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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