Antibiotics affecting cell wall

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Antibiotics affecting cell wall by Mind Map: Antibiotics affecting cell wall

1. bacitracin

1.1. Highly toxic

1.2. Used toplically

1.3. Could be combined with hydrocortisone and poymixin B in treatment of skin scars or infections

2. Cycloserine

2.1. BBB

2.2. Tb treatment

2.3. Analog to D alanine

2.4. Taken orally

2.5. Cause CNS dysfunction

3. Beta lactams

3.1. Penicillins

3.1.1. Natural

3.1.1.1. Penicillin G (injection)

3.1.1.2. Penicillin V (oral)

3.1.2. Semi-synthetic

3.1.2.1. Beta lactamase resistant

3.1.2.1.1. Methicillin - nafcillin- oxacillin

3.1.2.2. Extended release

3.1.2.2.1. Amino penicillins

3.1.2.3. Anti pseudomonas

3.1.2.3.1. Ureidopenicillins

3.1.2.3.2. Carboxypenicillins

3.2. Cephalosporins

3.2.1. 1st gen

3.2.1.1. Cephalexin - cafadroxil - cefazolin- caphradine

3.2.1.2. G +ve

3.2.2. 2nd gen

3.2.2.1. Cefaclor -cefprozil - cefuroxime

3.2.2.2. Less activity against G+ve

3.2.3. 3rd gen

3.2.3.1. Cefixime - cefbutene - ceftrixone

3.2.3.2. Caftazide is the only one in 3rd gen active against pseudomonas infections

3.2.4. 4th gen

3.2.4.1. Cefepime

3.2.4.2. G+ve & G-ve

3.2.4.3. Iv or Im

3.2.5. 5th gen

3.2.5.1. Ceftaroline - cefbiprole

3.2.5.2. Active against MRSA

3.2.5.3. NOT active against pseudomonas

3.2.5.4. G-ve

3.3. Monobactams

3.3.1. Aztreonam

3.3.2. G-ve bacteria only

3.3.3. No cross allergy

3.3.4. Lacks bicyclic nucleus

3.4. Carbapenems

3.4.1. Imepenem - meropenem

3.4.1.1. Penetrating BBB and CNS

3.4.1.1.1. Ttt of meningitis

3.4.1.2. Imipenem not used now as it causes seizures

3.4.1.3. Meropenem active against G-ve bacillary meningitis

3.4.2. Thienamycin is the first carbapenem discovered

3.4.3. Active againist all types of bacteria

3.4.4. Brodest spectrum antibiotic

3.4.5. Synergistic effect with aminoglycosides

4. Vancomycin

4.1. Glycopeptide (bulky molecule)

4.2. Iv only in cases of emergency

4.3. Could cause red man syndrome

4.4. Nephrotoxic specially with aminoglycosides-ototoxic

4.5. G+ve bateria only

5. Fosfomycin

5.1. uti infections caused by ecoli or enterococcus faecalis (ORAL)

5.2. Nosocomial infections due to MDR BACTERIA

5.3. G-ve and G+ve bacteria