Penicillins
Drug
Common Uses
Penicillin G
Step (ear/throat/sinus
pneumonia), Staph
(non-R)
Penicillin V
minor infections
MOA
Methicillin
Nafcillin
Oxacillin
Ampicillin
gram +
Amoxicillin
"
Piperacillin
Used with
Streptomycin for
Endocarditis
Ticarcillin
Antipseudomonal
Piperacillin/Tazorbactam
Ampicillin/Sulbactam
Cephalosporins
1st Gen
Cefazolin
Surgical Prophylaxis
Cephalexin
2nd Gen
Cefuroxime
Cefoxitin
3rd Gen
Res. Gonorrhea,
meningitis
Res. Gonorrhea,
meningitis
Cefepime
Strep/Pseudomonas
CNS penetration
Imipenem/Cilastatin
DOC: Enterobacter
Pens
Aztreonam
Pseudomonas
Pens
Vancomycin
inhibits
transglycosylase
Ceftriaxone
Cefiximine
4th Gen
Carbapenems
Meropenem
Ertapenem
Monobactams
Glycopeptides
Bacitracin
Bacitracin
Fosfomycin
simple UTI
Cycloserine
TB
Drug Class
Drug
Common Uses
MOA
Quinolones/Fluoro
quinolones
Ciprofloxacin
Pseudomonas
inhibit DNA
gyrase
Ofloxacin
Prophylaxis for
neutropenic pts,
pseudomonas
inhibit DNA
gyrase
Other
blocks
peptidoglycan
synthesis
E. coli and P.
mirababilis for
uncomplicated UTIs
Sulfisoxazole/
Sulfamethoxazole
UTIs
"
Sulfasalazine
"
"
Levofloxacin
Sulfonamides
Sulfacetamide
Trimethoprim/Sulfamethoxa
Pneumocystis jiroveci
zole (TMP/SMX)
Drug Class
Drug
Common Uses
synergistic combo
against folic acid
synthesis
MOA
reversibly binds
30S, block protein
synthesis
Tetracyclines
Doxycycline
Minocycline
Aminoglycosides
Streptomycin
Gentamicin
Tobramycin
Most common,
Chlamydia, anthrax,
long half life
cholera, RMSF, Lyme
Disease
Acne (increased skin
penetration)
used in combination
with pens/cephs for irreversible bind
serious strep/staph to 30S (some 50S)
infections
Endocarditis, TB
More potent against
enterococcus
more potent against
Pseudomonas
Macrolides
Erythromycin
binds 50S
Azithromycin
"
"
Clarithromycin
Legionella, C.
trachomatis, H. pylori
"
Clindamycin
bacterial endocarditis
Binds 50S,
antagonism for
Ery binding
Linezolid
VRE
binds 50S
Chloramphenicol
Disease
Enterobacter Infection
Resistant Gonorrhea
Drug of Choice
Carbapenems (Imipenemcilastatin)
ceftriaxone(IM) /cefixime
(PO)
C. dif and
pseudomembranous colitis
Metronidazole
Pneumocystis jiroveci
Trimethoprim/Sulfamethoxa
zole
ofloxacin
binds 50S
Cipro, Ofloxacin, or
TMP/SMX
Spectinomycin
cidal/-static
Efective Against
Dosage Form
B-lactamase?
IV/IM
Sensitive
PO
Gram (+)
PO
Sensitive
"
"
"
Broad Spectrum
Parenteral
Sensitive
poor PO availability
Sensitive
cidal
Gram (+)
IM/IV/some PO
Resistant
IM/IV/some PO
Resistant
IM/IV/some PO
Resistant
IM/IV/some PO
Resistant
cidal
Gram (-)
IM
Resistant
cidal
Gram (-)
PO
Resistant
cidal
Gram (-)
cidal
cidal
Resistant
cidal
Gram (+)
Resistant
Gram (+)
Resistant
Parenteral
Resistant
PO (single dose)
cidal/-static
Efective Against
Dosage Form
cidal
PO/IV
cidal
PO/IV
cidal
PO
static
XR?
no XR to Pens
static
systemic use
static
static
ophalmic
static
cidal/-static
Efective Against
static
"Broad Spectrum"
Dosage Form
static
"
often compounded
with Cephalosporin
for anaerobic
infections
static
"
PO
cidal
cidal
"
cidal
"
cidal
"
Deep IM
XR?
static
enteric coated PO
static
better PO
static
better PO
static
PO
cidal
static
PO/ IV
broad spectrum
PO
XR
NO XR
NO XR
Adverse Efects
photosensitivity, crystalluria in
alkaline urine, tendonitis
NO
photosensitivity, crystalluria in
alkaline urine, tendonitis
NO
photosensitivity, crystalluria in
alkaline urine, tendonitis
NO
NO
NO
NO
NO
NO
Adverse Efects/Contra
NO
NO
inhibit CYP450
inhibit P450
can lead to pseudomembranous
colitis from C. diff!!!