Microbiology

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Cards

Cell wall (peptidoglycan) synthesis β-lactam antibiotics, Glycopeptide antibiotics, Bacitracin  
Nucleic acid synthesis Fluoroquinolones, Rifamycin  
Cell membrane integrity Polymyxins, Daptomycin  
Metabolic pathways (folate biosynthesis) Sulfonamides, Trimethoprim  
Protein synthesis Aminoglycosides, Tetracyclines and Glycylcyclines, Macrolides, Chloramphenicol, Lincosamides, Oxazolidinones, Pleuromutilins, Streptogramins  
β-lactams Penicillins, Cephalosporins, Carbapenems, Monobactams  
5 mechanisms of resistance Increase elimination, antibiotic-inactivating enzyme, alteration in target molecule, decreased uptake, alteration of metabolic pathways  
amoxicillin class, c/s Cell wall synthesis (penicillin), bactericidal  
amoxicillin target, resistance mechanism Cell wall, inactivated by β-lactamases  
ampicillin class, c/s Cell wall synthesis (penicillin), bactericidal  
ampicillin target, resistance mechanism Cell wall, inactivated by β-lactamases  
azithromycin class, c/s Protein synthesis (macrolide), bacteriostaic  
azithromycin target Reversibly binds to 50s subunit, effective against Gram +s  
azithromycin resistance mechanism Modification of ribosomal RNA target, enzyme that modifies medication, or modifications resulting in decreased uptake  
bacitracin class, c/s Cell wall synthesis, bactericidal (?)  
bacitracin target, resistance mechanism Cell wall (interferes with transport of peptidoglycan precursors across the cytoplasmic membrane), ?  
carbapenem class, c/s Cell wall synthesis, bactericidal  
carbapenem target, resistance mechanism Cell wall, carbapenemases (enzyme)  
cephalexin class, c/s Cell wall synthesis (cephalosporin), bactericidal  
cephalexin target, resistance mechanism Cell wall, some have low affinity for PBPs of Gram +s  
ciprofloxacin class, c/s Nucleic acid synthesis (fluoroquinolone), bactericidal  
ciprofloxacin target Topoismerases (enzymes that maintain supercoiling of DNA)  
ciprofloxacin resistance mechanism Alteration in DNA gyrase target  
clindamycin class, c/s Protein synthesis (Lincosamide), bactericidal  
clindamycin target, resistance mechanism 50s subunit- block translation, enzymatic modification of ribosomal target  
doxycycline class, c/s Protein synthesis (tetracycline), bacteriostatic  
doxycycline target Reversibly binds to 30s subunit, blocking tRNA attachment  
doxycycline resistance mechanism Structural alteration to target molecule or decrease in accumulation by cell (decreased uptake or increased excretion)  
erythromycin class, c/s Protein synthesis (macrolide), bacteriostatic  
erythromycin target Reversibly binds to 50s subunit, effective against Gram +s  
erythromycin resistance mechanism Modification of ribosomal RNA target, enzyme that modifies medication, or modifications resulting in decreased uptake  
imipenem class, c/s Cell wall synthesis (carbapenem), bactericidal  
imipenem target, resistance mechanism Cell wall, carbapenemases (enzyme)  
linezolid class, c/s Protein synthesis (oxazolidinone), bacteriostatic  
linezolid target, resistance mechanism Bind to 50s subunit- prevents initiation of translation, ?  
methicillin class, c/s Cell wall synthesis (penicillin), bactericidal  
methicillin target, resistance mechanism Cell wall, is penicillinase resistant  
neomycin class, c/s Protein synthesis (aminoglycoside), bactericidal  
neomycin target, resistance mechanism Binds to 30s subunit- causes misreading of mRNA, host requires respiratory metabolism  
penicillin G class, c/s Cell wall synthesis, bactericidal  
penicillin G target, resistance mechanism Cell wall, penicillinases  
polymyxin B class, c/s Cell membrane integrity, bactericidal  
polymyxin B target, resistance mechanism Gram- membranes, ?  
rifampin class, c/s Nucleic acid synthesis (rifamycin), bactericidal  
rifampin target, resistance mechanism Blocks prokaryotic RNA polymerase, mutation in RNA polymerase  
streptomycin class, c/s Protein synthesis (aminoglycoside), bactericidal  
streptomycin target, resistance mechanism Binds to 30s subunit, ?  
sulfanilamide class, c/s Folate biosynthesis, bacteriostatic  
sulfanilamide target, resistance mechanism Alteration of metabolic pathway (#1), plasmid-encodes enzymes  
tetracycline class, c/s Protein synthesis, bacteriostatic  
tetracycline target, resistance mechanism Binds to 30s subunit- prevents translation from continuing- ?  
trimethoprim class, c/s Folate biosynthesis, bacteriostatic  
trimethoprim target, resistance mechanism Alteration of metabolic pathway (#2), plasmid-encoded enzymes  
vancomycin class, c/s Cell wall synthesis (glycopeptide), bactericidal  
vancomycin target, resistance mechanism Cell wall, alteration in target molecules (peptidoglycan)  

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