Antibiotic agents Flashcards

(38 cards)

0
Q

Bacteriostatic Antibiotics

A

We’re ECSTaTiC about bacteriostatics

Erythromycin
Clindamycin
Sulfamethoxazole
Trimethoprim
Tetracycline
Chloramphenicol
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1
Q

Bactericidal Antibiotics

A

Very Finely Proficient At Murder

Vancomycin
Fluroquinolones
Penicillins
Aminoglycosides
Metronidazole
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2
Q

MOA of Penicillin

A

binds to PBPs

inhibits transpeptidation in bacterial cell walls

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3
Q

Describe the antimicrobial coverage of extended spectrum penicillins

A
Amoxicillins HELPS kill Enterococci
H. influenzae
E. coli
L. monocytogenes
Proteus
Salmonella
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4
Q

Treatment for Psuedombranous colitis

A

DOC: metronidazole

next line: Vancomycin (oral)

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5
Q

Microbial Coverage of 1st Gen Cephalosporins

A

+PEcKs FIRST

Gram+
Proteus
E. coli
Klebsiella pneumoniae

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6
Q

First Gen Cephalosporins

A

FADer help me FaZ my PHarmacology boards!

CeFADroxil
CeFAZolin
CePHalothin
CePHapirin
CePHradine
CePHalexine
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7
Q

Microbial Coverage of 2nd Gen Cephalosporins

A

HEN PEcKS

H. Influenzae
Enterobacter Aerogenes
Neisseria spp

Proteus Mirabilis
E. coli
K. Pneumoniae
Serratia marcescens

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8
Q

2nd Gen Cephalosporins

A

In a FAMily gathering, you see your FOXy cousin wearing a FUR coat and drinking Tea

CeFAMandole, CeFOXitin, CeFURoxime, CefoTEtan

FAC, LORA the PROfessional AZhOLE is still on the FONe

CeFAClor, LORAcarbef, CefPROzil, CefmetAZOLE, CeFONicid

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9
Q

3rd Generation Cephalosporins

A
FEnge PO ng PERA to fix my TTTTTV
CeFEtamet
CefPOdoxin
CefoPERAzone
CeFIXime
CefTriaxone
CefTazidine
CefoTaxime
CefTizoxime
CefTibuten
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10
Q

2nd Gen Ceph that can cross BBB

A

Cefuroxime

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11
Q

Anti- Pseudomonal Cephalosporins

A

CefTAZidime (3rd)
CeFEPime (4th)
CeFOPerazone (3rd)

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12
Q

4th Gen Cephalosporin

A

Cefipime

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13
Q

Mononactam used for resistant beta-lactamases

NO activity against gram positive bacteria or anaerobes

A

Aztreonam

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14
Q

Beta Lactamase Inhibitors

A

Clavulanic acid
Tazobactam
Sulbactam

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15
Q

DOC for MRSA

SE: Red Man syndrome

16
Q

Drugs of Last Resort

A

I AM your Last Shot at Victory

Imipenem
Amikacin
Meropenem
Linezolid
Streptogramibs
Vancomycin
17
Q

Protein Synthesis Inhibitors

A

BUY AT 30, CELLS at 50

30s
Aminoglycosides
Tetracyclines

50s
Chloramphenicol
Erythromycin (Macrolides)
Lincosamides (clindamycin)
Linezolid 
Streptogramins
18
Q

Gray Baby Syndrome
- ashen gray skin
Aplastic anemia (idiosyncratic)

A

Chloramphenicol

19
Q

MOA: block attachment of T-RNA to acceptor site

SE: tooth enamel dysplasia
photosensitivity

NO to milk!

20
Q

Only macrolide that is not a CYP450 inhibitor

21
Q

Causes Pseudomembranous colitis

22
Q

Clindamycin vs Metronidazole

A

both for anaerobic infections

clindamycin - above the diaphragm
metronidazole - below the diaphragm

23
Q

Causes arthralgia-myalgia syndrome

A

Quinopristin-Dalfopristin

streptogramin

24
Postantibiotic effect
Aminoglycosides & flouroquinolone
25
Aminoglycoside w/ Narrowest therapeutic window
Amikacin
26
MOA: bind to 30s ribosomal unit interferes with synthesis of protein synthesis Block formation of initiation complex Cause misreading of code on the mRNA template Inhibit translocation Require O2 transport
Aminoglycosides
27
Aminoglycoside resistance
Plasmid mediated inactivation Amikacin - resistant to many enzyme
28
Aminoglycosides
``` Mean GNATS canNOT kill anaerobes Gentamicin Neomycin Amikacin Tobramycin Streptomycin ``` Are nephrotoxic, ototoxic, teratogens
29
Most vestibulotoxic & nephrotoxic aminoglycosides
Tobramycin | Gentamicin
30
Aminoglycoside used in hepatic encephalopathy | SE: neuromuscular blockade
Neomycin
31
Most ototoxic aminoglycoside
Amikacin, kanamycin
32
MOA: competitive inhibitor of dihydropteroate synthase Resembles PABA
Sulfonamide
33
DOC: P. Jiroveci
Co-trimazole
34
MOA of fluoroquinolones
Inhibits 1) topoisomerase II (DNA gyrase) in gram (-) 2) topoisomerase IV in gram (+)
35
DOC atypical pneumonia
Macrolides
36
SE: tendinitis & tendon rupture
Flouroquinolomes
37
MOA: reactive reduction by ferredoxin forming free radicals that disrup electron transport chain
Metronidazole