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Final Exam
Antifungals
39
Microbiology
Graduate
04/19/2013

Additional Microbiology Flashcards

 


 

Cards

Term
Polyene Macrolides produced by
Definition
Streptomyces species
Term
Method of action Polyene Macrolides
Definition
Interact with sterols in cell membrane to from channels
Term
Example of Polyene Macrolides
Definition
Amphotericin B, Nystatin and Pimaricin
Term
Amphotericin B mode of administration
Definition
IV with lipid formations
Term
Amphotericin B usage
Definition
Systemic infections
Term
Amphotericin B side effects
Definition
nephrotoxic, acute side effects
Term
Nystatin use
Definition
topical use – Candida
Term
Pimaricin use
Definition
topical use – eye only
Term
Azoles structure
Definition
5-membered organic rings with 2 (imidazoles) or 3 (triazoles) nitrogen molecules
Term
Azoles method of action
Definition
Inhibit cytochrome P450 – interferes with ergosterol synthesis
Term
Examples of Imidazoles
Definition
Ketoconazole, Clotrimazole, miconazole
Term
Ketoconazole usage
Definition
oral/topical usage Systemic mycoses, dermatophytosis, cutaneous candidiasis
Term
Ketoconazole side effects
Definition
hepatotoxicity, ↓testosterone & cortisol levels, nausea, vomiting, photosensitivity, rashes
Term
Examples of Triazoles
Definition
Fluconazole, Itraconazole, Voriconazole
Term
Fluconazole usage
Definition
oral/IV Candidiasis (non-nutropenic), Cryptococcus, Coccidiomycosis
Term
Fluconazole side effects
Definition
rare allergic rxns, alopecia, throbocytopenia
Term
Itraconazole usage
Definition
oral/IV Systemic mycosis, Aspergillus species
Term
Itraconazole side effects
Definition
rare allergic rxns, alopecia, throbocytopenia and gastrointestinal
Term
Voriconazole usage
Definition
Invasive aspergillosis, esophogeal candidiasis, salvage therapy for S. apiospermum, Fusarium, blastomycosis, ?dematiaceous fungi
Term
Voriconazole side effects
Definition
transient visual disturbance,↑hepatic enzymes
Term
Antimetaolite Drugs example
Definition
5-Fluorocytosine
Term
5-Fluorocytosine structure
Definition
Fluorinated analog of cytosine
Term
5-Fluorocytosine method of action
Definition
Inhibits DNA & RNA synthesis, Emergence of drug resistance – use in combination
Term
5-Fluorocytosine usage
Definition
C. neoformans, other mycoses
Term
5-Fluorocytosine side effects
Definition
bone marrow depression, hepatoxicity, gastrointestinal intolerance
Term
Allylamines method of action
Definition
Inhibit ergosterol biosynthesis via inhibition of squalene epoxiase enzyme
Term
Allylamines examples
Definition
Terbinafine
Term
Terbinafine usage
Definition
Oral/topical for Dermatophytes
Term
Terbinafine side effects
Definition
rare gastrointestinal
Term
Echinocandins method of action
Definition
Lipopeptides that inhibit glucan synthesis (inhibit fungal cell wall synthesis)
Term
Echinocandins example
Definition
Caspofungin
Term
Caspofungin usage
Definition
IV, Esophogeal candidiasis, salvage therapy for invasive aspergillosis
Term
Caspofungin side effects
Definition
no serious side effects reported
Term
Griseofulvin production
Definition
Produced by Penicillium griseofulvum
Term
Griseofulvin method of action
Definition
Disrupts mitotic spindle via interaction with polymerized microtubules
Term
Griseofulvin usage
Definition
Oral, Dermatophytes
Term
Griseofulvin side effects
Definition
mild (nausea, diarrhea, skin eruptions, photosensitivity, etc)
Term
Antifungal susceptibility testing for yeast
Definition
broth macro/microdilution, colorimetric microdilution, agar macrofilution, agar diffusion
Term
Antifungal susceptibility testing for mold
Definition
colorimetric microdilution, macro/microdilution, agar macrodilutions, agar diffusion
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