Beta lactams

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Why are β-lactam antimicrobials commonly used in veterinary medicine?

  • They are the most expensive antibiotics available
  • They have a high toxicity rate and are rarely effective
  • They are safe, effective, flexible in dosage forms, and low-cost (correct)
  • They are only used for viral infections

Which of the following is NOT a β-lactam antimicrobial?

  • Penicillins
  • Cephalosporins
  • Tetracyclines (correct)
  • Penems

List the different families of beta lactams:

Beta lactam inhibitors, penicillin and its derivatives, cephalosporins, penems and monobactams

List the derivatives of penicillin:

<p>Aminopenicillin, Antistaphylococcal penicillins, and extended spectrum penicillins (aka antipseudomonal penicillins)</p> Signup and view all the answers

Which of the following penicillins is considered an extended-spectrum penicillin?

<p>Anti-pseudomonal penicillins (D)</p> Signup and view all the answers

What structural component is common to all β-lactam antibiotics?

<p>A four-membered β-lactam ring (B)</p> Signup and view all the answers

Why is the β-lactam ring an important target for bacterial resistance?

<p>It is unstable and can be broken down by bacterial enzymes (B)</p> Signup and view all the answers

Why is oral administration (PO) limited for most β-lactam antibiotics?

<p>Most β-lactam antibiotics are destroyed by gastric pH (A)</p> Signup and view all the answers

Which of the following β-lactam antibiotics can be administered orally?

<p>Penicillin V (A)</p> Signup and view all the answers

List the other beta-lactam antibiotics that can be administered orally

<p>Aminopenicillins, some antistaphylococcal penicillin, most antipsuedomonal penicillin and some cephalosporins</p> Signup and view all the answers

What is the primary mechanism of action of β-lactam antibiotics?

<p>Inhibiting penicillin-binding proteins (PBPs) responsible for peptidoglycan synthesis (B)</p> Signup and view all the answers

Why are β-lactam antibiotics only effective against rapidly multiplying organisms?

<p>They disrupt peptidoglycan synthesis, which occurs during cell division (C)</p> Signup and view all the answers

Why are Gram-positive bacteria generally more susceptible to β-lactam antibiotics than Gram-negative bacteria?

<p>Gram-negative bacteria have an additional lipopolysaccharide layer that reduces antibiotic penetration (B)</p> Signup and view all the answers

Which group of β-lactam antibiotics has good to excellent activity against Gram-negative bacteria?

<p>Aminopenicillins, extended-spectrum penicillins, cephalosporins, penems, and monobactams (B)</p> Signup and view all the answers

Why do β-lactam antibiotics have little use in treating intracellular pathogens?

<p>They poorly penetrate mammalian cells (B)</p> Signup and view all the answers

IN order to bind to the PBPs, the Beta lactam antibiotics must first ____________

<p>Diffuse through the bacterial cell wall</p> Signup and view all the answers

What does “time-dependent killing” mean in relation to β-lactam antibiotics?

<p>The duration of time the drug concentration exceeds the bacterial MIC correlates with efficacy (C)</p> Signup and view all the answers

Which of the following is NOT a resistance mechanism against β-lactam antibiotics?

<p>Increased bacterial ribosome production (C)</p> Signup and view all the answers

What is the role of β-lactamase enzymes in bacterial resistance?

<p>They hydrolyze the β-lactam ring, inactivating the antibiotic (A)</p> Signup and view all the answers

Which type of β-lactamase can hydrolyze all β-lactam antibiotics?

<p>Carbapenemases (D)</p> Signup and view all the answers

What is a major characteristic of extended-spectrum β-lactamases (ESBLs)?

<p>They can hydrolyze penicillins, their derivatives, and cephalosporins (B)</p> Signup and view all the answers

Beta lactams are synergistic with tetracyclines

<p>False (B)</p> Signup and view all the answers

What can be used with Beta lactams to have a synergistic effect?

<p>Aminoglycosides</p> Signup and view all the answers

You do not administer beta lactams with bacteriostatic antimicrobials, in particular chloramphenicol and tetracyclines

<p>True (A)</p> Signup and view all the answers

Which of the following was the first commercially developed antibiotic?

<p>Penicillin G (B)</p> Signup and view all the answers

How is Penicillin G ranked in the WHO list of medically important antimicrobials for human medicine?

<p>Highly important (C)</p> Signup and view all the answers

Why is Penicillin G poorly absorbed from the stomach

<p>It is rapidly hydrolyzed in acidic environments (B)</p> Signup and view all the answers

Which penicillin product can be administered orally (PO) and still achieve therapeutic plasma concentrations?

<p>Penicillin V (B)</p> Signup and view all the answers

What is the primary characteristic of the Na+ and K+ salt formulations of Penicillin G?

<p>They are rapidly absorbed from intramuscular (IM) or subcutaneous (SC) administration (B)</p> Signup and view all the answers

Which formulation of Penicillin G is absorbed most slowly from IM injection?

<p>Benzathine Penicillin G (D)</p> Signup and view all the answers

What type of kinetics does Procaine Penicillin G follow due to its slow absorption?

