Pharmacology-Antibiotics Classifications
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Questions and Answers

Describe the mechanism for Class 1 antibiotics.

Antibiotics which block specific metabolic steps that are essential to the microorganism (Trimethoprim, Sulfonamides). Agents that affect the nucleic acid metabolism (rifampin and quinolones).

Describe the mechanism for Class 2 antibiotics.

Agents that inhibit synthesis of microbial cell walls. Includes Penicillins and Cephalosporins which are structurally similar (Beta-lactams).

Describe the mechanism for Class 3 antibiotics.

Bacteriocidal agents that bind to the 30 S ribosomal subunit and alter protein synthesis, which eventually leads to cell death. Includes aminoglycosides.

Describe the mechanism for Class 4 antibiotics.

<p>Bacteriostatic agents that affect the 30S or 50S ribosomal subunit function to cause a reversible inhibition of protein synthesis. Includes Chloramphenicol, Tetracyclines, Macrolides, and Clindamycin.</p> Signup and view all the answers

Give examples of Class 1 antibiotics.

<p>Trimethoprim, Sulfonamides, Rifampin, and Quinolones.</p> Signup and view all the answers

Give examples of Class 2 antibiotics.

<p>Penicillins and Cephalosporins.</p> Signup and view all the answers

Give examples of Class 3 antibiotics.

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

Give examples of Class 4 antibiotics.

<p>Chloramphenicol, Tetracyclines, Macrolides, and Clindamycin.</p> Signup and view all the answers

Give examples of Class 5 antibiotics.

<p>Isoniazid, Rifampin, Ethambutol, Streptomycin, Pyrazinamide, Dapsone, Clofazimine.</p> Signup and view all the answers

Describe the purpose of Class 5 antibiotics.

<p>Antibiotics for mycobacterial disease such as tuberculosis, Mycobacterium avium, and leprosy.</p> Signup and view all the answers

What is the structure and function of Sulfonamides?

<p>Bacteriostatic in function and in structure they are similar to PABA (p-aminobenzoic acid).</p> Signup and view all the answers

What is the inhibitory mechanism of Sulfonamides?

<p>Susceptible bacteria need PABA for an essential step in the formation of purines and nucleic acid. Since sulfonamides are structural analogs of PABA, they competitively inhibit dihydropteroate synthesis.</p> Signup and view all the answers

What works synergistically with Sulfonamides?

<p>Trimethoprim.</p> Signup and view all the answers

What range of antimicrobial activity do Sulfonamides possess?

<p>Wide range of activity against gram-positive and gram-negative bacteria - Streptococcus pneumoniae, S. pyogenes, N. actinomyces.</p> Signup and view all the answers

What antimicrobial(s) is/are used in Nocardiosis (Nocardia spp.)?

<p>Sulfonamides are very effective.</p> Signup and view all the answers

What antimicrobial(s) are/is used in Toxoplasmosis?

<p>Combination of pyrimethamine and sulfadiazine.</p> Signup and view all the answers

What is co-trimoxazole and what is it commonly used to treat?

<p>Sulfamethoxazole in combination with trimethoprim is used for urinary tract infections, GI infections, prophylaxis in neutropenic patients.</p> Signup and view all the answers

What are some of the adverse reactions associated with Sulfonamides?

<p>Disturbances in the urinary tract, acute hemolytic anemia, granulocytosis, aplastic anemia, sulfa allergies, hyporexia, nausea, and vomiting.</p> Signup and view all the answers

What specific drug interactions are associated with Sulfonamides?

<p>Oral anticoagulants, sulfonylurea, hypoglycemic drugs, and hydantoin anticonvulsants.</p> Signup and view all the answers

What is the structure and function of fluoroquinolones?

<p>They are DNA gyrase inhibitors. Synthetic fluorinated analogs of nalidixic acid have broad antimicrobial activity with very few side effects.</p> Signup and view all the answers

Describe the mechanism of action of fluoroquinolones.

