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antibiotics
microbiology
| Question | Answer |
|---|---|
| penicillin | gram - / transpeptidase inhibitor. mimics dAla-dAla |
| cephalosporin | gram - (like penicillin but broader & resist beta-lactamase inactivation) |
| monobactam | aerobic gram - |
| carbapene | all |
| cycloserine | mycobacteria / inhibits dAla-dAla synthesis for mucopeptide |
| vancomycin | gram+ / binds dAla-dAla peptide directly |
| bacitracin | Staph. aureus/Strep pyogenes skin infections/ inhibits PG transporter |
| isonazid | TB/ inhibits mycolic acid synthesis |
| streptogramin | staph, strep, Enterococcus faecium / 50S |
| oxazolidinone | gram+ cocci/ 50S |
| aminoglycosides | many gram-, some gram+, no anaerobes / 30S |
| chloramphenicol | not used due to disruption in bone marrow synthesis |
| clindamycin | staph & anaerobic gram(-)rods/enterobacteria / 50S - associated w/ C. difficile colonization |
| macrolide | broad except gram- / 50S |
| tetracycline | chlamydia, mycoplasma, rickettsia, other gram-/+ / 30S |
| polymyxins | gram- rods/ detergent action |
| daptomycin | gram+ / depolarize membrane |
| rifampin | TB & aerobic gram+ cocci (Staph) / inhibit RNA Pol |
| metronaidazole | ameobas, giardas, serious anaerobes / damage DNA in anaerobes |
| fluoroquinolones | both gram+/- / inhibit gyrase & topoIV |
| sulfonamide | both gram+/- / inhibits dihydropteroate syntase - folic acid synthesis |
| trimethoprim | both gram+/- / inhibits DHFR - folic acid synthesis |