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16 Cards in this Set

  • Front
  • Back
this generation of cephalosporin has gram positive and modest gram negative activity
1st
this generation of cephalosporin has increased stability to hydrolysis by B-lactamase
4th
this generation of cephalosporin has less activity against gram positive bacteria than the first gen, but has broad-spectrum activity against most gram negative bacteria
3rd
this generation of cephalosporin has better activity against gram negative bacteria and some of them have anti-anaerobe activity with limited activity against gram positive
2nd
This Class of Penicillin is active against gram positive bacteria
natural pencillin:

Pen G
This Class of Penicillin:

active against gram pos, resistanc to penicillinase
Penicillinase-Resistant
This Class of Penicillin:

active against gram positive and some gram negative bacteria
Aminopenicillin
This Class of Penicillin

Ampicillin-like spectrum plus activity against some gram neg bacteria
Carboxypenicillins
This Class of Penicillin
more active against Pseudomonas and Klebsiella and anaerobes
Ureidopenicillins
glycopeptide produced by streptococcus orientalis

used to treat sepsis or endocarditis caused by MRSA staphylococcus (gram positive)
Vancomycin
T/F

Vancomycin binds to the D-Ala - D-Ala terminus of pentapeptide that is linked to NAM. This sterically interfes with elongation of the peptidoglycan chain.
True
T/F

Vancomycin can be prescribed and dispensed in your local community pharmacy for infections.
False, it is very toxic and hard to administer..has to be admin IV
T/F

Vancomycin is a beta-lactam antibiotic that inhibits bacteria cell-wall synthesis
False..it is a glycopeptide
How does a bacteria become resistant against vancomycin?
D-Ala-D-Ala is replaced by D-Ala-D-lactate. Vancomycin's affinity to this is very low
T/F

Non-Classical b-lactams all contain a B-lactam ring, and are NOT resistant to B-lactams
False..they ARE resistant.
B-lactamase inhibitors do not have high intrinsic antibacterial activity..but what do they do?
inhibit most plasmid-mediated penicillinases found in gram negative bacteria..used to extend spectrum of pencillins which are susceptible to penicillinase

eg) clavunic acid + amoxicillin= Augmentin