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antibacterial agents
n/a
60
Microbiology
Undergraduate 2
12/06/2011

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Term
target criteria
Definition
unique to prokaryotic celss
essential for growth / metabolism
nontoxic to humans
Term
antibacterial target
Definition
cell wall synthesis, protein synthesis, nucleic acid synthesis, cell membrane function
Term
penicillins moa
Definition
block crossbridge formation (transpeptidation) during sythesis of the cell wall
results in osmotic lysis
bacteriacodal
Term
penicillins spectrum
Definition
Gm + cocci
few Gm -
Term
penicillins toxicity
Definition
serious allergic response
anaphylatic rxn (1/500)
Term
penicillin resistance mechanisms
Definition
common
produce penicillinase
alter structure of the target
Term
natural penicillins use
Definition
Gm +, anaerobes, Neisseria and Hemophilus
Term
penicillinase resistant penicillins use
Definition
penicillinase-producing staph. aureus and Staph. epidermidis
Term
aminopenicillin use
Definition
Gm +, anaerobes, Neisseria, Hemophilus
Gm - cocci, enterobacteriaceae, absorbed orally
Term
carboxypenicillins use
Definition
anti-pseudomonal
Gm - aerobic rods
Term
ureidopenicillins use
Definition
anti-pseudomonal
Gm - aerobic rods
Term
first generation cephalosporins
Definition
Gm +
Term
second generation cephalosporins
Definition
+ Gm-
maintained most Gm +
Term
third gen. cephalosporions
Definition
+ Gm - bacilli
- Gm +
Term
fourth gen cephalosporions
Definition
most Gm -
Gm + cocci
Term
cephalosporion resistance
Definition
same as penicillins
Term
cephalosporions adverse rxs/toxicity
Definition
hypersensitivity, rash, diarrhea, vaginal thrush, pseudomembranous colitis
Term
carbapenems spectrum
Definition
broadest of all b-lactams
Term
carbapenems use
Definition
cephalosporion-resistant enterobacteriaceae
polymicrobial infections
anaerobes
Term
glycopeptides moa
Definition
binds to d-alanyl-d-alanine terminus of the pentapeptide side chain
blocks transgylcosylationa nd transpeptidation
Term
glycopeptides use
Definition
Gm + cocci
not Gm -
Drug of last resort
Term
vanco resistance from _ genes and _ mutation
Definition
3, 6
Term
bacitracin moa
Definition
blocks dephosphorylation of peptidogylcan-precursor carrier
results in failure to regenerate carrier causing failure to move precursor out of cell
Term
bacitracin use and spectrum
Definition
topical
Gm +
Term
inhibitors of protein synthesis
Definition
block initiation (30 or 70)
block elongation
prevent peptide completion
Term
aminoglycosides moa
Definition
inhibit initiation by blocking 30S initiation complex formation
Term
aminoglycosides spectrum
Definition
Gm - bacteria
Term
oxazolidinones moa
Definition
binds to 50S and blocks assembly of 70S ribosome
Term
oxazolidinones spectrum
Definition
Gm + cocci
Term
tetracycline types
Definition
tetracycline - short acting
doxycycline - long acting
minocycline - long acting
glycylcyclines - active against cycline resistant strains
Term
tetracycline moa
Definition
reversibly binds to 30S subunit to sterically block aminoacyl-tRNA binding at A site
Term
tetracycline spectrum
Definition
broadest of all antibiotics
Gm +,-
intracelullar
wallless
Term
tetracycline toxicity
Definition
GI upset and diarrhea
Term
tetracycline contraindications
Definition
harms bone development in fetus
stains teeth brown in children less than 8 years old
Term
chloramphenicol structure
Definition
small, hydrophobic
excellent tissue penetration
bone, CSF, tissues with poor blood supply
Term
chloramphenical moa
Definition
blocks peptide bond formation on 70S ribosome
Term
chloramphenicol spectrum
Definition
second line therapy (potentially serious toxicity problems)
bacterial meningitis
intracellular
anaerobes
Term
chloramphenicol toxicity
Definition
common - dose dependent bone marrow suppression
rare - aplastic anemia (fatal)
Term
macrolides moa
Definition
stimulates dissociation of peptidyl-tRNA by blocking peptide exit tunnel
can start protein synthesis, but ends synthesis before a functioning protein can be formed
Term
macrolides spectrum
Definition
Gm + cocci
mycoplamsmas - wall-less
chlamydia
Term
macrolide types
Definition
erythromycin - more GI upset
azithromycin - more active against Gm - enterics
clarithromycin - more active against Gm +
Term
lincosamide moa
Definition
same as macrolides
Term
lincosmaides spectrum
Definition
Gm - enterics
anaerobes
Pneumocystis jirovecii
Term
lincosamides toxicity
Definition
complications from loss of normal flora in GI
Term
ketolides moa
Definition
binds to same site as macrolides but with higher affinity
Term
ketolides spectrum
Definition
active against most erythromycin resistant strains
Term
streptogramins moa
Definition
dalfopristin - type a - block peptide transfer
quinupristin - type b - increase dissociation of peptidyl-tRNA
Term
streptogramins spectrum
Definition
Gm +
some Gm -
vanco resistant stuff
bone and joint MRSA infections
Term
inhibitors of nucleic acid synthesis
Definition
block DNA replicaiton
block RNA transcription
Block purine synthesis
Term
Quinolones moa
Definition
inhibits bacterial topoimoerases and promotes DNA cleavage
blocks DNA gyrase
causes supercoiling (- twists)
Term
quinolones spectrum
Definition
Gm -
staph and strep
intracellular and wall less
anaerobes
Term
rifamycin moa
Definition
inhibits b-subunit of DNA dependent RNA polymerase
blocks elongation
Term
rifamycins spectrum
Definition
Gm + bacteria
meningitis treatment and prevention
mycobacteria
Term
sulfonomide classes
Definition
short and medium acting
long acting
gi tract limited
topical
Term
sulfonomides moa
Definition
high affinity for bacterial enzyme that makes tetrahydrofolic acid
Term
sulfonomides resistance
Definition
widespread - used in combinations
Term
trimethoprim moa
Definition
analog of DHFA
inhibits DNA precursor formation
Term
tirmethoprim use
Definition
with sulfonomides
Gm + cocci
Gm - rods
Term
trimethoprim resistance
Definition
common - used in combos
Term
sulfa/tmp spectrum
Definition
Gm - bacteria
UTI's
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