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Antibiotics Sem 4
Antibiotics and bugs they kill
42
Pharmacology
Professional
03/30/2012

Additional Pharmacology Flashcards

 


 

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Term
Penicillin G
Definition
Beta-lactam (inhibits transpeptidase)
Effective in meningiococcal meningitis, Syphilis, Actinomycosis, C. perfringens and C. tetanus, C. diptheriae, pneumococcal pneumonia
Term
Benzathine
Definition
Beta-lactam, Repository form (IM, long lasting)
Effective in meningiococcal meningitis, Syphilis, Actinomycosis, C. perfringens and C. tetanus, C. diptheriae, pneumococcal pneumonia
Term
Nafcillin
Definition
Penicillinase resistant penicillin.
Effective against S. aureus but not MRSA
Term
Dicloxacillin
Definition
Penicillinase resistant penicillin.
Effective against S. aureus but not MRSA
Term
Ampicillin
Definition
Extended spectrum penicillin.
Effective against normal penicillin susceptible pathogens plus better effectiveness against Gm- bact like H. influenzae, E. coli, Listeria monocytogenes, Proteus, Salmonella, and Serratia.
May cause pseudomembranous colitis
Term
Amoxicillin
Definition
Extended spectrum penicillin.
Effective against normal penicillin susceptible pathogens plus better effectiveness against Gm- bact like H. influenzae, E. coli, Listeria monocytogenes, Proteus, Salmonella, and Serratia.
Less risk of developing pseudomembranous colitis
Term
Piperacillin
Definition
Extended spectrum penicillin (anti-pseudomonal)
Often combined with beta-lactamase inhibitor and aminoglycoside
Term
Cefazolin/Cephalexin
Definition
1st gen cephalosporins
Effective against Proteus, E. coli, and Klebsiella (PEcK)
Term
Cefuroxime/Cefotetan/Cefoxatin
Definition
2nd gen cephalosporins
Effective against Proteus, E. coli, Klebsiella, Haemophillus, Enterobacter, and N. meningitides. (HEN PEcK)
CefoteTAN and CefoxaTIN can treat anaerobic infections (TAN TIN man doesn't need oxygen)
Term
Ceftriaxone
Definition
3rd gen cephalosporin
Effective against S. aureus, S. pneumo, Gm- infections, N. meningitidis, and Gonorrhea
Term
Ceftazidime
Definition
3rd gen cephalosporin
Effective against S. aureus, S. pneumo, Gm- infections, and especially pseudomonas.
Term
Cefepime
Definition
4th gen cephalosporin. Similar effectiveness to third gen with more beta lactamase resistance.
Term
Imipenem + Cilastin
Definition
Carbepenem (broad spectrum beta-lactamase) effective against Gm+ cocci, Gm- rods and cocci, and anaerobes.
Given with Cilastin which blocks DHP-1
DOC for Enterobacter
Term
Meropenem
Definition
Carbepenem (broad spectrum beta-lactamase) effective against Gm+ cocci, Gm- rods and cocci, and anaerobes
DOC for Enterobacter
Term
Aztreonam
Definition
Monobactam, treats infection with Gm- rods only; especially H. influenzae and Pseudomonas.
Useful in Pts that have allergies to beta-lactams.
Term
Vancomycin
Definition
Inhibits formation of D-ala D-ala bonds in cell wall.
Only effective against Gm+
DOC for MRSA
Adv effect: red man syndrome
Term
Fosfomycin
Definition
Inhibits Enolpyruvate Transferase (formation of NAM)
Effective against Gm+ and Gm-
Term
Clavulanate
Definition
Beta lactamase inhibitor
Term
Streptomycin
Definition
Aminoglycoside, inhibit formation of initiation complex and misreading of mRNA.
Effective against Gm- aerobic infections (Francisella, TB, Yersinia)
Term
Gentamycin
Definition
