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47 Cards in this Set
- Front
- Back
- 3rd side (hint)
useful in treating penicillinase resistant bacteria
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methicillin
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beta-lactam/penicillin
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penicillin + Beta-lactam inhibitor
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augmentin
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beta-lactam/penicillin
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these drugs are given if patient has penicillin allergies & is resistant to beta-lactamases
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carbapenems & monobactams
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beta-lactam
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inhibits formation of glycan chains; doesn't cross lipid membrane therefore gram (+) only
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vancomycin
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beta-lactam
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inteferes with peptidoglycan precursors
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bacitracin
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beta-lactam
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effective against enterobacteriaceae
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monobactams
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beta-lactam
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example of broad spec cephalosporin
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cephalexin
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beta-lactam/1st generation ceph
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this class of drugs have chemical structures that make them resistant to inactivation by certain β-lactamases
Tend to have low affinity to penicillin-binding proteins of Gram (+) bacteria |
cephalosporins
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beta-lactam
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this class:
Irreversibly binds to 30S ribosomal subunit Causes distortion and malfunction of ribosome Blocks initiation translation Causes misreading of mRNA |
aminoglycosides
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what are possible side effects of aminoglycosides?
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nephrotoxicity & ototoxicity
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gentamycin is an example of _______ (class)
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aminoglycosides
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streptomycin is an example of ____ (class)
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aminoglycosides
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tobramycin is an example of _____ (class)
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aminoglycosides
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what class
Reversibly bind 30S ribosomal subunit Blocks attachment of tRNA to ribosome Prevents continuation of protein synthesis |
tetracyclines
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Tetracyclines are (broad/narrow) spectrum antibiotics.
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broad
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What class is used as the drug of choice for patients with penicillin allergies?
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Macrolids
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This class
Reversibly binds to 50S ribosome Prevents continuation of protein synthesis |
Macrolids
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This class is effective against variety of Gram (+) organisms and those responsible for atypical pneumonia
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Macrolids
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Erythromycin
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Macrolid
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clarithromycin
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Macrolid
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azithromycin
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macrolid
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This drug binds to 50S ribosomal subunit & Prevents peptide bonds from forming and blocking proteins synthesis
Used as last resort for life-treatening infections |
chloramphenicol
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This class
Binds to 50S ribosomal subunit Prevents continuation of protein synthesis Inhibits variety of Gram (+) and Gram (-) organisms Useful in treating infections from intestinal perforation (Especially effective against Bacterioides fragilis and Clostridium difficile) |
Lincosamides
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Clindamycin
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Lincosamides
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Newer class of antimicrobials that bind 50S ribosomal subunit & interfere with initiation of proteins synthesis
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Oxazolidinones
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Bonds to two different sites on 50S ribosomal subunit
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Streptogramins
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Synergistic combination of quinupristin and dalfopristin
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Synercid
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This class
Effective against variety of Gram (+) bacteria Especially those resistant to β-lactams and vancomycin |
Streptogramins
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inhibit topoisomerase gyrase
broad spec |
Fluoroquinolones
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ciprofloxacin
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Fluoroquinolone
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ofloxacin
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Fluoroquinolone
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rifampin
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Rifamycin
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Block prokaryotic RNA polymerase
Block initiation of transcription |
Rifamycins
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used to treat mostly gram (+), Mycobacterium TB, Hansen's disease & those exposed to N. meningitis
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Rifampin
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Rifamycins
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inhibit growth by competitive inhibition of PABA
broad spec |
sulfonamides
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PABA is an enzyme required for ____
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folic acid synthesis
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the resistance for both sulfonamides & _____ are usually on the same plasmid
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trimethoprim
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1st aid skin ointment; binds to gram (-) membrane
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polymixin B
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1st line drugs used to treat Myco TB (list all 5)
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Think: (RIPES)
Rifampin Isoniazid Pyrazinamide Ethambutol Streptomycin |
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quantitative test used to determine minimum effective dose
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MIC
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qualitative test used to determine susceptibility of antibiotic; utilizes a zone of inhibition
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Kirby-Bauer disc diffusion/ disc diffusion test
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qualitative test that uses a strip with a gradient concentration of the antibiotic; utilizes a zone of inhibition
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E-test
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these two drugs block uncoating of flu virus
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amantadine, rimantadine
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this class of antivirals get phosphorylated & then incorporated during transcription causing termination
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nucleoside analogs
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Zidovudine (AZT)
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nucleoside analogs
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didanosine (dal)
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nucleoside analogs
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lamivudine (3TC)
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nucleoside analogs
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