Inhibit Classification Antibiotics

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INHIBIT CLASSIFICATION ANTIBIOTICS

Penicinillase-Sensible
Natural Penicillin G: Na K, Procainic, Benzathine (IV,IM)
Penicillins Penicillin V:VO
(narrow
spectrum)
Cell
Aminopenicil Ampicillin
Wa
lins (broad Amoxicillin
ll Penicillins
spectrum)
S Penicinillase-Resistant (very narrow spectrum)
Y Nafcillin Oxacillin Dicloxacillin
Antipseudomonal (extended spectrum)
N Carbocy- Ticarcillin
T Beta penicillins Carbenicillin
H Lactams Ureido- Piperacillin
E penicillins Azlocillin
S Mezlocillin
1* Generation Cefazolin Cephalexine Cephapirin
I Cefadroxil Cephadrine Cephalotine
S Cefuroxime Cefamandole Cefprozil
Cefoxitin Cefonicid Cefmetazole
2* Generation
Cefotetan Cefactor
Cefoperazone Ceftriaxone Ceftazidime
Cefpodoxime Ceftizoxime Cefotaxime
3* Generation
Cefdinir Ceftibuten Cefixime
Cefditoren
Cephalosporin 4* Generation Cefepime Cefpirome*
5* Generation Ceftaroline
Carbapenems Meropenem Ertapenem Doripenem Imipenem +
Cylastatine
Monobactams Aztreonam
Beta-lactamase inhibitor Sulbactam Tazobactam Clavulanic Acid
No Glycopeptides Vancomycin Bacitracin
Teicoplanin Polymixin B
Lactam
Gentamycin Neomycin Streptomycin
Aminoglycosides
305 Amikasin Tobramycin
Doxycycline Demeclocylin Monocycline
Protein Tetracycline Tigecyclin
Tetracyclins
Synthesis Oxazolidanones Linezolid
Streptogramins Quinupristin/Dalfopristin
Cloramphenicol
505 Macrolides Erythromicin Azithromycin Clarithromycin
Lincosamides Clindamycin Lincomycin
Fluor- Ciprofloxacin Norfloxacin Levofloxacin Ofloxacin
Sparfloxacin Moxifloxacin Gemifloxacin Enofloxacin
DNA quinolones
Quinolones Nalidixic Acid
topoisomerases
Sulfametho- Ag Sulfasalazine Sulfisoxazole
Folic Acid Sulfonamides xazole (SMX) Sulfadiazine
Synthesis DHFR Trimetoprim (TMP) Pirymethamine
Inhibitors
DNA (damage) Metronidazole
mRNA synth. Rifampim

COMON PATHOGENS IN SURGICAL PATIENTS

Gram-positive Aerobic Cocci


Staphylococcus aureus
Staphylococcus epidermidis
Streptococcus pyogenes
Streptococcus pneumoniae
Enterococcus faecium, E faecalis
Gram-negative Aerobic Bacili
Eschericia coli
Haemophilus influenzae
Klebsiella pneumoniae
Proteus mirabilis
Enterobacter cloacae, E aerogenes
Serratia marcescens
Acinetobacter calcoasceticus
Citrobacter freundii
Pseudomonas Aeruginosa
Stenotrophomonas maltophilia
Anaerobes
Gram-positive
Clostridium difficile
Clostridium perfringens, C tetani, C septicum
Peptostreptococcus spp.
Gram-negative
Bacteroides fragilis
Fusobacterium spp
Other bacteria
Mycobacterium avium-intracellulare
Mycobacterium tuberculosis
Nocardia asteroids
Legionella pneumophila
Listeria monocytogenes
Fungi
Aspergillus fumigatus, A niger, A terreus, A flavus
Blastomyces dermatitidis
Candida albicans
Candida glabrata, C paropsilosis, C krusei
Coccidiodes immitis
Cryptococcus neoformans
Histoplasma capsulatum
Mucor/Rhizopus
Viruses
Cytomegalovirus
Epstein-Barr virus
Hepatitis A, B, C viruses
Herpes simplex virus
Human immunodeficiency virus
Varicella zooster virus

Antifungal Agents and Their Characteristics

ANTIFUNGAL ADVANTAGES DISTADVANYAGES


Amphotericin B Broad spectrum, Renal toxicity, premed, IV
inexpensive only
Liposomal Broad-spectrum Expensive, IV Only, renal
Amphotericin B toxicity
Azoles
Fluconazole IV and PO availability
Itraconazole IV and PO availability Narrow spectrum, no CSF
penetration
Drug interactions,
decreased cardiac
contractility
Posaconazole Broad-spectrum, PO Only
zygomycete activity
Voriconazole IV and PO availability, IV diluent accumulates in
Broad-spectrum renal failure, Visual
disturbances
Echinocandins
Anidulofungin, Broad-spectrum IV only, poor CNS
Caspofungin, Micafungin penetration

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