Penicillins Flashcards
What is the MOA of Penicillins?
Beta lactam ring will inhibit the last step of bacteria’s cell wall synthesis & will also destroy existing cell wall by bacterial autolysins
Bacteria must have _________ to be susceptible to PCNs.
Peptidoglycan cell walls
PCNs and ________ have synergistic effects when used to together.
Aminglycosides (PCNs break down cell wall for easy entry of ahminoglycosides)
PCNs are the drug that’s most commonly associated with what adverse reaction?
Hypersensitivity (from rash to anaphylaxis)
What adverse reaction to the kidneys can PCNs have?
Acute interstitial nephritis
What are hematologic adverse effects PCNs can have?
Neutropenia & thrombocytopenia
What are 2 other adverse effects PCNs can have?
Seizures at higher doses and diarrhea
What are the natural PCNs made from?
Mold
What are indications for the natural PCNs?
Group A & B strep infections, dental infections, Syphilis
What are the PCNs indicated for staphylococcal skin/soft tissue infections?
Anti-staph PCNs are Oxacillin, Dicloxacillin, Nafcillin, Methicillin
The anti-staph PCNs are not active against what?
MRSA, enterococcus, or gram negatives
What are the 2 aminopenicillins?
Amoxicillin & Ampicillin
Aminopenicillins are known to be active against what 2 specific kinds of infections?
Enterococcus & listeria monocytogenes
Amoxicillin is the drug of choice for what 2 conditions?
Infectious endocarditis prophylaxis & acute otitis media
What are the 2 names of AminoPCNs combined with beta-lactamas inhibitors?
Augmentin & Unasyn