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By CELL WALL SYNTHESIS INHIBITORS Clssiteation of AMA; 2. dal drags ) 2 Stacdrugs tits prowtn) 1 State and cdl drugs Both can be used in normal lmmunocempetet persons ‘+ In immuno-suppressed persons ony ei dust are se. stacergsshoucnotbe used + Majorca ge re © BE Beta-atane 2 V&Vancomyein 1 PFuroquictones 3. Types ofOrgariem 4. Chemical Seuctre 5. source © Aatbiots [Obtained fom mirorgunsms) & No riots ebainearomplartzarther source) A anti ae antimicrobial but sl rtneaise {6 Mechanizmf ation 2 Calla synthesis inher b Protinsythesisnhibitors « Affecting Metabaism 1 Afectng NA ‘= Affecting Membranes Mechanism Cell wall jon © coeoss ©. Membranes ‘CELL WALL SYNTHESIS INHIBITORS + Drugs nude © Firmly: Fesfmycin -rusedforUT © Bindte:Deta-latame -Precine Peng = boptrepratansaregvenbyiMutconly « SpecrumefPenien = a + Extandod/ Wide SpactumPerlins are: © A Amici eoxylin < Bacteria Oivacin—Lecaluse ony © Gali: Cyesenng-sUred nT Beta acts © coox0s Betacam contin ing in thir ste excert Monobactams| Treveinctuce Periline © Cephalesprne » Carbeperens| 9 Monette aNd ng 1 cite in PD] a | sirtamne ptatrome ‘absane in monchacrame PENICILLINS Penn G/ Beni Penci 1 Uimaataneot Pein 1. Doesnt fecal /Aidlabe) 2 snrtacang sap ube eet) 2. Nao spectium + Tovercometesetmtatonsrew dans wer cevlooed, These (Adi Resistant / Oral Penns: VE Penta © @:0xaciin 186 6 Probenece completes wan Pena 3 abun paps. Depot Preparations - Renzthine Pein Longest acing Peniciin © Sisype + ActnemyzesisdOCis ening + Siphite Syphilis pee a + Primarysypits_) sialenjection ot + Secondary syptis Pesan me Ealy rot, dss 024M O < Scanned with CamScanner CELL WALL SYNTHESIS INHIBITORS © Firmly:Fesfomycin+usedforUT1 © Bindto:Bete-lectame © DiDicloracitin © C:Cloxacilin © A:Ampiciin, Amen be Increased duration of action of PeictinG 0 Probenecid comptes with Penclin tbr pumps © Depot Preparations: » BenzathinePenciinG:Longestscting Persia + ProcainePencing = Depot preparations aregivenbyIM outcenly Specuumof Peni: =—— aa Sem a ene Wide Spectrom 1A Apc Aexycin * ceeatencin o etenca } sentiment «Mein owas ° PPperctn Vancomyenisnat effective agsinst Pseudomonas Resistance: + fPloctamae nibitors © They wilihbithebetalactamase enzyme © Theseincude + CamdanicAcid Amoxiin Sulbactam Ampicin + Taobactam + Piperac awoactam Penicitinase Resistant Penicilins: © C-Clnaciin © O:0xeciin fo NNsteita| 9 De:Dicloxaiin ‘2 MMethin mostceitont) 1+ MRSA (etic Resitant Staph seus): © Resistance dt atered Pencln nang Proteins lactams reintectve except 5" gen cephalosporins Allergy © Skintestinglsdoneby inradeemalnjctionof ug © Cross Alergy. It means I 9 person f lege fo one peniii, all lactams can cause aleray, excent Monabactam Peniilin Indiestions © cons? + TheyareFistLine drugs © Letra © ArAatinomycosis SSyphie Meringococeus AMA GO-Gonacocs + Listeria: D0Cforiteriais Amin + Actinomyeoss:D0C Penn * Syptiie Syphilis types ‘Treatment + Primary syphilis Singleinjocton of Bana + Secondary syphis Early + totem i Tertiary syphilis (except nero) + Newosypie Penta I rout, dore of 24 MU injections (1 jections a week) of Berzathine Pili , wan 24M PenicinG (Aqueous Crystaling ite DOC for Newrsyphis, several mesa ay for 10-14 anys, + Tetanus:D0C fertetanusisPeneiinG>> Matronisezole | Meningococcus: Refer able 59. 