Antibacterial Flashcards

(39 cards)

1
Q

What mold is penicillin derived from?

A

Penicillium notatum

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2
Q

2 examples of semisynthetic antibacterials

A

Cephalosporins
Carbapenems

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3
Q

3 examples of Synthetic antibacterials

A

Trimethoprim
Linezolid
Quinolones

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4
Q

State 3 diseases that require bacteri[cidal] drugs

A

Infective endocarditis
Meningitis
Osteomyelitis

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5
Q

What does MLC stand for ?

A

Minimum lethal concentration

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6
Q

What does MIC stand for?

A

Minimum Inhibitory concentration

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7
Q

What is empirical therapy?

A

Treating the infection before culture results based on experience

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8
Q

3 side effects of antibiotic misuse

A

Steven Johnson syndrome
Nephrotoxicity
Clostridium difficile infection

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9
Q

What enzymes do cell wall synthesis inhibitors work on ?

A

Transpeptidase Carboxypeptidase

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10
Q

What are the types of cell wall inhibitors

A

Vancomycin
Bacitracin
B-lactams

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11
Q

4 examples of B-lactams

A

Penicillin
Carbapenem
Cephalosporins
Monobactam

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12
Q

5 Protein synthesis inhibitors

A

Tetracyclines
Aminoglycosides (bacteriocidal)
Chloramphenicol
Macrolides
Clindamycin

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13
Q

3 folate synthesis inhibitors

A

Sulfonamide
Trimethoprim
((Co-trimoxazole))

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14
Q

2 nucleic acid synthesis inhibitors

A

Rifampicin
Quinolones

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15
Q

3 types of Quinolones

A

Nalodixic acid
Ciprofloxacin
Oxolinic acid

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16
Q

How do genetics affect antimicrobial resistance?

A

Chromosomal mutation
Genetic transfer

17
Q

What mechanism did streptococcus pneumonia use to become resistant to penicillin ?

A

Modification of target (Sequence mutation)

18
Q

What are the 3 mechanism of modifications of target

A

Target bypass
Target hyper-production
Sequence mutation

19
Q

What mechanism does MRSA use?

A

Modification of target (target bypass)

20
Q

What antibiotics are normal B-lactamases resistant to?

A

Penicillin & Cephalosporins

21
Q

What antibiotics are extended spectrum B-lactamases resistant to?

A

Penicillin
Cephalosporin
Monobactams

22
Q

What does the combo: Penicillin + Clavulanic acid called

A

Co-amxoiclav / Augmentin

23
Q

Which bacteria have ESBL?

A

Enteric bacteria

24
Q

4 examples of B-lactamase inhibitors

A

Clavulanic acid
Tazo-, Sul-, Avi- Bactam

25
Which Microbes are Carbapenemase resistant?
Enteric G-
26
What Antibiotics are Acetylating, Adenylating & Phosphorylating enzymes (produced by G-) bacteria resistant to?
Aminoglycosides Chloramphenicol
27
Which MOs have a strain resistant to Vancomycin?
Enterococci & S. Aureus
28
How does MTB resist Isoniazid?
Mutation in catalase peroxidase gene
29
Which antibiotic is resisted by increasing efflux?
Sulfonamides (transport system)
30
Which antibiotic is resisted by decreasing permeability ?
Aminoglycosides
31
Which gene codes for PBP
MecA
32
How does MRSA resist Methicillin?
By switching PBP for PBP2A
33
What does AST stand for?
Antibiotic sensitivity test
34
What are the 2 Antibiotic sensitivity tests?
Tube dilution & disk diffusion
35
What is Kirby bauer test?
Another name for disk diffusion
36
Who invented penicillin?
Alex fleming
37
What is antimicrobial stewardship ?
Coordinated antimicrobial appropriate use program (not important)
38
Give 2 types of Carbapenems
Meropenem & Imipenem
39
What is an example of a monobactam?
Aztreonam