exam 1 Flashcards
(105 cards)
Bacteriostatic
drugs that keep bacteria in the stationary phase
Bacteriocidal
drugs that kill bacteria cells
Beta lactams
a class of antibiotics that are active cell wall agents through the inhibition of transpeptidases and transglycosylases which function to build/maintain murein (peptidoglycan), cause cell membrane extrusion and disruption- bacteriocidal
Include Penicillins, Cephalosporins, and Carbapenems
Penicillins
A beta lactam that primarily functions to destroy Gram positive microbes, with much better activity against anaerobes
Ampicillin has added activity against a few gram negative aerobes and peperaciliin has yet more added gram negative coverage
Beta-lactamase inhibitor
added to some beta lactams to broaden the spectrum of impact. Competitively inhibit some beta-lactamse enxymes that confer resistance
Ex: Amoxicillin + Clavulanic Acid
Ampicillin and Sulbactam
Cephalosporins
a class of beta lactams with a spectrum of activity that varies by generation. 1st generation is gram positive with very few gram negative. With each generation increasing spectrum increases to be more gram negative and less gram positive
Cefazolin & Cephalexin
beta lactams, 1st generation cephalosporins that have high impact to gram + and very few gram -
Cefoxitin & Cetotetan
beta lactams, 2nd generation cephalosporins that have medium impact to gram + and more impact to gram -
Ceftiofur & Ceftazidine
beta lactams, 3rd generation cephalosprins that have less impact to gram + and more impact to gram - than generation two
Carbapenems
beta lactams that are used with huge restriction, called the big guns
Imienem and Meropenem
Potent- 4 quadrant activity
Limited veterinary medicine use because of antibiotic resistance worry
Sulfonamides
DNA synthesis inhibitors that work through inhibiting folate biosynthesis through dihydropterate synthesis
Include Sulfadimethoxine and Sulfamethoxazole, which are bacteriostatic unlss they are combined with Trimethoprim
Trimethoprim
Combined with Sulfonamides (Sulfadimethoxine/ Sulfamethoxazole) to allow them to be bacteriocidal
Targets both + and - but very strongly aerobes
Not practically useful for anaerobes
Nitroimidazoles
A DNA synthesis inhibitor that acts through strand breakage (bacteriocidal) Spectrum: Only works on anaerobes and some protozoa- can be gram + or -
off limits to food animals
Metronidazole
a nitroimidazole, which acts as a DNA synthesis inhibitor through strand breakage. only works for anaerobes (gram + or -) not for use on food animals
Fluoroquinolones
A DNA synthesis inhibitor that acts through DNA gyrase and topoisomerase IV (enzymes that unwind DNA for replication) - Bactericidial
strong activity against gram - aerobes only and also some mycoplasma species activity
include Enrofloxacin, Danofloxacin, and pradofloxacin
Protein Synthesis Inhibitors
Act to inhibit protein inhibitors either through the small 30S subunit, large 50S subunit or complete 70S ribosome
All are bacteriostatic except for Aminoglycosides (gentamicin)
Aminoglycosides
A protein synthesis inhibitor that acts to prevent binding to the 30S small ribosomal subunit. Include gentacin and Amikacin. Since its uptake into the cell is oxygen dependent, only works on aerobes and best on gram negatives
Macrolides/lincosamides
protein synthesis inhibitors that act through the 50S large subunit to prevent transpeptidation
spectrum varies by agent but generally doesnt work well on gram negative and much better from gram positive, stronger on gram positive aerobes
some activity against mycoplasma
Erythromycin and clindamycin
Acetamides
protein synthesis inhibitors that act through the 50S large subunit to prevent transpeptidation- bacteriostatic
also called phenicols
Chloramphenicol and Florfenicol
Has activity in all 4 quadrants
Chloramphenicol also has mycoplasma spp activity
Tetracyclines
prevent binding to 30S small ribosomal subunits - bacteriostatic
includes Chlortetracycline & Florfenicol
have activity in all 4 quadrants and mycoplasma spp activity
What species have activities against mycoplasma spp.
Tetracycline, Chloramphenicol, Fluoroquinolones, and some macrolides
Acquired Resistance
resistance gained due to the acquisition of exogenous genes via mobile DNA elements or mutations
Mobile elements can be incorporated through
a) Free DNA transformation –> recombination
b) Bacteriophage Transduction and transposable element to transpostion
c) plasmid conjugation–> transposition and recombination
mechanisms of resistance to antibiotic
-Drug can be inactivated by acquired bacterial enzymes ex: beta lactamses
-Modification and changes in drugs targets. example: if DNA gyrase mutation acquired- fluoroquinolones cant bind
-Changes that prevent access to the cell like mutations in transmembrane proteins changes
-efflux pumps: changes in transmembrane proteins that can export the drug out of the cell
Intrinsic resistance
resistance due to inherent metabolic attributes of the organism