<p>Quinolones block bacterial DNA synthesis by inhibiting topoisomerase II (gyrase - primary target) and inhibiting topoisomerase IV (secondary target).</p> Signup and view all the answers

What is the significance of inhibition of gyrase?

<p>It prevents the relaxation of positively supercoiled DNA that is required for normal transcription and replication.</p> Signup and view all the answers

What is the significance of topoisomerase IV inhibition?

<p>It interferes with separation of replicated chromosomal DNA into respective daughter cells during cell division.</p> Signup and view all the answers

Describe and list the newer fluoroquinolones and their bacterial spectrum.

<p>Ciprofloxacin, Enoxacin, Lomefloxacin, Levofloxacin, Ofloxacin, and Pefloxacin. All possess good broad spectrum activity.</p> Signup and view all the answers

Study Notes

Class 1 Antibiotics

  • Block specific metabolic steps essential to microorganisms.
  • Include Trimethoprim, Sulfonamides, Rifampin, and Quinolones.
  • Affect nucleic acid metabolism.

Class 2 Antibiotics

  • Inhibit synthesis of microbial cell walls.
  • Include Penicillins and Cephalosporins (structurally similar Beta-lactams).

Class 3 Antibiotics

  • Bactericidal agents targeting the 30S ribosomal subunit.
  • Alter protein synthesis leading to cell death.
  • Include Aminoglycosides.

Class 4 Antibiotics

  • Bacteriostatic agents affecting the 30S or 50S ribosomal subunit.
  • Cause reversible inhibition of protein synthesis.
  • Include Chloramphenicol, Tetracyclines, Macrolides, and Clindamycin.

Class 5 Antibiotics

  • Target Mycobacterial diseases such as tuberculosis and leprosy.
  • Include Isoniazid, Rifampin, Ethambutol, Streptomycin, Pyrazinamide, Dapsone, and Clofazimine.

Sulfonamides

  • Bacteriostatic and structurally similar to PABA (p-aminobenzoic acid).
  • Inhibit dihydropteroate synthesis, blocking folic acid production.
  • Wide antimicrobial activity against gram-positive and gram-negative bacteria.

Synergistic Agents for Sulfonamides

  • Trimethoprim works synergistically with Sulfonamides to enhance efficacy.

Clinical Uses of Sulfonamides

  • Effective against Nocardiosis (Nocardia spp.).
  • Used in combination with pyrethamine and sulfadiazine for Toxoplasmosis.

Co-trimoxazole

  • Combination of sulfamethoxazole and trimethoprim.
  • Commonly used to treat urinary tract infections and GI infections.

Adverse Reactions of Sulfonamides

  • Urinary tract disturbances, acute hemolytic anemia, granulocytosis, aplastic anemia.
  • Sulfa allergies and gastrointestinal issues such as nausea and vomiting.

Drug Interactions for Sulfonamides

  • Interact with oral anticoagulants, sulfonylureas, hypoglycemic drugs, and hydantoin anticonvulsants.

Fluoroquinolones

  • Synthetic fluoroquinolones are DNA gyrase inhibitors.
  • Broad antimicrobial activity with minimal side effects.

Mechanism of Action of Fluoroquinolones

  • Block bacterial DNA synthesis by inhibiting topoisomerase II (gyrase) primarily and topoisomerase IV secondarily.

Importance of Inhibition of Gyrase

  • Prevents relaxation of supercoiled DNA necessary for transcription and replication.

Significance of Topoisomerase IV Inhibition

  • Interferes with separation of replicated DNA during cell division.

Newer Fluoroquinolones

  • Include Ciprofloxacin, Enoxacin, Lomefloxacin, Levofloxacin, Ofloxacin, and Pefloxacin.
  • Exhibit broad-spectrum activity particularly against gram-negative bacteria.

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Description

Explore the mechanisms and classifications of antibiotics in pharmacology. This quiz covers Class 1 and Class 2 antibiotics, detailing their actions on microbial metabolism and cellular structures. Perfect for students studying pharmacology or medicine.

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