carbapenams has a different structure in the beta-lactam ring and monobactams have single rings rather than double
what is the spectrum of carbapenams?
Broad- staph, strep, pseudomonas, anaerobes (Bacteroides fragilis)
Give two types of carbapenams:
Dorapenem
Imipenem + cilastatin
Dorapenam belongs to which groups of anti-infectives?
Carbapenems
Imipenam + cilastatin belongs to which group of antiinfectives?
Carbapenems
What is the spectrum for monobactams?
Limited to certain gram negs (E. coli and Pseudomonas)
What are two advantages of monobactams?
-Low toxicity
-can be used for penicillin-allergic patients
What is the mechanism of action of Polymixin-B? Spectrum? What is it typically found in ?
injures the plasma cell membrane; gram negs ;
Triple antibiotic ointments
Which antibiotic is currently effective against MRSA and VRE? What is the mechanism?
Daptomycin;
Lipoprotein that disrupts membrane function by rapid depolarization