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N115: Antibiotics
UCLA N115 Pharmacology Antibiotics
| Question | Answer |
|---|---|
| Classification of Pathogens (4) | Gram +/- , Cocci/Bacilli/Spirochetes, Aerobe/Anaerobe, Intracellular/Extracellular |
| Classification of Antimicrobial Agents (5) | COMBS: Chemical Structure, Other (route, AEs, cost), Mechanism of Action, Bacteriocidal/Bacteriostatic, Spectrum of Activity |
| Cell Wall Synthesis Inhibitors | Beta-G: Beta-lactams (cidal), Glycopeptides (cidal) |
| Protein Synthesis Inhibitors | MALT: Macrolides (static), Aminoglycosides (cidal), Lincosamides (static), Tetracyclines (static) |
| DNA Gyrase/Topoisomerase Inhibitors | Q: Quinolones (cidal) |
| Folic Acid Synthesis Inhibitors | ST: Sulfonamides (static), Trimethoprim (static) |
| Mechanisms of Bacterial Resistance | AEAA: Antimicrobial inactivation, Efflux, Alteration of Target/Receptor, Antagonize Antimicrobial |
| What antimicrobial is associated with superinfections? | 3rd generation cephalosporins, clindamycin, or any other broad-spectrum antimicrobial |
| What is the classic superinfection? | Pseudomembranous colitis, an infection by Clostridium Difficile, caused by Clindamycin, treated with Vancomycin or Metronidazole |
| What are the three types of penicillin Gs? Which has the fastest absorption? | PBP: Potassium, Benzathine, Procaine. Potassium. |
| Clinical use of penicillin G: | Most Gram + (Streptococcus and non B-lactamase-producing Staphylococcus), Gram - cocci (Neisseria gonorrhoaea), Gram - spirochetes (Treponema pallidum), Anaerobes. |
| What is different about penicillin V? | It is stable in stomach acid and can thus be administered PO. |