Antifungals (part 5) Flashcards

1
Q

Ketaconazole is used in which type of infections?

A

systemic fungal infections, severe recalcitrant dermatophyte infections that are unresponsive to topical

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2
Q

Fluconazole is used in which type of infections?

A

candidiasis, vagina, cryptococcal menigitis

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3
Q

Itraconazole and Terbinafine are used in which type of infections?

A

onychomycosis

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4
Q

Friseofulvin is used in which type of infections? (and not)

A

PO only, ring worm, NOT used with candidiasis

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5
Q

what does yeast look like?

A

unicellular fungi, round, oval

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6
Q

how does yeast reproduce?

A

budding

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7
Q

how does mold reproduce?

A

branching and longitudinal extension

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8
Q

what does mold look like?

A

multicellular colonies composed of tubular structures

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9
Q

Dimorphism

A

yeast or mold depending on environmental conditions

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10
Q

Mycosis

A

presence of parasitic fungi in or on body

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11
Q

are azoles fungistatic or fungicidal?

A

static

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12
Q

How do azoles destroy fungi?

A

inhibits ergosterol synthesis which inhibits cell growth and replication

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13
Q

How does Griseofulvin work?

A

it is deposited in keratin of diseased tissue making it resistant to fungal infection, bad tissue is eventually replaced with healthy tissue

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14
Q

which category are azoles?

A

c

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15
Q

how often do we do LFTs with azoles?

A

baseline and Q2 weeks x2 months then Q1-2 months

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16
Q

what are we assessing for with azoles?

A

s/s of hepatitis: fatigue,anorexia

17
Q

what extra symptoms can ketoconazole cause?

A

adrenal suppression

18
Q

what extra symptoms can itraconazole cause?

A

hypokalemia and secondary afib

19
Q

how do you assess response to treatment?

A

repeat cultures

20
Q

How should you take azoles?

A

with food

21
Q

what if you are on antacids, H2 blockers, PPIs or anticholinergics?

A

take them 2 hours after meds

22
Q

Do triazoles cross the blood brain barrier?

A

yes