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110 Cards in this Set
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Inhibitors of Cell Wall Synthesis:
Families |
Penicillins
Cephalosporins New beta-lactams Cycloserine Bacitracin Vancomycin |
|
|
Aminoglycosides
|
Bactericidal Inhibitors of protein synthesis
|
30s Ribo
|
|
Tetracylines
|
Bacteriostatic inhibitors of protein syntheis
|
30s ribo
|
|
Chloramphenicol
|
Bacteriostatic inhibitor of protein syntheis
|
50s ribo
|
|
Marcolide anitbiotics
|
Bacteriostatic inhibitor of protein syntheis
|
50s ribo
|
|
Clindamycin
|
Bacteriostatic inhibitor of protein syntheis
|
50s ribo
|
|
Linezolid
|
Bacteriostatic inhibitor of protein syntheis
|
50s ribo
|
|
Quinupristin/Dalfopristin
|
Bacteriostatic inhibitor of protein syntheis
|
50s ribo
|
|
Daptomycin
|
Inhibition of membrane depolarization
|
|
|
Polymyxin B
|
Affect membrane permeability
|
|
|
Direct inhibitors of nucleic acid synthesis
|
Rifamycins
Fluorinated quinolones |
Rifamycins
-Rifampin Fluorinated quinolones -ciprofloxacin -Levofloxacin -gemifloxacin -moxifloxacin -norfloxacin |
|
Indirect inhibitor of nucleic acid synthesis
|
metronidazole
|
|
|
Indirect inhibitors (via folate metabolism) of nucleic acid synthesis
|
Sulfonamides
Trimethoprim |
|
|
Penicillins act by:
|
inhibiting cell wall synth
|
|
|
Cephalosporins act by:
|
inhibiting cell wall synth
|
|
|
List the penicillins:
|
Penicillin G
Penicillin V Dicloxacillin Oxacillin Nafcillin Ampicillin Amoxicillin Ticarcillin Piperacillin |
|
|
List the cephalosporins:
|
Cephalexin
Cefadroxil Cefazolin Cefoxitin Cefaclor Cefuroxime Cefotaxime Ceftriaxone Ceftazidime Cefepime |
|
|
List the beta-lactams
|
Aztreonam
Imipenem/cilastatin Meropenem |
|
|
Misc. inhibitors of cell wall synthesis:
|
cycloserine
bacitracin vancomycin clavulanic acid cilastatin |
|
|
Inhibitors of DNA-dependent RNA polymerase
|
Rifamycins
-Rifampin |
|
|
Inhibitors of nucleic acid synthesis via folate metabolism
|
Sulfonamides
|
Sulfamethoxazole
sulfisoxazole trimethoprim |
|
Inhibitors of nucleic acid synthesis via indirect DNA inhibition
|
metronidazole
|
|
|
Bactericidal inhibitors of protein synthesis, 30s ribo
|
Aminoglycosides
|
Streptomycin
Neomycin Amikacin Gentamicin Tobramycin |
|
Bacteriostatic inhibitors of protein synthesis, 30s ribo
|
Tetracyclines
|
doxycycline
Minocycline Tetracycline |
|
Bacteriostatic inhibitors of protein synthesis, 50s ribo
|
Macrolides
Misc. |
Macrolides
-erythromycin -azithromycin -clarithromycin Other -clindamycin -chloramphenicol -linezolid -quinupristin/dalfopristin |
|
Drug: Penicillins
Activity Spectrum: Mechanism: |
Narrow (G+)/ Extended
|
Inhibit bacterial cell wall synthesis
|
|
Drug: Cephalosporins
Activity Spectrum: Mechanism: |
Extended
|
Inhibit bacterial cell wall synthesis
|
|
Drug: Cycloserine
Activity Spectrum: Mechanism: |
Extended
|
Inhibit bacterial cell wall synthesis
|
|
Drug:Vancomycin
Activity Spectrum: Effect & Mechanism: |
Narrow (G+)/ (-) resistant
|
cidal
Inhibit bacterial cell wall synthesis |
|
Drug: Bacitracin
Activity Spectrum: Mechanism: |
Narrow (G+)
|
Inhibit bacterial cell wall synthesis
|
|
Drug: Imipenem/Meropenem
Activity Spectrum: Mechanism: |
Broad
|
Inhibit bacterial cell wall synthesis
|
|
Drug: Aztreonam
Activity Spectrum: Mechanism: |
(G-)
|
Inhibit bacterial cell wall synthesis
|
|
Drug: Aminoglycosides
Activity Spectrum: Effect & Mechanism: |
extended
|
cidal
30s ribo |
|
Drug:Tetracyclines
Activity Spectrum: Mechanism: |
broad
|
static
30s ribo |
|
Drug: Chloramphenicol
Activity Spectrum: Effect & Mechanism: |
broad
|
static/cidal
50s ribo |
|
Drug: Erythromycin
Spectrum: Effect & Mechanism: |
Narrow (G+)
|
static/cidal
50s ribo |
|
Drug: Clindamycin
