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antimicrobials
Stack #72373
| antimicrobial | mode of action | spectrum of activity | random facts | type of anit microb |
|---|---|---|---|---|
| Aminoglycosides (Bactericidal)-streptomycin, kanamycin, gentamicin, tobramycin, amikacin, netilmicin and neomycin | freeze 30S initiation complex so no further initiation can coccur , slow down protien syntheseis and induce misreading of mrna | ONLY good foaerobic bact. Many gram neg some gram pos | Reisstanc common, can be toxic to kidney, ototoxicity, synergise with B-lactiam DON"T GIVE PATIENTS WITH DIURETICS (may cause deafness) | bind to 30 S ribosomal subunit |
| Tetracyclines -tetracycline, minocycline and doxycycline | reversibly bids to 30S ribosome and inhibit biding of aminoacyl tRna to Asite on 70 S ribosome | broad spectrum usefull against intracellualr bacteria | Resistance = common Adverse effects = destruction of normal intestial flora | Bind to 30S ribosomal subunit |
| spectinomycin | reversibly interferes with mrna interaction with 30S ribosome. like aminogrlycosides by does not cause misreading of mRNA | Treatment of penicillin resistant neisseria | rare resitstance in Neisseria goorrhea | Bind to 30S ribosomal subunit |
| Chloramphenicol, lincomycin, clindamycin | bind to 50S ribosime and inhibit peptidyl transferase activity | C= broad ranbe, L and Cl = restricted range | Resistance = common, Adverse = chlormaphenicol is toxic and used to treat bacterial meningitis | 50 S ribosomal subunit |
| Macrolides (Erythromycin) | inhibit translocation | gram positive bact. Mycoplasma Legionella | resistance commone, very big moleule | 50 S ribosomal subunit |
| Fusidic acid | binds to elongation factor and inhibits the release of EF-G from EF-GDP complex | gram pos cocci | (blank) | interfere with Elongation factors |
| Rifampin,rifamycin rifampicin (bactericidal) | bind to DNA-dependent RNA polymerase and inhibit initiation of RNA synthesis | wide spectrum but most commonly used intthe treatment of tuberculosis | resistanc = common Combination thearpy - rifampin is usual used in combination therapy | Inhibit RNA synthesis and function |
| quinolones ( Nalidixic acid, ciprofloxacin, oxolinic acid) | bind to the A subunit of DNA gyrase (topoisomerase) and prevent supercoiling of DNA, thereby inhibiting DNA synthesis | Gram positive coci and UTI | Resistance= common for nalidixic acid; developing for ciprofloxacin | DNA synthesis and function |
| sulfonamides, sulfones | para-aminobenzoic acid and competatively inhibit formation of dyhydropetric acid. They competatively inhibit the incorpration of PABA into folic acid, thereby preventing the stynthesis of folic acid | broad range actvity against grampositive and gram neg bacteria and used primarily in UTI and in Nocardia infections | resistence = common Combo therapy = suled with trimethoprim , it blockes 2 distinct steps in folic acid metabolism and prevents the emergence of resistant strains TMP/SMX combo = UTI infection TMP/SMX pneumocytis carnii | Inhibit folic acid synthesis |
| trimethoprim | binds reversibly to and inhibits dihyrofolate recuctase, an enzyme that reduces dihydrofolic acid to tetrahydroflic acid, decreasing folic acid synthesis | broad range activity against gram positive and gram negative bacteria used primarly in UTI infections and in Nocardia infections | Resistance = common Combo therapy = Trimethoprim is used in combo with trimethoprim | Inhibit folic acid synthesis |
| Para-aminocalicylic acid (PSA | similar to sulfonamides | specific for Mycobacterium tuberculosis | inhibits mycolic acid | antimycobacterial agents |
| Dapsone | similar to sulfonamides | used in treatment of leprosy | (blank) | antimycobacterial agents |
| Isoniazid (INH) | ingibid synthesis of myclic acids | used in the treatment for tuberculosis | resistance has developed | antimycobacterial agents |
| Beta lactams ( Penicillin), Cyclosporins (Cephalosporin) Vancomycin | Inhibit cell wall synthesis | (cephalosporin given to patients with sensitivity or allergic reactions to peniciliin Gram neg are less sensitive to inhibitors of cell wall synthesis | (blank) | Cell wall synthesis |
| Bacitracin | inhibit transpor of cell wasll components by carriers Binds to the undecaprenyl pyrophosphate lipid carrier that transpor the peptidoglycan monomers across the bacterial membrane | streptococcus pyogenes gram neg less sensitive to inhibitors of cell wall synthesis | too toxic for human use | Cell wall synthesis |
| Polymyxin B | Binds membrane and disrupts integrity | Gram neg less sensitive to inhibitors of cell wall synthesis | Resistance= B-lactam resistance, B-lactamase inhibitors | Cell wall synthesis |