187 + Anttras © DOCterGonacocel Ure: Cetaxene © DOC fer Non-Gonococel eb Aovernyen © DOC for Mixed Gonococeat and Non-gonecocel ete Aateamyein CEPHALOSPORINS © mao Refer Table592 + Theyaresafeinrenaltace 4 tecludes © Cefoperazone © Cefviaxone:S/E i Bar sludge ynarome + Bie secretedati-microbil agents: © Cel {safe} Cetoperazon,Cftioxone © The-Tigecycne fo ReRitamoiin Scanned with CamScanner < 2 Uliners 6 Achctnomyeoss © Etiytomyen © Eincosamies (Cindy) © Disease: Doxyvane 2. AntpeudomanalCephalosporine + Vancomycinisnatelfective + uae © Cefepime 2 Cefpome 9 Celtazidime (mest ettecive anti-pseudomonas cehalspotr 43. DizuiramikeResction + Nottobesivenwitaechal a 2 Ceoperazone Moral © efottan © Cetostn 4. Hypoprothrombinemia + nase: © Calotton © Celonitn CARBAPENEMS Imipenem 1 fective aginst Grams}, Gram()and Arsorobes 1+ Always alven with issttin beeaue if given lene ie ‘token down byDehyropeptiase enymeinthe Kidney + Imiponem is a broad spectrum anibitie, i is also stfeciveaganstPseademonse + Sideettect of inipenemieSeruor + Conta-indestedineiepticpatente © cosas BBQs: 0 Te Tigecycne 9 Rompe canbe given ray + Any boca nosy Kets) whieh has Extenda ‘Specium Bela Lactmase(ESUL| enzymes estan rostothe anti oxcepten beperens) + Unitatonsof Sat: © Cannot beak carbapenems and hence cabapenems| sretheDOC fer ESL peducng patra, © Can be inhibited by beta ctariave initors the Pigeratn + Tasobactm combination "New Deh eal-betatactamaee (NOM) + Conbreakeventarospenens + lesoatbelahited bybata-atomazsinhibter + TisinfectonisaokrawnasSipebun + Costin is the DOC for NOM producing bacteria MONOBACTAMS Atreonam + Doesnolshowcrassaery + Etfectve only against Gm-ve bacteria inluding Pscodoronos © nome vancowvcnn Iisa alvopeatae + Nererecive oly asitsnatabseree) + Givon by IV release Histamine causes Res Man syedrome +e © Nephotorc © tone 188 Notellective asin pecudomonst + Uses 1 MRSA (00). Butthe DOC for rophvansor MRSAs Mupocin Bocvacin ' Pseudo memteanouscoltieratout) Other tvconertie uae © Teeepana “TheydonetcauseRedMansyndrome + Entapener| Clantinienetrgied © Dabovancn + Dorisener Lesserrskot seizures ‘+ Acarbapenems reinectable exceptFaropenem which Table 9. Meningocoed < Scanned with CamScanner < + Devipanem + Acarbapenems re injectable except Farepenern which [testes 1 ampien rot relabienaw a oye de to resitones 2, Cetinone Cefvisore Perein. 3. Cprofencn 1 Empirical Definitive t . Cefriaxone + hjentbie ds ro carmot be ved for masser 1 Safein sregnany anderen Gen + Cetuorine 2 Gettin + Cetmetsti0 1 cetamandole Il O Q A Crotoxain {Citi pregnancy an eeen + Cante sven oly + DOC for Mars hero prophylaxis of esingococe! meningitis Gen sen + Celie + Ceftirte catprome 2 Cftarolne 189 PROTEIN SYNTHESIS INHIBITORS < Scanned with CamScanner Semlsynthete Natural s AAntipseudomonal Scanned with CamScanner Z | Aer of activity Similar 10 Ampiciln, huts Pseudomonas aera ‘See maura penicitins +S. Peniciinse-producing staphylococci (RSA) of diphheria,antax 1 Spt ares 1 ¥e fo» Bee Lise oy gd sporeforming anaerobes 1. Diseases caused by tracts infections, 2. Hospital infections Side effects Alera headache, nausea, vomiing, pseudomembranous W administration itn snistration, phi Contraindications | | Allergy, 1 semester of pregnancy (amon mwo-micoorpniong ily ~intravenous s a ~ 3 , ae es 5 co Ce y res Me ie Si YY .» ey ¢ ae; | , OXAZOLIDINONS AND FUZIDIC ACID 2 24) GLYCOPEPTIDES, OXAZOI ‘Chssineaton > Giycopeptides generation Droxs Inceolid(zivox) Mechanism of action ‘Spectrum Indications Side effects hepatotoxicity, reversible ane eytopenia function, te Scanned with CamScanner (Chasitication Natural Ho Polymyxin Drugs 1. Lincomyin| 7 = Gaya abe 7] lymyxin M. 3.Polymyuin F (eo ‘Mechanism of action ls protcin inthe ribosomes (bac- on) Violate the integriy of the cytoplasmic membrane of the action) ‘microbial cell (bacteriidat Spectrum of action Gres) cocei 2. Anaerobes( Diff iaphylococci (except MRSA, steptocose,preumococei 1. Gr(.) bacteria: Ecol, Salmonella, Shigella. Klee, Enlcrobactera, Pseudomonas aeruginosa, 2, Anaerobes:Fusobostria and becle les are moderately senslive Taaiations 1A dg of tat reo or esta pcudoras nestor eee grameqave Heusine(i3y ne ey weg Ae antl an Side effects development of hed ad hematuria) newotovcty | blood eae | ae development of the respiratory mus- Je iy Wwonbopogena hylaemaapeckema | Kida, Conteaindieations| Not toxicity, and with neuromuscular blockers ~ neu ‘administration of polymyxin with aninoglycosides increases its ne- muscular tansmssion is Blood — ons = GD - cl Reh all ath pale pote Scanned with CamScanner CARBAPENEMS AND MONOBACTAMS — ae lesb rere enbbabs “— Clasitication Monobactams An Drugs ‘3. Aztreonam ‘Mechanism oF action ‘Spectrum of activity ‘ora: gonococeus, meningococeus, Escherichia coli Salmonella, Shigel= 1a, Klebsela, Proteus, Citrobacterium, Pseudomonas aeruginosa. Indications Side effects a oO ‘Vo ~ miroor ed by Blactamases of many microbes, ey Lae = Scanned with CamScanner or ~~ ye Sy \ Ly \ TETRACYCLINS AND MACROLIDES per “4 we \ Tetracycines Macrotides Natural Semisy Semisynthetic Dew 1. Tetrocyeline ‘Mechanism of action cel he level ofthe ribo ‘Spectrum of activity respiratory act (srptoceccal tone= | 4 rei, communy-acqured preumonia. | A oping cough. diphtheria) a “4. Supernfetions Salley Age bere 1 Hypersen Pregnansy, cation 2 Pregnancy ( 3. Lactation (6:9) to tetracyclines neue, staphylococcus and anaer- ie 0 day (05 g daily during 3 days Ip). The bactenicidal concentration ‘STIs ~ sexually transmitted infections, H. pylori ~ Helicobacter pylori Scanned with CamScanner Clasitication| ¥ generation Drugs 2. Cephalexin (Kefles) ‘Mechanism of action Speetram of perinfections caused by entero Tndieations i ie Enlerobacera.staphy- locoeci, Preumococeas and Peewdomonas Side effects ‘Allergic reactions; hematolog Conant] aear ND! 1. Cephaloporins ae resistant t bac Per os orally : Cohemenble 4 dirulfe j Ghpeaore? oh | a 4 we probe? Scanned with CamScanner

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