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Penicillins (B Lactams)
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50
Medical
Pre-School
07/13/2012

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Term
Gram positive cocci (strep, enterococcus)
Gram negative cocci (Neisseria men)
Gram positive bacilli (Bacillus anthracis and Listeria monocytogenes)
Tetanus (Clostridum tetani)
Gram negative bacilli (Pasteurella, Fusobacterium, Streptobacillus)
Weil's disease (Leptospira)
Actinomyces (actinomyces israelii)
Definition
Penicillin G (Pfizerpen)
Term
in combination with an aminoglycoside for enterococcal endocarditis (Enterococcus)
Definition
Penicillin G (Pfizerpen)
Term
minor infections (Streptococcus pyogenes) and penicillin sensitive pneumococci)
Definition
Penicillin VK
Term
Oral use for oropharyngeal infections (pharyngitis, tonsillitis, SCARLET FEVER, URTIs (otitis media, sinusitis), skin and soft tissue infections
Definition
Penicillin VK
Term
Upper respiratory tract infections and otitis media due to susceptible streptococci and pneumococci
Definition
Benzathine penicillin G
Term
Syphilis depot
Definition
Benzathine penicillin G (Bicillin L-A)
Term
Benzathine penicillin G name
Definition
Bicllin L-A
Term
Benzathine penicillin G/Procaine penicillin G

trade name
Definition
Bicillin C-R
Term
Very narrow spectrum penicillins resistant to staphylococcal B-lactamases
Definition
Nafcillin, Oxacillin, Dicloxacillin
Term
Use limited to infections due to penicillinase producing staphylococci
Definition
Nafcillin, Oxacillin, Dicloxacillin
Term
For serious systemic staph infections (bacteremia, endocrditis, meningitis, RTIs, skin and soft tissue, bone and joint infections, UTIs, given by intermittant IV
Definition
Nafcillin, Oxacillin
Term
Acid stable and can be given orally for skin and soft tissue infections, bone and joint infections, UTIs, RTIs
Definition
Oxacillin, Dicloxacillin
Term
Increased activity vs gram negative bacilli (E. Coli, Proteus irabilis, Haemophilus influenze, Salmonella, Shigella)

gram neg cocci (Moraxella catarrhalis)

HEMPSS
Definition
Aminopenicillins
Term
commonly employed in treatment of UTIs, ottis media, sinusitis, bronchitis, pneumonia
Definition
Aminopenicillins
Term
UTIs and bacterial cystitis due to (E. Coli, Proteus mirabilis, and Enterococcus)
Definition
Aminopenicillins
Term
Otitis media/respiratory tract infections (sinusitis, bronchitis, pneumonia, CAP, pharyngitis and tonsilitis)
strep pyo, strep neumo, Haemophilus influenze, Moraxella catarrhalis
Definition
Aminopenicillins
Term
trade name Amoxicillin/Potassium clavulanate
Definition
Augmentin
Term
trade name Ampicillin/Sulbactam sodium
Definition
Unasyn
Term
Indicated for Helicobacter pylori (prevpac) , Pasteurella, Borellia burgdorferi (lyme dis)
Definition
Amoxicillin
Term
Surgical pretreatment in patients w/ atypical heart valves undergoign oral surgery

(prophalaxis of endocarditis)
Definition
Amoxicillin
Term
Moxtag
Definition
Amoxicillin
Term
indicated for tonsillitis and pharyngitis due to Strep pyogenes
Definition
Moxtag
Term
indicated for Salmonella, Sigella
and Campylobacter fetus
Definition
Ampicillin
Term
resistance due to enzymatic hydrolysis by plasmid mediated B lactamase (penicillinase)
Definition
Amoxicillin, Ampicillin
Term
W/ B-lactamase inhibitor extends spectrumto include
E. Coli, Haemophilus influenza, Moraxella catarrhalis, Pasteurella
Definition
Amoxicillin, Ampicillin
Term
trade name Ticarcillin/Potassium clavulanate
Definition
Timentin
Term
First line agent for treating Psuedomonas aeruginosa
Definition
Ticarcillin
Term
Activity vs several gram-negative bacilli (including Bacteroides) but inactive vs. Klebsiella, since it produces constitutive penicillinase
Definition
Ticarcillin
Term
Broadened antimicrobial activity to include penicillinase producing organisms
E. Coli and Klebisella pneumonia
RTIs, intra-abdominal infections, bacteremia, UTIS
Definition
Timentin
Term
trade name Piperacillin/tazobactam sodium
Definition
Zosyn
Term
most potent antispeudomonal drug
Definition
Piperacillin
Term
First line agent for psuedomonas aeruginosa
Definition
Piperacillin
Term
Also active vs. several gram negative organisms:
Klebsiella pneumo, Enterobacter, Serratia, Citrobacter, Bacteriodes
Definition
Piperacillin
Term
broadened activity vs. E. Coli
Definition
Zosyn
Term
Unlike its sister drug does nto need to be combined w/ b-lactamase inhibitor for activity vs. Klebsiella pneumoniae
Definition
Piperacillin
Term
B lactams increase permeability of bacterial cells to increase entry of
Definition
aminoglycosides
Term
may be consitutive or acquired by intro of plasmids
Definition
B lactamases
Term
MRSA, enterococci, and penicillin-resistant Pneumococci have developed
Definition
mutated PBPs
Term
must be administered IV or IM
Definition
Unasyn, penicillin G, Timentin, Zosyn
Term
only available oral
Definition
Penicillin V, dicloxacin, amoxicillin, Augmentin
Term
food reduces absorption of most orally administered penicillins except for
Definition
Amoxicillin
Term
blocks renal tubular secretion of penicillins - used to prolong duratin of action
Definition
Probenecid
Term
predominantly excreted via biliary route
Definition
Nafcillin
Term
eliminated through both renal and biliary routes
Definition
Oxacillin, Dicloxacillin
Term
Diarrhea most common with
Definition
extended spectrum, anti-pseudomonal
Term
all can create nephrotoxicity especially
Definition
methicillin
Term
May cause ___if administered intrathecally
or elevated serum due to renal conc.
Definition
seizures
Term
Decreased agglutination has been observed (platelet dysfunction) with
Definition
piperacillin, ticaracillin, penicillin G
Term
super infections can be seen with use of
Definition
extended spectrum and antispeudomonal penicillins
Term
Which penicillins cover anaerobes (including bacteroides fragilis)
Definition
those w/ betalactimase inhibitors
Augmentin, Timentin, Unasyn, Zosyn
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