Quick Review Cards for Medical Laboratory Science

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Major Classes of Antibioticscontinued Clinical Microbiology Review 225


REPRESENTATIVE

CLASS ANTIBIOTICS MODE OF ACTION SPECTRUM OF ACTIVITY OTHER

Glycopeptides


Macrolides


Tetracyclines


Aminoglycosides


Bactericidal. Used for serious
infections.

Bacteriostatic.

Bacteriostatic. Used less often
than b-lactams. Not given to
children or pregnant women
due to staining of teeth,
abnormal bone growth.

Bactericidal. Toxic to kidneys
& ears. Only used to treat
serious GN infections.

Inhibit cell wall synthesis

Inhibit protein synthesis

Inhibit protein synthesis

Inhibit protein synthesis

Vancomycin

Erythromycin,
clarithromycin,
azithromycin

Tetracycline,
doxycycline

Gentamycin, to-
bramycin, amikacin

GPs. Drug of choice for
MRSA. Some strains of
Enterococcus are now
resistant (VRE).

GPs & some GNs, intracel-
lular organisms, atypical
mycobacteria.

GPs & GNs, intracellular
organisms, spirochetes,
MRSA, VRE.

Used primarily for GNs.
Ineffective against
anaerobes.

continued...
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