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29 Cards in this Set
- Front
- Back
natural penicillins
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inhibit cellwall synthesis
Strep A, B, C, G, Neisseria meningitidis, trepenoma pallidum, clostridium |
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penicllinnase-resistant
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same with side chain that prevents the opening of penicillins
penicillin resistant staff |
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extended spectrum penicllin
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negative bacilli
strep A<B<CandG enterococcus listeria mono\cytigenes proteus mirabilis streptococcus pneumonia |
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carbpxypenicillins
ticarcillin |
P auruginosa
gram negative |
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ureidopenicllin
pirpacil |
gram negaitve klebsiella activity
|
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pencillin plus blactamase inhibitor
ampicillin sulbactam ticarcillin piperacillin |
pseudomonal infecctions
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cephalosporins
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inhibit bacterial cell wall
gram positive strep staph gram negative proteus, ecoki, klebsiella |
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second gen ceph
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gram + strep, staph
gram - H flu, enterobacter, neisseria B. fragilis abdominal infections |
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third gen cep halo
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enterobacter, serratia, citrobacter
ceftazidime gram + less Gram negative Pseudomanas |
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fourth gen cephalosp
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gram + staph, strep
gram neg including pseudomonas |
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fifth gen cephalosp
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gram positive and gram negative
Staph. aureus, pyogenes, S. agalactiae gram neg E.col, K. pneumonia, k. oxytoca gram positive bacteria S. pneumonia, S. aureus gram negative: H. influenza, K. pneumoniae, K. oxytoca, E.coli |
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macrolides
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50 s ribosome
staph strep, atypical, h. flu, moraxella |
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clindamycin
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50 s staph step
B. fragilis, peptococcus, peptostreptococcus |
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metronidazole
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protozoal organisms anaerobic bacteria
C. difficile inhibits a reduction reaction required for anaerobic organism growth |
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doxycycline
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30s gram positive S. pneumoniae
gram - N. meningitidis, E.coli, M. catarrhalis, H. flu atypical riskettsia, borrelia, chlamydia |
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sulfamethoxazole/trimethoprim
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good gram + and -
infibits folic acid synthesis |
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rifampin
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inhbits bacterial DNA dependent RNA polymerase
N. meningitis, H. flu, S. aureus, TB |
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aminoglycosides
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inhibit of bacterial protein syntheism
gram + in conjucion with a beta lactam gram - bacilli |
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vancomycin
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inhibition of cell wall synthesis, time dependent activity
C. difficile colitis |
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quinolones
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inhibits DN gyrase and topoisomerase
gram + cocci, gram - cocci gram - bacilli |
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carbapenems
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bind to bacterial peptides and PBP, inhibit cell wall synthesis
gram + cocci gram - bacilli, aneorobes |
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monobactam
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bind to transpeptidase and PBP's inhibition of cell wal synthesis
gram - coverage only |
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qinupristin/dalfopristin
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act on bacterial ribosomes to inhibit protein synthesis
VRE MRSA |
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linezolid
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bacterial ribosomes ti inhibit translocatioVRE, MRSA
|
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daptomycin
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rapid depolarization of bacterial membrane resulting incell death
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telithromycin
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binds to the 50 s subunit of bacterial ribosomes
s. pneumoniae and s. pyogenes, good activity against H. flu and M. catarrhalis |
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amphotericin B
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binds to ergosterol in fungal call membrane altering permeability and causing call leakage
aspergillus species, candida species and crypococcus species |
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fluconazol
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intereferes with cytochrome P450 activity, cesreasing ergosterol synthesis and inhibiting cell membrane formation
candidiasis and cryptococcal meningitis |
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caspofungin
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inhibits syntheis of beta(1,3)-D-glucan an essential component of the cell wall of susceptable fungi
aspergillus candida andidemai |