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Antibiotics
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Graduate
02/25/2013

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Term
Blocks transpeptidation reaction necessary for the formation of peptidoglycan cross links
Definition
β - Lactam antibiotics
Term
Targets penicillin binding proteins
Definition
β - Lactam antibiotics
Term
Bacteriocidal, but require actively growing cells to be effective. Thus they are antagonistic with bacteriostatic antibiotics.
Definition
β - Lactam antibiotics
Term
High therapeautic index, inactivated by β-lactamases
Definition
β - Lactam antibiotics
Term
The four types of β - Lactam antibiotics
Definition
Penicillins, Monobactams, Carbapenems, Cephalosporins
Term
β‐lactams, Vancomycin, Bacitracin are all part of this major class of antibiotics
Definition
Cell wall synthesis inhibitors
Term
Action of Clavulanic acid
Definition
β‐lactam that acts as a suicide inhibitor of β‐lactamase
Term
Glycopeptide that blocks cell wall synthesis by blocking release of peptidoglycan precursor from bactoprenol and transglycosylation event, blocking glycan chain extension
Definition
Vancomycin
Term
Bactericidal by disrupting cell wall synthesis, but only effective against gram positive
Definition
Vancomycin and Bacitracin
Term
Innate resistance to this drug is due to differences in the peptidoglycan pentapeptide terminal residues (binds D‐ala‐D‐ala)
Definition
Vancomycin
Term
Cyclic polypeptide that blocks cell wall synthesis by blocking dephosphorylation of bactoprenol pyrophosphate and thus cycling of the bactoprenol carrier
Definition
Bacitracin
Term
Bactericidal cell wall synthesis inhibitor. Only active against Gram positives, but resistance to it is not yet common.
Definition
Bacitracin
Term
Polypeptides that alter the permeability of membranes of susceptible Gram-negative bacteria by interacting with LPS and phospholipids
Definition
Polymyxin, Colistin
Term
Outer membrane detabilizers that are bactericidal but VERY nephrotoxic. Resistance is uncommon.
Definition
Polymyxin, Colistin
Term
Lipopeptide that binds to cell membranes of susceptible Gram-positive bacteria, depolarizing and disrupting ionic gradient
Definition
Daptomycin
Term
Bactericidal inner membrane destabilizer that is only active against Gram-positives. Resistance is rare.
Definition
Daptomycin
Term
Name four antibiotics that interfere with cell walls in Mycobacteria
Definition
Isoniazid, Ethionamide, Ethambutol, Cycloserine
Term
Antibiotics that block mycolic acid synthesis
Definition
Isoniazid and Ethionamide
Term
Antibiotic that interferes with arabinogalactan synthesis
Definition
Ethambutol
Term
Inhibits alanine synthetase and racemase
Definition
Cycloserine
Term
Aminoglycosides, Tetracyclines, Chloramphenicol, Macrolides, and Oxazolidinones are all part of what major class of antibiotics
Definition
Protein Synthesis inhibitors
Term
Streptomycin, kanamycin, and amikacin are 3 aminoglycosides. Name 3 more.
Definition
Gentamicin, tobramycin,
neomycin
Term
What class of antibiotics causes irreversible inhibition of protein synthesis, is bactericidal at high concentrations, and can be toxic to both the kidneys and auditory nerve?
Definition
Aminoglycosides (Streptomycin, kanamycin, amikacin, gentamicin, tobramycin,neomycin)
Term
What organisms are innately immune to aminoglycosides?
Definition
Strict anaerobes and intracellular bacteria
Term
How are aminoglycosides usually administered, PO or IV?
Definition
IV. Too poorly absorbed for oral administration.
Term
Gentamicin, tobramycin, and neomycin are 3 aminoglycosides. Name 3 more.
Definition
Streptomycin, kanamycin, and amikacin
Term
Name 6 aminoglycosides.
Definition
Streptomycin, kanamycin, amikacin, gentamicin, tobramycin,neomycin
Term
What is the mode of action of the tetracyclines?
Definition
Reversible inhibition of protein
synthesis
Term
Name 2 tetracyclines.
Definition
Doxycycline, minocycline.
Term
Are tetracylcines (i.e. doxycycline and minocycline)bacteriostatic or bacteriocidal? Broad spectrum or narrow spectrum?
Definition
Broad spectrum bacteriostatic
Term
What rarely used bacteriostatic can cause aplastic anemia?
Definition
Chloramphenicol
Term
Reversibly blocks protein synthesis by inhibiting peptidyl transferase
Definition
Chloramphenicol
Term
Reversibly inhibit protein synthesis by blocking translocation
Definition
Macrolides (Erythromycin, azithromycin) and Lincosamides (Clindamycin, lincomycin)
Term
Name 2 macrolides
Definition
Erythromycin, azithromycin
Term
Name 2 Lincosamides
Definition
Clindamycin, lincomycin
Term
Are macrolides and lincosamides bacteriostatic or bacteriocidal? Broad spectrum or narrow spectrum?
Definition
Broad spectrum bacteriostatic
Term
What is the mode of action of oxazolidones (i.e. linezolid)?
Definition
Inhibition of protein synthesis
Term
Which antibiotic is based on a chemical structure NOT found in nature?
Definition
Linezolid (an oxazolidinone)
Term
Developed specifically for use against vancomycin resistant Gram‐positive organisms and multi‐drug resistant staphylococci
Definition
Linezolid (oxazolidinone)
Term
Inhibit DNA replication by interfering with DNA gyrase
Definition
Quinolones (Nalidixic acid,ciprofloxacin, levofloxacin, ofloxacin)
Term
Are the Quinolones (Nalidixic acid,ciprofloxacin, levofloxacin, ofloxacin) bacteriocidal or bacteriostatic? Broad or narrow spectrum?
Definition
Bactericidal. Nalidixic acid is narrow spectrum, the other 3 are broad spectrum
Term
Bactericidal that blocks DNA‐dependent RNA polymerase
Definition
Rifampicin
Term
Bacterial nitro‐reductase produces toxic product when metabolizing this drug, which damages bacterial DNA and inhibits DNA repair systems
Definition
Metronidazole
Term
What bactericidal nucleic acid inhibitor is only active against anaerobics (and also many parasites)?
Definition
Metronidazole
Term
Name two bacteriostatic drugs that inhibit folic acid syntheisis
Definition
Trimethroprim and sulfonamide
Term
Are trimethroprim and sulfonamides broad spectrum or narrow spectrum? Synergistic or antagonistic?
Definition
Broad spectrum, synergistic
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