Spectrum: Effect & Mechanism: |
Narrow (G+)
|
static
50s ribo |
|
Drug: Linezolid
Spectrum: Effect & Mechanism: |
Narrow (G+)
G- resistant |
static
50s ribo |
|
Drug: Quinupristin/dalfopristin
Spectrum: Effect & Mechanism: |
Narrow (G+)
G- resistant |
static/cidal
50s ribo |
|
Drug: Sulfonamides
Spectrum: Effect & Mechanism: |
Broad
|
static/cidal
folate metabolism |
|
Drug: Quinolones
Spectrum: Effect & Mechanism: |
(G-)
|
cidal
act on DNA Gyrase |
|
Drug: Fluorinated quinolones
Spectrum: Effect & Mechanism: |
broad
|
cidal
act on DNA Gyrase |
|
Drug: Metronidazole
Spectrum: Effect & Mechanism: |
anaerobes
|
cidal
damages DNA an other macromolecules |
|
Drug: Rifampin
Spectrum: Effect & Mechanism: |
extended/broad
|
cidal
inhibits prokaryotic DNA-dependent RNA polymerase |
|
Drug: Daptomycin
Spectrum: Effect & Mechanism: |
narrow (G+)
G- resistant |
cidal
affect membrane depolarization |
|
Drug: Polymyxin B
Spectrum: Effect & Mechanism: |
narrow (G-)
|
cidal
affect cell membranes |
|
Drug: imipenem/cilastatin
Spectrum: Effect & Mechanism: |
broad
|
beta lactam
inhibit cell wall synthesis |
|
Drug: meropenem
Spectrum: Effect & Mechanism: |
broad
|
beta-lactam
inhibit cell wall synthesis |
|
Drug: aztreonam
Spectrum: Effect & Mechanism: |
G- pseudomonas
|
beta-lactam
inhibit cell wall synthesis |
|
Drug: cycloserine
Spectrum: Effect & Mechanism: |
extended
|
inhibit cell wall synthesis
|
|
Drug: vancomycin
Spectrum: Effect & Mechanism: |
narrow (G+)
potent against staphylococci reserved for resistant strains |
inhibit cell wall synthesis
|
|
Drug: bacitracin
Spectrum: Effect & Mechanism: |
narrow (G+)
|
inhibit cell wall synthesis
topical only |
|
Drug: clavulanic acid
Spectrum: Effect & Mechanism: |
given w/ aminopenicillins
|
inhibit cell wall synthesis
|
|
Drug: cilastatin
Spectrum: Effect & Mechanism: |
given w/ imipenem
|
inhibit cell wall synthesis
|
|
Drug: Streptomycin
Spectrum: Effect & Mechanism: |
serious G-
|
cidal
30s ribo |
|
Drug:neomycin
Spectrum: Effect & Mechanism: |
serious G-
|
cidal
30s ribo |
|
Drug: amikacin
Spectrum: Effect & Mechanism: |
serious G-
|
cidal
30s ribo |
|
Drug: gentamicin
Spectrum: Effect & Mechanism: |
serious G-
|
cidal
30s ribo |
|
Drug: tobramycin
Spectrum: Effect & Mechanism: |
Serious G-
|
cidal
30s ribo |
|
Drug: doxycycline
Spectrum: Effect & Mechanism: |
broad
|
static
30s ribo |
|
Drug: minocycline
Spectrum: Effect & Mechanism: |
broad
|
static
30s ribo |
|
Drug: tetracycline
Spectrum: Effect & Mechanism: |
broad
|
static
30s ribo |
|
Drug: erythromycin
Spectrum: Effect & Mechanism: |
narrow g+
|
static
50s ribo |
|
Drug: azithromycin
Spectrum: Effect & Mechanism: |
narrow g+
|
static
50s ribo |
|
Drug: clarithromycin
Spectrum: Effect & Mechanism: |
narrow G+
|
static
50s ribo |
|
Drug: clindamycin
Spectrum: Effect & Mechanism: |
anaerobic infections outside CNS
|
static
50s ribo |
|
Drug: chloramphenicol
Spectrum: Effect & Mechanism: |
broad
|
static
50s ribo |
|
Drug: linezolid
Spectrum: Effect & Mechanism: |
resistant organisms
|
static
50s ribo |
|
Drug: quinupristin/dalfopristin
Spectrum: Effect & Mechanism: |
gram + cocci
|
cidal
50s ribo |
|
Drug: Rifampin
Spectrum: Effect & Mechanism: |
extended/broad
|
cidal
inhibits DNA dependent RNA polymerase |
|
Drug: fluoroquinolones (floxacin)
Spectrum: Effect & Mechanism: |
broad
|
cidal
inhibit DNA replication |
|
Drug:sulfonamides
Spectrum: Effect & Mechanism: |
broad
|
static
inhibit folate metabolism |
|
Drug: Trimethoprim
Spectrum: Effect & Mechanism: |
synergistic w/sulfamethoxazole
|
inhibit folate metabolism
|
|
Drug: Metronidazole
Spectrum: Effect & Mechanism: |
cidal
|
inhibits anaerobic infection
|
|
Drug: polymyxin B
Spectrum: Effect & Mechanism: |
Gram-
cidal |
affects membrane permeability
