Fosfomycin Streptomyces wedmorensis (ATCC 21239) Quiz
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Questions and Answers

What is the main bacterium targeted by Fosfomycin?

  • Pseudomonas aeruginosa
  • Streptomyces wedmorensis
  • MRSA
  • E. coli (correct)

Which side effect is commonly associated with Fosfomycin use?

  • Nephrotoxicity (correct)
  • Cardiac arrhythmias
  • Liver toxicity
  • Neurological disorders

How do protein synthesis inhibitors affect bacterial cells?

  • Increase cellular growth
  • Prevent ribosome formation
  • Enhance protein synthesis
  • Inhibit mRNA translation (correct)

Which subunit of the ribosome is targeted by protein synthesis inhibitors?

<p>60S (C)</p> Signup and view all the answers

What type of activity do protein synthesis inhibitors exhibit depending on their binding nature?

<p>Bactericidal activity (C)</p> Signup and view all the answers

Which class of antibiotics does Fosfomycin belong to based on its mechanism of action?

<p>Protein synthesis inhibitors (B)</p> Signup and view all the answers

What is the mechanism of action of tetracyclines?

<p>Inhibition of protein synthesis (D)</p> Signup and view all the answers

Which of the following statements about Amikacin is true?

<p>It is effective against Pseudomonas aeruginosa (B)</p> Signup and view all the answers

What makes Amikacin less susceptible to inactivating enzymes compared to other aminoglycosides?

<p>Its chemical structure (D)</p> Signup and view all the answers

Which of the following bacteria is Neomycin active against?

<p>Penicillin-resistant staphylococci (B)</p> Signup and view all the answers

Which antibiotic is used to treat rosacea and prevent rhinophyma?

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

Which bacterial strains is Clindamycin most effective against?

<p>Vancomycin-resistant enterococci (VRE) (B)</p> Signup and view all the answers

What is the main side effect associated with Clindamycin usage?

<p>Low platelet count (A)</p> Signup and view all the answers

How does Linezolid (Oxazolidinone) primarily affect bacterial protein synthesis?

<p>Disrupting initiation complex formation (B)</p> Signup and view all the answers

Which antibiotic is considered a second-generation oxazolidinone derivative that is more potent against MRSA and VRE?

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

What is a significant advantage of Fosfomycin when compared to other antibiotics?

<p>Low risk of nephrotoxicity and hepatotoxicity (A)</p> Signup and view all the answers

How does Fosfomycin primarily exert its antibiotic effect?

<p>Inhibition of nucleotide synthesis (C)</p> Signup and view all the answers

Study Notes

Fosfomycin

  • Rapid bactericidal effect and wide antibacterial spectrum including MRSA, VRE, and many Gram-negative bacteria
  • Used to treat urinary tract infections and cystitis in women
  • Side effects: Nephrotoxicity

Protein Synthesis Inhibitors

  • Inhibit either the 30S or 50S ribosomal subunit, which differs from mammalian ones
  • Can be bactericidal or bacteriostatic depending on the type of binding
  • Classification: Macrolides, Clindamycin, Chloramphenicol, Aminoglycosides, Tetracyclins, and Linazolid

Aminoglycosides

  • Bactericidal
  • Examples: Amikacin, Gentamicin, Tobramycin, Streptomycin, Neomycin, and Kanamycin
  • Uses: Broad-spectrum antibiotics, used in pseudomonal infections and in the treatment of tuberculosis
  • Toxicity: Nephrotoxicity and Ototoxicity

Tetracyclines

  • Bacteriostatic
  • Act by reversibly binding to the 30S subunit of the ribosome at the A-site
  • Examples: Oxytetracycline, Minocycline, Doxycycline
  • Uses: Treat rosacea, prevent rhinophyma, and cover atypical bacteria, Gram-positive, and Gram-negative bacteria
  • Spectrum: Includes Mycoplasma, Chlamydia, Rickettsiae, and Spirochetes, but not active against S. pyogenes and P. aeruginosa

Lincosamides

  • Bacteriostatic
  • Examples: Lincomycin, Clindamycin
  • Uses: Effective against anaerobes, Gram-positive cocci, and MRSA
  • Side effects: Pseudomembranous Colitis

Oxazolidinones

  • Bacteriostatic
  • Examples: Linezolid
  • Uses: Active against Gram-positive bacteria, including VRE and MRSA, and can be used in people with liver disease or poor kidney function
  • Side effects: Long-term usage (>2 weeks) may be associated with low platelet count
  • Tedizolid is a second-generation oxazolidinone derivative that is 4-to-16-fold more potent against MRSA and VRE

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Description

Test your knowledge on Fosfomycin Streptomyces wedmorensis, an antibiotic with rapid bactericidal effect against MRSA, VRE, and Gram-negative bacteria. Explore its uses in treating skin infections and urinary tract infections, along with potential side effects.

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