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Antibiotics
n/a
40
Microbiology
Post-Graduate
04/06/2011

Additional Microbiology Flashcards

 


 

Cards

Term
B-lactams
Definition
penicillins, cephalosporins, monobactam, carbapenems
Block Cell Wall Synthesis
Term
non B-lactams
Definition
vancomycin, bacitracin, other
Term
B-lactam Mechanism
Definition
Inhibit transpeptidation and activate autocatalytic enzymes; weakens PG cell wall causing osmotic imbalance/lysis
Term
B-lactamase inhibitors
Definition
Clavulonic acid, sulbactam, tazobactan
Term
Natural Penicillins
Definition
Pen G and V (acid stable)
active against Gram +; some Gram - resistance via penicillase
Term
Penicillase-resistant
Definition
Oxacillin, nafcillin, cloxacillin, methicillin (kills Staph aureus)
Term
Amino-penicillins
Definition
ampicillin, amoxicillin (more active against Gram- than natural penicillins
Term
Extended spectrum penicillins
Definition
pepercillin, ticarcillin
Active against Gram- rods including Pseudomonas
Term
Cephalosporins 1st generation
Definition
Cephalexin, cefazolin
non-life threatening infections/prophylaxis; susceptible to lactamases from Gram-; narrow spectrum
Term
2nd Generation Cephalosporins
Definition
Cefuroxime, Cefoxitin
Increased activity against Gram -
More resistant to B-lactamases
Term
3rd generation Cephalosporins
Definition
Ceftriaxone, cefooperazone
Broad spectrum/good CNS penetration
Term
4th generation cephalosporins
Definition
Cefepime
broadest spectrum against Gram+/-
resistant to B-lactamases
Term
Monobactams
Definition
Azteonam
resistant to B-lactamases
effective against Gram- (esp Enterobact.) but not Gram+
Term
Carbapenems
Definition
Imipenem, meropenem, ertapenem
broadest spectrum (gram+/-); resistant to B-lactamases; TOXIC
Term
non B-lactams
Definition
Vancomycin, Bacitracin, others
Term
Vancomycin
Definition
glycopeptide antibiotic; blocks transglycosylation by binding to PG amino acid side chains; Kills Gram + (esp. penicillin resistant staph)
Term
Bacitracin
Definition
blocks dephosphorylation of bactoprenol;; Kill Gram +; administer topically
Term
Other
Definition
cycloserine D-alanine, isoniazid, ethambutol, ethionamide
For acid fast bacteria
Term
cycloserine D-alanine
Definition
analog blocks cell wall synthesis
Term
Isoniazid
Definition
inhibits mycolic acid synthesis
Term
Ethambutol
Definition
inhibits arabinogalactan synthesis
Term
ethionamide
Definition
inhibits mycolic acid synthesis
Term
Polymyxin B
Definition
Against Gram-
damages bacterial plasma membrane
Term
Daptomycin (cubicin)
Definition
against Gram+ cocci
Lipopeptide that depolarizes membrane
Term
Quinolones/fluoroquinolones
Definition
ciproflaxin, moxifloxin, gatifloxacin
Targets DNA gyrase; against Gram +/- aerobes and fac. aerobes
Term
Rifamycins
Definition
Rifampin, rifabutin, rifaximin
inhibits RNA polymerase; against Gram+ and some Gram-; prophylaxis for Neisseria meningitis/H. influenza type B
Term
Nitroimidazole
Definition
metronidazole and tinidazole
Damages DNA; kills anaerobic bacteria, fungi, and parasites; Given with B-lactam
Term
Antimetabolites
Definition
sulfonamides, trimethoprim
Term
Sulfonamides
Definition
SMX, dapsone
inhibits folate synthesis
against Gram+/-; use for UTI's,
allergies common
Term
Trimethoprim
Definition
TMP
inhibits folate synthesis by inhibiting dihydrofolate reductase
Term
TMP and SMX
Definition
both act on folate synthesis
kills Gram +/- cocci or bacilli but not anaerobes
Term
Aminoglycosides
Definition
streptamycin, gentamycin, amikacin
Binds 30S subunit; blocks initiation of protein synthesis
Term
Aminoglycosides
Definition
streptamycin, gentamycin, amikacin
Binds 30S subunit; blocks initiation of protein synthesis; against aerobes and fac. aerobes; resistance is slowly developed.
Term
Tetracyclines
Definition
tetracycline, doxycycline, tigercycline
Binds 30S subunit, stops elongation;
bacteriostatic against some Gram +/- rods and cocci, aerobes, anaerobes, cell wall deficient microbes
Toxicity to bones/teeth and GI
Term
Chloramphenical
Definition
Binds 30S, inhibits peptide bond formation by blocking peptidyl transferase; bacteriostatic against Gram+/- ; Toxic
Term
Macrolides
Definition
erythromycin, azithromycin, telithromycin;
Binds 50S subunit, blocks translation and/or inhibits peptide bond formation;
bacteriostatic against Gram+/- and some intracellular;
Term
Linkosamides
Definition
Clindamycin; Binds 50S subunit, inhibits peptide bond formation; Useful against VREF, MRSA and MSSA
Term
Streptogramins
Definition
Quinupristin & dalfopristin
Bind different sites on 50S; bacteriostatic separately/bacteriocidal together. Block peptide elongation and peptidyl transferase; Use against Gram+, VREF and Vancomycin resistant Staph
Term
Methenamine & Nitrofurantoin
Definition
UTI's
Term
Pyrazinamide
Definition
mycobacterium
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