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UT Houston- Med Micro B1
Antibiotics from B1
10
Other
Professional
01/22/2007

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Term
Rifampin
Definition
Inhibits RNA polymerase enzyme. Bactericidial.

Resistance is due to altered target. RNA Poly mutates to ensure that rifampicin doesn't bind
Term
Polymixins
Definition
Cyclic polypeptides that disrupt the phospholipid structure of the cytoplasmic membrane. They are toxic and bactericidial.
Term
Quinolones
Definition
Block DNA gyrase enzyme that is necessary for bacterial replication. Resistance is acquired by altered the target (changing the gyrase), altering the uptake (decrease the expression of a porin on the outer membrane-->reduces uptake), and altered uptake (pump quinolones out of the cell). No plasmids to date!
Term
Sulfamides
Definition
Inhibit dihydropteroate synthetase in folic acid synthesis. No folate= no bacterial growth. Bacteriostatic. Resistance is aquired y altering the target. The new enzyme dihydropteroate synthetase is often encoded on a plasmid.
Term
Trimethoprim
Definition
Act very similar to Sulfa drugs but inhibit a later step in folic acid synthesis. Bacteriostatic. Resistance is acquired by altering the target to a new enzyme that doesn't bind the antibiotic. This enzyme is plasmid encoded.
Term
Oxaolidinones
Definition
AKA Linezolid. Binds to the 50s subunit and prevents it from making a mRNA/30s complex. Reserved to use against MRSA and Enterococcus.
Term
Chloramphenicol
Definition
Binds to the ribosome and inhibits translation elongation. Bacteriostatic. Resistance is from inactivating the -OH group on the drug,and altering the uptake (some Gram -s do this)
Term
Lincosamides
Definition
Aka Clindomycin. Blocks translocation of the protein by binding to the 50s exit tunnel. Acts similar to Macrolides. Resistance is provided by methylated the 23s rRNA binding. This is plasmid encoded.
Term
Macrolides
Definition
AKA Erythromycin, Azithromycin. Blocks Translocation of protein. Bacteriostatic. Altering the target via methylation of 23srRNA leads to resistance. This is plasmid encoded. Broad spectrum antibiotic.
Term
Tetracyclines
Definition
Examples: Tetracycline, Doxycycline, Minocycline. Broad spectrum active against Gram + and Gram -. Prevent binding of aminoacyl tRNA to the mRNA ribsome complex. Resistance is acquired by decreasing permeability and making a protein that binds to tetracycline
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