COMPOUNDS Aminoglycosides Irreversible inhibition of Amikacin, Gentamicin, protein synthesis by binding Neomycin, Netimicin, on the 30S subunit of Streptomycin, Tobramycin bacterial ribosome Carbacephems Inhibit synthesis of Loracarbef peptidoglycan causing osmotic lysis Carbapenems Inhibit synthesis of Ertapenem, Imipenem, peptidoglycan causing Meropenem osmotic lysis; resistant to β- lactamases and has wide spectrum of activity Cephalosporins Bind to penicillin-binding Cefaclor, Cefadroxil, proteins (PBP) of bacteria; Cefalexin, Cefamandole, inhibit bacterial cell wall Cefapirin, Cefazolin, peptidoglycan synthesis and Cefepime,Cefetamet pivoxil, activate bacterial cell wall Cefizime, Cefmenoxime, autolytic enzymes Cefodizime, Cefonicid, Cefoperazone, Cefotaxime, Cefotetan, Cefotiam, Cefoxitin, Cefpirome, Cefpodoxime, Cefprozil, Cefradine, Cefsulodin, Ceftazidime, Ceftezole, Ceftibuten, Ceftizoxime, Ceftrixone, Cefuroxime Chloramphenicol Bind reversibly to a receptor Chloramphenicol site on the 50S subunit of bacterial ribosome Glycopeptides Prevent further elongation Vancomycin, Teiocplanin and cross-linking of bacterial peptidoglycan synthesis; active against gram-positive bacteria including methicillin- resistant Staphylococci Lincosamides Inhibit protein synthesis by Clindamycin, Lincomycin interfering with initiation complexes and translocation reaction the bacterial 50S subunit Ketolides Inhibit bacterial protein Telithromycin synthesis by reversible binding to the 50S ribosomal subunit
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Macrolides Inhibit bacterial protein Azithromycin, Clarithromycin, synthesis by reversible Dirithromycin, Erythromycin, binding to the 50S ribosomal Troleandomycin subunit Monobactams Inhibit synthesis of Aztreonam peptidoglycan causing osmotic lysis; resistant to β- lactamases and active against gram-negative rods Nitrofurantoin Block aerobic energy Nitrofurantoin production and synthesis of proteins, DNA, RNA and cell walls Oxazolidinones Cause faulty protein synthesis Linezolid by binding to the 50S ribosomal subunit Penicillins Inhibit synthesis of Amoxycillin, Ampicillin, peptidoglycan causing Bacampicillin, Carbenicillin, osmotic lysis Methicillin, Mezlocillin, Penicillin G, Penicillin V, Piperacillin, Ticarcillin Penicillins with β-lactamase Bind to penicillin-binding Amoxycillin + Clavulanate, inhibitors or compounds proteins (PBP) of bacteria; Ampicillin + Sulbactam, preventing penicillin inhibit bacterial cell wall Ticarcillin + Clavulanate, degeneration in kidneys synthesis and activate cell Piperacillin + Tazobactam wall autolytic enzymes Polymyxins Alter cytoplasmic membrane Polymyxin B using cellular leakage Quinolones Inhibit one or more of a group Ciprofloxaxin, Enoxacin, of enzymes called Gatifloxacin, Levofloxacin, topoisomerases that are Lomefloxacin, Moxifloxacin, essential for bacterial DNA Nalidixic acid, Norfloxacin, replication and transcription; Ofloxacin, Trovafloxacin Inhibit DNA gyrase Streptogramins Cause faulty protein synthesis Quinupristine + Dalfopristine by binding to the 50S ribosomal subunit Sulphonamides Competitive inhibition of folic Sulfisoxazole, acid synthesis by acting as Sulfamethoxsazole, structural analogue of para- Sulfamethizole, Sulfasalazine aminobenzoic (PABA) Tetracycline Bind reversibly to receptors Demeclocycline, Doxycycline, on the 30S ribosomal subunit Minocycline, Oxytetracycline, inhibiting protein synthesis Tetracycline
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Trimethoprim Inhibits dihydrofolic acid Trimethoprim reductase of bacteria and blocks metabolic sequences in DNA synthesis Tyrocidins Alter cytoplasmic membrane Tyrocidine, Gramicidin causing cellular leakage