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12 Cards in this Set

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  • Back
Name the five beta-lactam antibiotic classes
1. Penicillin
2. Cephalosporins
3. Carbapenems
4. Monobactams
5. Beta-Lactamase Inhibitors
How do beta-lactam antibiotics work?
Disrupt peptidoglycan cross-linkinking in bacterial cell wall. Structural analog.
What three ways do bacteria resist beta-lactam antibiotics?
1. Beta-lactamase production
2. Altered Penicillin-Binding Proteins
3. Impenetrable to antibiotic, or efflux pumps
Which penicillins are used for gram-positive organisms?
PCN-G and V. If resistant withi penicillinase, Dicloxacillin
Which penicillins are used for gram-negative organisms?
Aminopenicillins: Ampicillin, Amoxacillin
What common penicillin includes an inhibitor?
PCN/Beta-Lactamase Inhibitor: Amoxacillin-Clavulanate (Augmentin)
What are the six antibiotic drug classes that block bacterial protein synthesis?
1. Linezolid
2. Aminoglycosides
3. Tetracyclines
4. Clindamycin
5. Streptogrammins
6. Macrolides
You've converted your PPD, but don't have active TB. What drug do you use first?
Isoniazid (INH)
What drugs don't work against MTB?
Beta lactams (MTB has no peptidoglycan)
What gives MRSA its drug resistance?
MRSA's beta lactam resistance comes from the mecA gene, encoding Altered Penicillin Binding Proteins
How does Vancomycin work?
Class: Glycopeptide Antibiotic
Mech: Prevents cell wall synthesis
Use: MRSA, enterococcus, C. difficile
What are the MRSA drugs?
Vancomycin, daptomycin, linezolid