This document provides an overview of important information about commonly used antibiotics, including their mechanisms of action, side effects, drug interactions, and coverage of different bacteria. It lists antibiotics that are bactericidal versus bacteriostatic, notes those associated with conditions like pseudomembranous colitis and QT prolongation, and identifies enhanced antibiotic combinations. The document also provides reminders on antibiotic clearance pathways and exceptions, as well as coverage of multidrug-resistant bacteria.
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Antibiotics Cheat Sheet
This document provides an overview of important information about commonly used antibiotics, including their mechanisms of action, side effects, drug interactions, and coverage of different bacteria. It lists antibiotics that are bactericidal versus bacteriostatic, notes those associated with conditions like pseudomembranous colitis and QT prolongation, and identifies enhanced antibiotic combinations. The document also provides reminders on antibiotic clearance pathways and exceptions, as well as coverage of multidrug-resistant bacteria.
* Sulfonamides compete for albumin with: * Bactericidal: beta-lactams (penicillins, cephalosporins, Bilirrubin: given in 2°,3°T, high risk or indirect monobactams, carbapenems), aminoglycosides, hyperBb and kernicterus in premies fluorquinolones, metronidazole. Warfarin: increases toxicity: bleeding * Baceriostatic: tetracyclins, streptogramins, chloramphenicol, lincosamides, oxazolidonones, macrolides, * Beta-lactamase (penicinillase) Suceptible: sulfonamides, DHFR inhibitors. Natural Penicillins (G, V, F, K) * Pseudomembranous colitis: Ampicillin, Amoxicillin, Aminopenicillins (Amoxicillin, Ampicillin) Clindamycin, Lincomycin. Antipseudomonal Penicillins (Ticarcillin, Piperacillin) * QT prolongation: macrolides, sometimes * Beta-lactamase (penicinillase) Resistant: fluoroquinolones Oxacillin, Nafcillin, Dicloxacillin Reblogging for the 100th time!!!! (sorry) I’ve made some corrections and added ABs that didn’t 3°G, 4°G Cephalosporins include before!!! Here’s the link if you want to download the Carbapenems corrected chart: [Antibiotics doc] Monobactams Also, I’m gonna add a couple of things that didn’t mention Beta-lactamase inhibitors before: * Penicillins enhanced with: * MRSA: Ceftaroline, Telavancin, Dalbavancin, Oritavancin, Clavulanic acid & Sulbactam (both are suicide Vancomycin, Linezolid, Tidezolid, Daptomycin, Tigecyclin. inhibitors, they inhibit beta-lactamase) * Skin MRSA: TMP/SMX, Clindamycin, Doxycycline, Linezolid Aminoglycosides (against enterococcus and * FQ: Gemi, Levo, Ciprofloxacin cover Pseudomona but psedomonas) do NOT cover anaerobes. Moxifloxacin covers anaerobes * Aminoglycosides enhanced with Aztreonam but do NOT cover Pseudomona. * Penicillins: renal clearance EXCEPT Oxacillin & * Ertapenem DOES NOT cover Pseudomona Nafcillin (bile) * mAcrolides DO NOT cover stAph. * Cephalosporines: renal clearance EXCEPT Cefoperazone * ciPRofloxacin DOES NOT cover stReP & Cefrtriaxone (bile) * Cefoxitin, Cefotetan: the only 2°G cephalosporins that * Both inhibited by Probenecid during tubular secretion. cover anaerobes. Also deplete prothombin, so there’s * 2°G Cephalosporines: none cross BBB increase risk of bleeding. except Cefuroxime * VRE: Tigecycline, Linezolid, Quinupristin/Dalfopristin, * 3°G Cephalosporines: all cross BBB Daptomycin except Cefoperazone bc is highly highly lipid soluble, so is * ESBL: (BLEE en español) carbapenems, beta protein bound in plasma, therefore it doesn’t cross BBB. lactam+beta lactamase inhibitors * Cephalosporines are "LAME“ bc they do not cover this Dear @md-admissions (I’m mentioning you, since you and I organisms share a passion for ID) & Medblr fam: Are there any L isteria monocytogenes corrections and/or additions that you would like to mention? A typicals (Mycoplasma, Chlamydia) Thanks :) M RSA (except Ceftaroline, 5°G) Hello beautiful lady @md-admissions E nterococci I’m reblogging this for the anon that asked about AB a couple of days ago. This is the updated chart, with extra * Disulfiram-like info! I’ll also be doing a post on AB coverage soon! effect: Cefotetan & Cefoperazone (mnemonic) Good luck and may the black cloud go away today <3 * Cefoperanzone: all the exceptions!!! All 3°G cephalosporins cross the BBB except Cefoperazone. All cephalosporins are renal cleared, except Cefoperazone. Disulfiram-like effect * Against Pseudomonas: 3°G Cef taz idime (taz taz taz taz) 4°G Cefepime, Cefpirome (not available in the USA) Antipseudomonal penicillins Aminoglycosides (synergy with beta-lactams) Aztreonam (pseudomonal sepsis) * Covers MRSA: Ceftaroline (rhymes w/ Caroline, Caroline the 5°G Ceph), Vancomycin, Daptomycin, Linezolid, Tigecyclin e. * Covers VRSA: Linezolid, Dalfopristin/Quinupristin * Aminoglycosides: decrease release of ACh in synapse and act as a Neuromuscular blocker, this is why it enhances effects of muscle relaxants. * DEMECLOCYCLINE: tetracycline that’s not used as an AB, it is used as tx of SIADH to cause Nephrogenic Diabetes Insipidus (inhibits the V2 receptor in collecting ducts) * Phototoxicity: Q ue S T ion? Q uinolones Sulfonamides T etracyclines * p450 inhibitors: Cloramphenicol, Macrolides (except Azithromycin), Sulfonamides