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15 Cards in this Set

  • Front
  • Back
What species is vancomycin used against?
MRSA & enterococcal infections
What mechanism does vancomycin use? How does resistance develop?
prevents elongation of peptidoglycan and cross linking
resistance develops if d-ala binding site modified
Coverage of vancomycin
gram + only
useful against methicillin & penicillin resistant s. aureus, and for people with penicillin allergies
how is vancomycin administered?
IV for systemic infections or orally for GI infections caused by staph or c. diff
What are side effects of vancomycin?
ototoxic
nephrotoxic
red man
What mechanism does fosfomycin use?
inhibits NAG to NAM reduction
coverage of fosfomycin
gram +
gram -
How is fosfomycin administered & excreted?
orally
kidney excretion
What is a clinical use for fosfomycin?
megadose for uncomplicated UTIs
What mechanism does bacitracin use?
inhibits cell wall synthesis by interfering with final dephosphorylation step
bacitracin coverage
gram + bacteria
can be combined with neomycin & polymyxin which have gram - activity
How is bacitracin excreted?
kidney
What mechanism does cycloserine use?
inhibits cell wall synthesis by inhibiting attachment of peptide chain to peptidoglycan unit
*bactericidal or bacteriostatic
What is the clinical use for cycloserine?
2nd line, broad spectrum treatment of extrapulmonary TB & UTIs
What side effects are associated with cycloserine?
serious CNS