<p>Flip-flop kinetics (B)</p> Signup and view all the answers

The rate of absorption from IM injections of procaine penicillin G varies depending on _______________

<p>The injection site</p> Signup and view all the answers

Penicillin has a moderate to high volume of distribution in most animals

<p>False (B)</p> Signup and view all the answers

Penicillin G is highly ionized in plasma

<p>True (A)</p> Signup and view all the answers

What is the significance of Penicillin G being highly ionized in plasma?

<p>It remains mostly in extracellular fluid and has limited intracellular penetration (B)</p> Signup and view all the answers

Why might Penicillin G have difficulty reaching therapeutic concentrations in certain infections?

<p>It does not penetrate sequestered infection sites well (C)</p> Signup and view all the answers

What factor can enhance Penicillin G penetration into sequestered infection sites?

<p>The presence of inflammation (B)</p> Signup and view all the answers

How is Penicillin G primarily eliminated from the body?

<p>Renal excretion as unchanged drug (B)</p> Signup and view all the answers

__________________ and __________________ contribute most to the renal elimination of Penicillin G

<p>Glomerular filtration ; active tubular secretion</p> Signup and view all the answers

Due to active renal tubular secretion, the ____________________ of Penicillin G tend to be very high

<p>Urine concentration</p> Signup and view all the answers

What is the approximate elimination half-life (t½) of Penicillin G after IV administration in most animals?

<p>1 hour (B)</p> Signup and view all the answers

Why do long-acting formulations of Penicillin G have longer elimination half-lives?

<p>They have slower absorption from injection sites (flip-flop kinetics) (C)</p> Signup and view all the answers

Why are long-acting formulations of penicillin G problematic for residue violations in food animals?

<p>They are slowly eliminated, leaving violative residues at the injection site. (C)</p> Signup and view all the answers

Why should penicillin not be administered concurrently with bacteriostatic antimicrobials like chloramphenicol or tetracyclines?

<p>They inhibit bacterial growth, reducing penicillin’s efficacy. (C)</p> Signup and view all the answers

What factor increases the risk of violative residues when using procaine penicillin G in food animals?

<p>Injection into the fascia between muscles (A)</p> Signup and view all the answers

Which of the following can lead to residue violations when administering procaine penicillin G in food animals?

<p>All of the above (D)</p> Signup and view all the answers

What is the effect of combining β-lactam antibiotics like penicillin with aminoglycosides?

<p>The β-lactam disrupts the bacterial cell wall, increasing aminoglycoside uptake. (B)</p> Signup and view all the answers

Why should penicillins and aminoglycosides not be mixed in the same syringe or IV tubing?

<p>They inactivate each other or form precipitates. (B)</p> Signup and view all the answers

Flashcards

Why are β-lactams used?

They are safe, effective, flexible in dosage forms, and low cost.

NOT a β-lactam antimicrobial

Tetracyclines

Families of beta lactams

Beta lactam inhibitors, penicillin and its derivatives, cephalosporins, penems and monobactams

Penicillin derivatives

Aminopenicillin, antistaphylococcal penicillins, and extended-spectrum penicillins (aka antipseudomonal penicillins)

Signup and view all the flashcards

Extended-spectrum penicillin

Anti-pseudomonal penicillins

Signup and view all the flashcards

β-lactam antibiotics' core structure

A four-membered β-lactam ring

Signup and view all the flashcards

Why ring is a resistance target

It is unstable and can be broken down by bacterial enzymes

Signup and view all the flashcards

Why is PO limited for β-lactams?

Most β-lactam antibiotics are destroyed by gastric pH

Signup and view all the flashcards

Oral β-lactam exceptions

Penicillin V

Signup and view all the flashcards

Oral beta-lactam antibiotics

Aminopenicillins, some antistaphylococcal penicillin, most antipsuedomonal penicillin and some cephalosporins

Signup and view all the flashcards

β-lactams' action mechanism

Inhibiting penicillin-binding proteins (PBPs) responsible for peptidoglycan synthesis

Signup and view all the flashcards

β-lactams target growth

They disrupt peptidoglycan synthesis, which occurs during cell division

Signup and view all the flashcards

Gram-positive more susceptible?

Gram-negative bacteria have an additional lipopolysaccharide layer that reduces antibiotic penetration

Signup and view all the flashcards

β-lactams vs. Gram-negative

Aminopenicillins, extended-spectrum penicillins, cephalosporins, penems, and monobactams

Signup and view all the flashcards

β-lactams vs. intracellular

They poorly penetrate mammalian cells

Signup and view all the flashcards

Beta-lactam Access Requirement

Diffuse through the bacterial cell wall

Signup and view all the flashcards

Time-dependent killing

The duration of time the drug concentration exceeds the bacterial MIC correlates with efficacy

Signup and view all the flashcards

NOT a β-lactam resistance

Increased bacterial ribosome production

Signup and view all the flashcards

β-lactamase enzymes' role

They hydrolyze the β-lactam ring, inactivating the antibiotic

Signup and view all the flashcards

Hydrolyze ALL β-lactams

Carbapenemases

Signup and view all the flashcards

ESBLs characteristic

They can hydrolyze penicillins, their derivatives, and cephalosporins

Signup and view all the flashcards

Beta lactams and tetracyclines?

False

Signup and view all the flashcards

More Like This

Use Quizgecko on...
Browser
Browser