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Antibiotic
Antibiotic Choices
49
Medical
Graduate
08/17/2010

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Cards

Term

3 hours

 

*half of the dosing time fram

Definition
If a drug is given every 6 hours, how long should the drug last?
Term
Concentration dependent
Definition
What term describes when we are just worried about the level of concentration of a drug?
Term
The duration or exposure
Definition
With time dependent killing with antimicrobial drugs what are we trying to optimize?
Term
125
Definition
Gram (-) enteric pathogens have optimal clinical outcomes wen the ratio of AUC to MIC is above what?
Term
30-40
Definition
Gram (+) bacteria have optimal outcomes when the ratios of AUC to MIC are around what numbers?
Term
Penicillins
Definition
What type of antibiotics are usually safe in pregnant women?
Term

Surgery

 

*cannot use abx on abcesses b/c they cannot penetrate the abcess

Definition
What type of treatment would you use for an abcess?
Term
Empiric Treatment
Definition
What type of treatment is usually the inital first choice when you want to cover all of the bases?
Term
Polymicrobial Infection
Definition
What type of infection has multiple organisms?
Term

Penicillins

Cephalosporins

Monobactams

Carbapenems

Definition
What are the 4 beta-lactam antibiotics?
Term
Inhibit cell wall synthesis
Definition
What is the mechanism of action of all Beta-Lactam antibiotics?
Term
Penicillin V
Definition
What is the only type of penicillin used orally?
Term
30 minutes
Definition
How long is the half life for penicillin?
Term
Penicillin
Definition
What antibiotic is used as first line treatment for pasteurella multocida (animal Bites)?
Term
Penicillin G
Definition
What is the most active antibiotic against most strep?
Term

Nafcillin

(Penicillinase-Resistant PCN)

Definition
What type of penicillin is metabolized by the liver?
Term
Aminopenicillins
Definition
What type of penicillins is most active against E.coli, Shigella, Salmonella (gram (-) bacteria)?
Term
Extended-Spectrum penicillins
Definition
What type of penicillins are destroyed by beta-lactamases and are most active against Klebsiella, Enterobacter, Serratia, & Proteus?
Term
Carbenicillin
Definition
Which penicillin can cause hypokalemia and platelet dysfunction?
Term
Piperacillin
Definition
Which penicillin is most active against P. aerug.?
Term
Betalactamase Inhibitors
Definition
What type of antibiotics inhibit plasmid-mediated rather than chromasomally-mediated enzymes?
Term
1st Generation Cephalosporins
Definition
What type of abx is commonly used for surgical prophylaxis?
Term

Gram (+): 1st and 4th generation

Gram (-): 3rd generation

Definition
Which generation of Cephalosporins is most active against Gram (+) bacteria? and Gram (-) bacteria?
Term
Cefoxitin
Definition
What cephalosporin is active against anaerobes including bacteroidis fragilis?
Term
3rd Generation
Definition
Which generation of cephalosporins are best in penetrating the CSF?
Term
Ceftadizime
Definition
Which cephalosporin is most active against P. aerug.?
Term
Aztreonam
Definition
What is the drug of choice for a person resistant to penicillins and active against gram (-) bacteria?
Term
Carbapenems
Definition
What is the drug of choice for Enterobacter?
Term
Seizures
Definition
What is the most worrysome side effect of Carbapenems?
Term
Interstitial Nephritis
Definition
What is the adverse reaction to Beta-lactams that is an allergic reaction that manifests itself in the kidney?
Term

Glycopeptides

 

*ie. vancomycin, teichoplanin

Definition
What type of abx is effective against MRSA, VRE, VISA, VRSA and is an alternative for PCN allergic patients?
Term
Anaerobes
Definition
Entry into bacteria is oxygen-dependent for Aminoglycosides, this means it is NOT active against what kind of bacteria?
Term
Gram (-) bacteria
Definition
What are Aminoglycosides most active against?
Term
Aminoglycosides
Definition
What type of abx toxicity causes ototoxicity and nephrotoxicity?
Term
Quinolones
Definition
What type of abx inhibit DNA gyrase?
Term
Quinolones
Definition
What type of abx is good against S. pneum. including PRSP but NOT effective against MRSA?
Term
TMP/SMX
Definition
What is the drug of choice for PCP?
Term
TMP/SMX
Definition
What type of abx toxicity causes an allergy known as Steven-Johnson?
Term
Macrolides
Definition
What type of abx have a GI side effect of increased motility?
Term

Macrolides

 

*Clarithromycin/Azithromycin

Definition
What abx are used for the treatment of chlamydia urethritis & cervicitis and also have a long HL?
Term
Clindamycin
Definition
What is used in addition to quinolones to treat infections in the mouth, aspiration pneumonia, and pelvic infections?
Term
Tetracyclines
Definition
What type of abx have toxicity side effects of GI and photosensitivity?
Term
Metronidazole (Flagil)
Definition
Used to treat C. difficile instead of oral vancomycin b/c it is more effective and cheaper. 
Term
Inhibit protein synthesis
Definition
What is the mechanism of action of Synercid?
Term
Synercid & Linezolid (Zyvox)
Definition
Which abx is effective against E. faecium including VRE strains?
Term
Rifampin
Definition
Which antimycobacterial Rx causes an orange discoloration of urine?
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