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Antibiotics (class-MOA)
Creighton University School of Medicine
25
Medical
Professional
08/13/2013

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Cards

Term
Penicillins (MOA)
Definition
Competitive inhibition of transpeptidase enzyme (penicillin binding proteins) à inhibits cell wall synthesis
Term
Aminopenicillins (MOA)
Definition
Competitive inhibition of transpeptidase enzyme (penicillin binding proteins)  inhibits cell wall synthesis
Term
Penicillinase-R penicillins (MOA)
Definition
Competitive inhibition of transpeptidase enzyme (penicillin binding proteins)  inhibits cell wall synthesis
Term
Carboxy/Ureidopenicillins (MOA)
Definition
Competitive inhibition of transpeptidase enzyme (penicillin binding proteins)  inhibits cell wall synthesis
Term
β-Lactamase inhibitors (MOA)
Definition
inhibits Beta lactams
Term
Cephalosporins - 1st generation (MOA)
Definition
Same as penicillins (β-lactam drugs inhibit cell wall synthesis)
Less susceptible to penicillinases
Term
Cephalosporins - 2nd generation (MOA)
Definition
Same as penicillins (β-lactam drugs inhibit cell wall synthesis)
Less susceptible to penicillinases
Term
Cephalosporins - 3rd generation (MOA)
Definition
Same as penicillins (β-lactam drugs inhibit cell wall synthesis)
Less susceptible to penicillinases
Term
Cephalosporins - 4th generation (MOA)
Definition
Same as penicillins (β-lactam drugs inhibit cell wall synthesis)
Less susceptible to penicillinases
Term
Monobactam (MOA)
Definition
Binds to PBP in GM- only (No GM+ or anaerobe)
Term
Carbapenems (MOA)
Definition
β-lactam
Term
Sulfonamides (MOA)
Definition
TMP inhibits DHF reductase (DHF THF)
SMX is PABA analogue that inhibits dihydropteroate synthase
Overall, they decrease folate and DNA, RNA, and proteins
Term
Floroquinolones (MOA)
Definition
Inhibit bacterial DNA gyrase (topo II) Gm-
or Topo 4 (Gm+)
Inhibits DNA synthesis
BacteriCIDAL
Term
Metronidazole (MOA)
Definition
Metabolized INSIDE anaerobic bacteria and damages DNA
BacteriCIDAL
Term
Polymixins (MOA)
Definition
Cationic basic proteins (detergent) that disrupts osmotic properties of the membrane. Polymixins “mix up” membranes
Term
Aminoglycosides (MOA)
Definition
bactericidal

Synergistic with β-lactam antibiotics b (must diffuse though cell wall) Inhibits 30S
Term
Tetracyclines (MOA)
Definition
bacteriostatic
Inhibit 30S
R. Efflux pumps+ ribosome protection proteins
Term
Macrolides (MOA)
Definition
Inhibit protein synthesis by binding to the 50S subunit (or 23 srRNA)
Bacteriostatic
Term
Lincosamides (MOA)
Definition
Inhibit protein synthesis by binding to the 50S subunit (or 23 srRNA)
Bacteriostatic
Term
Chloramphenicol (MOA)
Definition
Inhibit protein synthesis by binding to the 50S subunit (or 23 srRNA)
Bacteriostatic
Term
Glycopeptides (MOA)
Definition
Inhibits cell wall mucopeptide formation by binding D-ala D-ala portion of cell wall precursors

Bactericidal except for enterococcus
Term
Streptogramins (MOA)
Definition
Inhibits proteins synthesis, both bind to different sites on the 50S subunit
Term
Cyclic lipopeptides (MOA)
Definition
Calcium dependent binding on plasma membrane with depolarization (K+) release and death
Term
Glycylcylines (MOA)
Definition
Inhibit protein synthesis (binds to the 30S subunit)
Term
Oxazolidinones (MOA)
Definition
Inhibits protein synthesis (binds to the 50S subunit) near the 30S subunit, prevents 70S formation (unique)
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