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peptidoglycan exposed outside, appears biolet |
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peptidoglycan covered so takes up alternet stain pink |
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discovered penicillium fungi |
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work with peptidoglycan bacteria, inhibits cell wall synthesis penicillins cephalosporins carbapenems/monobactams |
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extended spectrum: ampicillan, amoxicillin anti-staph: methicillin, Oxacillin administration depends on acid stability |
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one of only penicillin that can oral administer poorly absorbed in GI tract, kidney elimination sole |
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Penicillin resistance includes... |
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B lactamase to metabolize antibiotic altered penicillin binding ptn decreased permeability to drugs clavulanic acid, sulbactam, tazobactam |
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two different R-groups, functional diversity more resistant to B lacatmase lower allergy reaction improved oral availability |
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carbapenem: so broad B lactam Monobactam: narrow ass spectrum B lactam Highy resistant to B lactamase |
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B lactams are innefective against |
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myobacteria, fungi, viruses, humans |
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any infection with gram + - bacteria |
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Allergic Reaction Diarrhea - kills GI tract flora Platelet dysfunction Interstitial nephritis |
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cant really do much about it altered penicillin binding proteins decreased permeability to drug |
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does what a B lactam does but is not a B lactam, for peopel allergic to them. must IV renal elimination |
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local pain thrombocytopenia nephrotoxicity |
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Tetracycline, Doxycycline, Minocycline jews the 30s ribosome GI irritation, hepatic toxicity, renal toxicity, bone growth depression |
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Streptomycin Neomycin, limited spectrum only aerobics jews 30s, interfere with proofreading disrupt integrity of bacterial cell membrane poor F oral, collects in ears upset GI fucks with your ears(deafness) nephrotoxicity |
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Erythromycin, Azithromycin, Clarithromycin jews 50 ribosome, metabolized in liver safe, but upset GI, cardiac, cholestatic jaundice |
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Dont use macrolides if... |
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except azythromycin, patient has liver dysfunction cuz inhibit cyp450 carbamazepine, cyclosporine, warfarin, corticosteroids, digoxin |
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50s subunit broad spectrum, inhibits peptidyl transferase reaction cross BBB, metabolized by liver rarely used - low therpeutic index and bone marrow supression, gray baby syndrome and cyp450 inhibitor |
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50s same spectrum as penicillin and erythromycin metabolized by liver cause diahrrea |
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Rifamycin: Inhibits mRNA transcription |
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Definition
TB induces cyp2d6 hepatotoxicity, induces cyp45 respiratory cutaneous abdominal irritation |
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anti metabolites sulfonamides inhibit folate synthesis broad spectrum, convulsions and hyperglycemia |
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-oxacin bone infection, anthrax, UTI, STD dizziness, photosensitivity, tendon rupture, joint disease |
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very safe, binds ergosterol oral troche or cream |
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severe systemic infection Toxic (binds to ergosterol but also cholesterol) |
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antifungal creams miconazole ketoconazole rash, burning |
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GI problem CNS problem Hepatic problem DecreaseImmune System |
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stops virus from mounting cell, influenza
useful for parkinsons |
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fake DNA building blocks Guanosine Aciclovir |
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herpes virus well tolerated |
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Definition
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reverse transcriptase inhibitor headache, poor apetite rash |
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teratogenic confusion, memory loss, depression, psychosis |
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saquinovir, ritonavir, indinavir, darunavir |
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Definition
inhibits viral protease required for assembly of new virions diabetes, high cholesterol |
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who knows what the fuck this does will mutate the shit out of your babies dry mouth, changes in taste, bone pain |
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