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MCW Antibacterial
MCW Antibacterial Mechs
| Question | Answer |
|---|---|
| competitively inhibits dihydrofolate reductase | Trimethoprim |
| Competitively inhibit dihydropteroate synthetase | Sulfamethoxazole; Silver Sulfadiazine |
| Binds 50s and blocks translocation step in protein synthesis | Erythromycin; Clindamycin |
| Binds 50s interfering with translation 70s initiation complex | Linezolid |
| Interferes with binding of aminoacyl-tRNA to 50s subunit and inhibits peptide bond formation | Chloramphenicol |
| Binds 30s ribosome subunit and blocks aminoacyl-tRNA entry, ALSO binds additional unique sites in the ribosomes | Tigecylcine |
| Transported into cells, bind to 30s ribosomal subunits, prevent attachment of aminoacyl-tRNA to the acceptor site | Tetracylcines---doxycycline, minocycline |
| Transported into the cell by an energy-requiring aerobic process. It binds to several ribosomal sites, usually 30s/50s to stop initiation and cause mRNA misreading. It has a post-antibiotic effect. | Aminoglycosides---Tobramycin, Amikacin, Gentamicin |
| Anaerobes reduce the nitro group into a free radical that disrupts RNA | Metronidazole |
| Inhibits bacterial RNA synthesis by binding to RNA polymerase B | Rifampin |
| Nitroreductase enzyme converts them to reactive compounds which can damage DNA...including free radicals | Nitrofurantoin |
| Bind alpha subunit of DNA gyrase to inhibit DNA supercoiling | norfloxacin, ciprofloxacin, moxifloxacin |
| Bind bacterial membrane to cause rapid depolarization | Daptomycin |
| cationic detergent that disrupts bacterial membranes | Polymyxin B |
| Interfere with carrier that moves early cell components through membrane...cell wall inhibitor | Bacitracin |
| Inactivate enolpyruvyl transferase; a cell wall synth enzyme | Fosfomycin |
| Binds D-Ala-D-Ala to interfere with crosslink and elongation of peptidoglycan | Vancomycin |