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