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</p> Signup and view all the answers

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

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

    What is the mechanism of action of tetracyclines?

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

    Which of the following statements about Amikacin is true?

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

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

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

    Which of the following bacteria is Neomycin active against?

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

    Which antibiotic is used to treat rosacea and prevent rhinophyma?

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

    Which bacterial strains is Clindamycin most effective against?

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

    What is the main side effect associated with Clindamycin usage?

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

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

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

    How does Fosfomycin primarily exert its antibiotic effect?

    <p>Inhibition of nucleotide synthesis</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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