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Membrane-altering antibiotics
Overview
15
Other
Pre-School
12/11/2012

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Term
group of closely related basic cyclic nonpeptides with hydrophobic tails (dertergents)
Definition
polymyxins
Term
Polymyxin coverage
Definition
restricted to gram negative bacteria (cannot penetrate cell wall of gram positive bacteria)
Term
Types of peptide antibiotics from Bacillus brevis
Definition
Linear gramidicins, Gramicidin S
Term
inserts into membrane bilayer as tail to tail dimmers forming ion channel; nonspecific conductance of monovalent cations
Definition
linear gramicidins
Term
cyclodecapeptide; exact mechanism of membrane disruption unknown
Definition
Gramicidin S
Term
causes hemolytic anemia at therapeutic concentrations, not used systemically, topical use in combination
Definition
Gramicidin
Term
matrix for facilitated diffusion and active transport
Definition
Cytoplasmic membrane
Term
generally poor because we have similarities with bacterial cell membranes so systemic SE are expansive
Definition
selectivity of membrane-altering antibiotics
Term
cytoplasmic membrane
Definition
barrier between cytosol and extracellular space
Term
Colistin
Definition
polymyxin E
Term
Polymyxin molecule under physiologic conditions
Definition
charged
Term
Polymyxins insertion into membrane bilayer
Definition
creates gaps; bactericidal due to cell lysis even in hypertonic media, also adsorb released LPS
Term
Polymyxin toxicity
Definition
renally excreted and nephrotoxic, neurotoxicity; almost never used systemically
Term
Polymyxins clinical use
Definition
excellent for surface decontamination, many topical applications, parenteral use recently advocated as last resort in MDR gram negative bacteremia
Term
native mixture consisting 80% of gramicidin A
Definition
Gramicidin D
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