BacteriCIDAL
Beta Lactams Monopenem Carbapenem Vancomycin Quinolones Aminoglycosides Metronidazole
Bacteristatic
Sulfanamides Tetracycline Trimethoprim Chloramphenicol Lincosamides: Clindamycin Linezolid Macrolides: Erythromycin Spectinomycin
Microbial Defenses
Pump out ab
Destroy ab
Compete for binding site
Inhibitors of Cell wall synthesis
PCN Cephalosporins Vancomycin Bacitracin Isoniazid Ethambutol Echinocandins (anti-fungal)
Beta Lactams mechanism of action
Beta Lactams compete with binding site for cross linking of peptide b/t NAG and NAM. PBP.
Penicillin
Good renal clearance.
Stays in most tissues at therapeutic levels well.
Not in CSF
Not effective against intracellular organisms
Mechanism: Beta Lactam ring
Beta Lactam Imposters (Decoy)
Clavulanic acid
Sulbactam
Tazobactam
Probenecid
Inducer of renal reduction allowing more PCN to stay in circulation
Cephalosporins
Similar to PCN
Enters CSF
Monobactams
Narrow spectrum
Gram -
Pseudomonas and Enterobacter