Antibiotics and Their Usage

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10 Questions

What is a contraindication of cephalosporins?

Allergic to penicillins

What is a possible side effect of Ceftazidime?

All of the above

What is a possible interaction of Aminoglycosides with Ceftazidime?

Increased nephrotoxicity

What is the category of Doxycycline (Vibramycin) in pregnancy?

Category B

What is the mechanism of action of Tetracyclines?

Bacteriostatic

What is an indication for Tetracyclines?

Both A and B

What is a side effect of Ceftazidime?

All of the above

What is a contraindication of Doxycycline (Vibramycin) in pregnancy?

Not recommended

What is an interaction of Oral Anticoagulants with Ceftazidime?

Increased risk of bleeding

What is a possible side effect of Tetracyclines?

All of the above

Study Notes

Antibiotics

  • Antibiotics are chemical substances derived from microorganisms that can inhibit or kill bacteria.

Types of Antibiotics

  • Broad Spectrum Antibiotics: effective against many species of bacteria
  • Narrow Spectrum Antibiotics: effective against a few species of bacteria

Mechanism of Action

  • Bactericidal: kills bacteria
    • Inhibits synthesis of bacterial cell wall
    • Inhibits synthesis of protein and nucleic acid
    • Disrupts chemical activity in bacteria
  • Bacteriostatic: inhibits growth of bacteria
    • Inhibits synthesis of protein
    • Inhibits synthesis of folic acid (vitamin for brain)

General Indications

  • Treats bacterial infections
  • Dosage and duration of treatment vary depending on the type of infection and the patient's condition

Misuse of Antibiotics

  • Using antibiotics for non-bacterial infections
  • Self-medication with antibiotics
  • Not completing the full dosage or taking antibiotics for the wrong duration
  • Can lead to antibiotic resistance

Side Effects

  • Hypersensitivity
  • Gastrointestinal disturbances
  • Destruction of normal flora (mouth, gut, and genital areas)
  • Liver and kidney damage (with high doses or long-term use)

Types of Antibiotics

  • Penicillins
    • Broad Spectrum (Gram +ve)
    • Bactericidal and Bacteriostatic
    • Destroys bacterial cell wall
    • Causes bacterial cells to swell, rupture, and die
  • Cephalosporins
    • Broad Spectrum (Gram +ve and Gram -ve)
    • Bactericidal and Bacteriostatic
    • Inhibits synthesis of bacterial cell wall
  • Tetracyclines
    • Broad Spectrum (Gram +ve and Gram -ve)
    • Bacteriostatic
    • Inhibits protein synthesis in bacteria

Penicillins

  • Natural Penicillins: Benzylpenicillin (Penicillin G), Phenoxymethyl Penicillin (Penicillin V)
  • Semisynthetic Penicillins
  • Indications: Urinary tract infections, Respiratory tract infections, Skin infections, Meningitis, Intra-abdominal infections, Gonorrhea, Syphilis

Cephalosporins

  • Ceftazidime (Fortum)
  • Indications: Urinary tract infections, Respiratory tract infections, Skin infections, Meningitis
  • Dose: Adult: 1g q 8 hr IM/IV or 2g q 12 hr IM/IV
  • Side Effects: Hypersensitivity, Nausea, Vomiting, Diarrhea, Nephrotoxicity

Tetracyclines

  • Doxycycline (Vibramycin)
  • Indications: Urinary tract infections, Skin infections, Respiratory tract infections, Typhus fever
  • Dose: Adult: 200mg PO on day 1, followed by 100mg/d PO
  • Side Effects: Hypersensitivity, Nausea, Vomiting, Diarrhea, Photosensitivity

This quiz covers the effects, side effects, and usage of antibiotics, including examples, doses, and administration. It also explores indications and contraindications of antibiotic use.

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