Final - Chapter 20 Flashcards
Drugs that inhibit cell wall synthesis
- penicillin
- cephalosporins
Penicillins mostly work for:
gram positive bacteria
Mechanism of Penicillin
prevents cross linking of peptidoglycans which interferes with the final stages of cell wall construction
Penicillin G requires
injection
Penicillin V
can be taken orally
Mechanism of cephalosporins
same as penicillin
Drawback of cephalosporins
expensive because they must be purified
Adverse effects of cephalosporin
mild GI tract problems
Drugs that inhibit protein synthesis
- chlorampinicol
- erythromycin
- tetracyclin
- streptomycin
Mechanism of chloramphenicol
Binds to 50s subunit and inhibits formation of growing polypeptide chain
Adverse effects of chloramphenicol
- suppression of bone marrow activity
- Immune system failure
- Gray baby
- Aplastic anemia
mechanism of erythromycin
acts on 50s subunit and stops translocation. Blocks tunnel.
erythromycin treats
streptococcal and staphylococcal infections
adverse effects of erythromycin
mild GI disturbance in 2-3% of population
Benefit of tetracycline
works for both gram positive and negative
mechanism of tetracycline
Acts on 30s subunit. Affects translation by interfering with attachement of tRNA carrying the amino acids.
Tetracycline is used for
UTIs, mycoplamsa pneumoniae, chlamydia and rickettsia, also used in animal feed for weight gain
Adverse effects of tetracycline
sever diarrhea, fungus superinfection, liver and kidney failure during pregnancy, brownish dicolouration of teeth in children, abnormal skull and bone development in fetus
Mechanism of streptomycin
acts on 30s subunit. Changes the shape of mRNA and the code is read wrong (as a stop codon or not at all)
Adverse effects of streptomycin
kidney failure in stand alone uses and deafness