Aminoglycoside, inhibit formation of initiation complex and misreading of mRNA.
Effective against Gm- aerobic infections
Term
Amikacin
Definition
Aminoglycoside, resistant to inactivating enzymes.
Term
Neomycin
Definition
Aminoglycoside, very nephrotoxic so use is limited to topical and oral use (not absorbed by the GI system)
Term
Tetracycline
Definition
Binds to the 30S subunit of ribosome
Effective against Chlamydia, Rickettsia, Cholera, Mycoplasma, and Lyme
Also Protozoa (Entamoeba, P. falciparum, B. coli)
Term
Doxycycline
Definition
Tetracycline (binds 30S subunit of ribosome).
Excreted in feces (useful for Pt in renal failure)
Effective against Chlamydia, Rickettsia, Cholera, Mycoplasma and Lyme. Also Protozoa (Entamoeba, P. falciparum, B. coli)
Term
Tigecycline
Definition
Binds to 30S ribosomal subunit.
Effective against drug resistant bacteria like MRSA, VRE, and Multi-drug resistant S. pneumo.
Term
Chloramphenicol
Definition
Binds to 50S subunit of ribosome
Limited effectiveness due to side effects including bone marrow suppression and gray baby syndrome
Term
Erythromycin
Definition
Macrolide, effective against Gm+, anaerobes, and atypical pneumonias Chlamydia, Mycoplasma, and Legionella.
Also diphteria and pertussis.
Term
Clindamycin
Definition
Blocks 50S ribosomal subunit.
Treatment for meningitis (H. influenzae, N. meningitidis, S. pneumo)
Also Bacteriodes
Term
Linezolid
Definition
Binds 50S ribosome and prevents ribosomal assembly
Effective against Gm+ bac.
Treats Staph, VRE, MRSA, VRSA
Term
Quinpristan/Dafopristin
Definition
Effective against VRSA, and Enterococcus faecium
Term
Ciprofloxacin
Definition
Fluoroquinolone (inhibits topoisomerase II), effective against Typhoid fever, Gastroenteritis, and resp infections
DOC for Anthrax
Term
Levofloxacin
Definition
Fluoroquinolone (inhibits topoisomerase II), effective against Typhoid fever, Gastroenteritis, and resp infections
Term
Moxifloxacin
Definition
Fluoroquinolone (inhibits topoisomerase II), effective against Typhoid fever, Gastroenteritis, and resp infections
Term
Sulfamethoxazole
Definition
Sulfonamide (PABA antimetabolite, blocks Dihydropteroate synthase)
Often combined with trimethoprim to make Cotrimoxazole.
Treats Pneumocystis jirovici, UTIs
Term
Sulfasalazine
Definition
Sulfapyridine + 5-ASA.
Treats ulcerative colitis and RA.
Term
Trimethoprim
Definition
Blocks DHF Reductase, combined with Sulfasalazine to make Cotrimoxazole
Term
Metronidazole
Definition
Forms free radicals in bac cell that damage DNA.
Effective against anaerobes: Bacteriodes, Clostridium difficile, H. pylori, and protozoa (Entamoeba, Giardia, Trichomonas)
Term
Methinamine
Definition
Converted to formaldehyde in acidic conditions of urine. Treats UTIs.
Not effective against Proteus (since it causes alkaline urine)
Term
Nitrofurantoin
Definition
Quickly eliminated in urine. Forms reacitve intermediates that damage bac DNA. Treats UTIs by bac like E. coli, Enterococci, Proteus, and Pseudomonas.
Term
Spectromycin
Definition
Similar action to aminoglycoside
Alternative treatment for Gonorrhea in Pt allergic to beta-lactams.
Term
Azithromycin
Definition
Macrolide antibiotic
DOC for legionella
Term
Demeclocycline
Definition
Tetracycline (Binds 30S subunit)
Effective against Chlamydia, Rickettsia, Cholera, Mycoplasma and Lyme. Also Protozoa (Entamoeba, P. falciparum, B. coli)
Also inhibits action of ADH
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