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Cell Wall Inhibitors Antibiotics
Beta Lactams, Vancomycin, Bacitracin
35
Other
Professional
12/05/2012

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Cards

Term
5-membered ring containing a sulfur + lactam
Definition
Penicillin
Term
6-membered ring + lactam
Definition
Cephalosporin
Term
5-membered ring containing a double bond + lactam
Definition
Carbapenem
Term
Just lactam
Definition
Monobactam
Term
Clavulanic acid, Sulbactam, Tazobactam
Definition
Beta-lactamase inhibitors
Term
Gram positive aerobes and anaerobes except most S. aureus; Gram negative anerobes except Bacteroides fragilis; Neisseria sp.
Definition
Penicillin
Term
Precursor of semisynthetic penicillins
Definition
6-aminopenicillanic acid
Term
ampicilin and amoxicillin
Definition
Aminopenicillins
Term
carbenicillin and ticarcillin
Definition
Carboxypenicillins
Term
piperacillin
Definition
Ureidopenicillins
Term
Aminopenicillins, Carboxypenicillins, Ureidopenicillins
Definition
Extended-spectrum penicillins
Term
activity against Hemophilus and Enterococcus spp
Definition
Aminopenicillins
Term
Notable for activity against Pseudomonas aeruginosa
Definition
Piperacillin
Term
prodrug for ampicillin
Definition
Pivampicillin
Term
very often used in community against common skin infections (staph!)
Definition
1st generation cephalosporins
Term
increased gram negative activity, inactive against pseudomonas sp.
Definition
2nd generation cephalosporins
Term
popular in pediatric URI due to H. influenzae coverage
Definition
Cefaclor and cefuroxime
Term
useful to treat systemic deep infections due to activity against anaerobes
Definition
Cefoxitin and cefotetan
Term
Cefaclor, cefuroxime, cefoxitin, and cefotetan
Definition
2nd generation cephalosporins
Term
broad coverage against gram negative species: major indication in meningitis caused by gram negative aerobes, empiric treatment of many infections
Definition
3rd generation cephalosporins
Term
an important anti-pseudomonal agent
Definition
Ceftazidime
Term
only oral agent in its group, used in the community
Definition
Cefixime
Term
Ceftazidime, Cefixime, Ceftriaxone, Cefotaxime
Definition
3rd generation cephalosporins
Term
broad spectrum of activity against gram positive, gram negative, and pseudomonas sp; stable against most beta-lactamases; generally reserved for treatment of nosocomial, multidrug-resistant infections, and febrile neutropenia
Definition
4th generation cephalosporins
Term
cefepime and cefpirome
Definition
4th generation cephalosporins
Term
broadest spectrum of all clinical antibacterial agents but not MRSA, Chalmydia, Mycoplasma
Definition
Carbapenems
Term
hydrolyzed by dehydropeptidase in brush border of kidney (given in combination with inhibitor (cilastatin)
Definition
Imipenem
Term
Meropenem and Imipenem
Definition
Carbapenems
Term
Not an antibacterial but an inhibitor of the dehydropeptidases in the kidney, given to maintain the kinetics of Imipenem
Definition
Cilastatin
Term
Active against gram negative aerobes ONLY (Enterobacteriaceae, Neisseria, H. influenza, some pseudomonas
Definition
Monobactams
Term
Only clinical example of monobactams; not orally bioavailable, administered IM
Definition
Aztreonam
Term
Alternative to aminoglycosides--- 10-20x more expensive
Definition
monobactams
Term
active against gram positive organisms ONLY (MRSA, enterococci, Clostridia spp)
Definition
Vancomycin
Term
most active against gram positive species (large MW); act intracellularly on isoprenyl phosphate lipid carrier)
Definition
Bacitracin
Term
Toxicities include ototoxicity, nephrotoxicity, and Red man syndrome
Definition
Vancomycin
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