|
|
Aminoglycosides (ANGST)
|
Bactericidal 30s inhibitors
|
Amikacin
Neomycin Gentamycin Streptomycin Tobramycin |
|
Tetracyclines
|
Bacteriostatic 30s inhibitors
|
Doxycycline
Minocycline Tetracyline |
|
Macrolides
|
Bacteriostatic 50s inhibitors
|
ACE
Azithromycin Clarithromycin Erythromycin |
|
Streptogramins
|
Synergistic bacteriostatic 50s inhibitors
|
Quinipristin/Dalfopristin
|
|
Antibiotics inhibit protein synthesis by:
|
Inhibiting either the 30s or 50s ribosomal subunits
|
|
|
Antibiotics directly inhibit nucleic acid synthesis by:
|
1. inhibiting DNA dependent RNA polymerase
2. inhibiting DNA replication |
1. rifampin
2. Fluoroquinolones |
|
Antibiotics indirectly inhibit nucleic acid synthesis by:
|
inhibiting folate metabolism
|
sulfonamides
trimethoprim |
|
Which antibiotics affect membrane permeability?
|
Daptomycin
Polymyxin B |
|
|
3 families of beta-lactams
|
penicillins
cephalosporins new beta-lactams |
|
|
4 non-beta lactam CW synthesis inhibitors
|
cycloserine
vancomycin bacitracin clavulanic acid |
|
|
4 families of penicillins
|
1. natural
2. penicillinase resistant 3. aminopenicillins 4. antipseudomonal |
1. penicillin G
penicillin V 2. dicloxacillin oxacillin nafcillin 3. ampicillin amoxicillin 4. ticarcillin piperacillin |
|
4 families of cephalosporins
|
1st generation
2nd generation 3rd generation 4th generation |
1. cephalexin
cefadroxil cefazolin 2. cefoxitin cefaclor cefuroxime 3. cefotaxime ceftriaxone ceftazime 4. cefepime |
|
2 families of new beta-lactams
|
1. monobactams
2. carbapenems |
1. aztreonam
2. imipenem (w/cilastatin) meropenem |
|
Narrow spectrum drugs affect
|
G+ rods/cocci
G- cocci |
|
|
Extended spectrum drugs affect:
|
Gram+ rods/cocci
G- cocci and SOME G- rods |
|
|
Broad spectrum drugs affect:
|
Many G+ and G- organisms
|
|
|
Define superinfection
|
appearance of a new infection during treatment of a primary infection
|
|
|
Intrinsic resistance
|
Absence of the target for drug action.
Eg. Mycoplasma have no cell wall...intrinsically resistant to CW synthesis inhibitiors OR many G- are resistant to penicillin G b/c it cannot penetrate the outer membrane |
|
|
Acquired resistance
|
mutation or new DNA
|
|
|
Cycloserine mechanism of action
|
competitive inhibitor of dipeptide enzymes
structural analog of D-alanine |
|
|
Vancomycin mechanism of action
|
binds cell wall precursor unit, preventing peptidoglycan synth
|
|
|
bacitracin mechanism of action
|
blocks elongation of peptidoglycan cell wall
|
|
|
beta-lactam's mechanism of action
|
inhibit cross-linking of peptidoglycan by transpeptidase
|
|
|
Characteristics of natural penicilins
|
susceptible to penicillinase
|
|
|
beta-lactamase (penicillinase) inhibitors (Clavulanic acid) Mechanism of action
|
cleaves beta-lactam ring, thus noncompetitive- inhibits cross-linking of peptidoglycan walls.
combined with penicillin |
|
|
Characteristics of penicillinase resistant penicillins
|
resistant to penicillinase
|
|
|
Characteristics of aminopenicillins
|
susceptible to penicillinase
extended spectrum |
|
|
characteristics of antipseudomonal penicillins
|
susceptible to penicillinase
broader spectrum poor oral absorption |
|
|
Characteristics of 1st gen cephalosporins
|
good against G+
poor G- No CNS |
|
|
Characteristics of 2nd generation cephalosporins
|
increased G-, less G+
increased beta-lactamase resistance |
|
|
Characteristics of 3rd generation cephalosporins
|
low G+, broad G-
Penetrates CNS |
|
|
Characteristics of 4th generation cephalosporins
|
More G+ activity than third gen
|
|
|
is vancomycin a beta-lactam?
best target? |
NO
most potent against staphylococci |
|
|
fluorinated quinolones
|
broad spectrum bacteriocidal
|
|
|
Sulfonamides
|
broad spectrum bacteriostatic
|
|