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Samenvatting antibiotica

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overzicht antibiotica (spectrum, farmacologische eigenschappen, resistentie...)

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  • March 7, 2023
  • 5
  • 2022/2023
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OVERZICHT ANTIBIOTICA


ANTIBIOTICUM GEBRUIK WERKINGSMECHANISME FARMACOKI SPECTRUM RESISTENTIE- TOXICITEIT/NEVEN-
NETIEK MECHANISME WERKINGEN

Antibiotica die nucleotidesynthese verstoren
Co-trimoxazol inhibitie Breed: G+ & - Gevoeligheid o.b.v.
combi sulfonamide foliumzuursynthese antibiogram
& trimethoprim

Antibiotica die inwerken op nucleotiden
Quinolonen #infecties: respiratoir,  inhibitie goede 1e generatie: nalidixinezuur & 1) chromosomale QT-verlenging
F op C6 G(+ en -) intestinaal, urine, huid bacterieel DNA- resorptie, derivaten puntmutatie in DNA FotosensibilisatieAchille
& weke delen, topoisomerase penetratie, 2e generatie: nor/cipro/ofloxacine gyrase spees
been/gewricht, SOA (gyrase) t1/2 > actiever door F 2) effluxpompen GI-flux
 inhibitie > G(+ en -)
bacterieel DNA- 3e generatie: Levo/moxifloxacine
topoisomerase 4 > G(+) en pneumococcen (M)
 induceren
endonucleasen
Rifampicine  TBC Inhibitie transcriptie Penetratie G(+) & mycobacterium Chromosomale Roodkleuring secreten
 haemophilius hoog Vd tuberculosis mutaties (urine…)
influenza b
infectie,
stafylokokken

Nitro- Protazoa & anaroob Verbreekt DNA strengen Anaërobe bacteriën & protazoa
imidazolen bact. infecties waardoor transcriptie
blokkeert

, OVERZICHT ANTIBIOTICA


ANTIBIOTICU GEBRUIK WERKINGSMECHANISME FARMACOKI SPECTRUM RESISTENTIEMECHANISME TOXICITEIT/
M NETIEK NEVEN-
WERKINGEN
Antibiotica die eiwitsynthese verstoren
Aminoglycosi Combinatie met B-lactam of Bindt 30S-subeenheid Penetratie G(-) & 1) aminoglyc-inactiverende Nefro-&
den fluoroquinolinen stafylokokken enzymen ototoxiciteit
2) wijziging proteïnen
buitenmembraan
3) verandering thtv ribosoom
Tetracyclines  intracellulaire Bindt 30S-subeenheid > - Onopl. chelaten G(+ en -), 1) efflux pompen Cheleren Ca in
Infectie aminoacyl tRNA, met voeding anaëroben 2) ribosomale tanden, diaree,
 ziekte van Lyme penetratie door diffusie - lange t1/2  niet beschermingsproteïnen foto, resistentie
 Acne 2e generatie: - goede verdeling pseudomonas  hoge resistentie bij
mino/doxycycline stafylokokken & streptokokken
Goede opname

Macroliden  Luchtweginfectie Bindt 50S-subeenheid > - Inactivatie door Aërobe & anaërobe 1) methylatie 23S rRNA QT, anti-inflam
Macrocyclische  Huid- & weke delen blokkeert maagzuur G(+), neisseria, (kruisresistentie)
lactamring ontsteking peptidyltransferase - hoge Vd chlamydia, 2) efflux
 campylobacter inf - metabole campylobacter,
 chlamydia inactivatie mycoplasma,
trachomatis legionella
urethritis/cervicitis > pneumococ:
 helicobacter pylori telithromycine
inf
 long > azithromycine

Lincosamide:  infecties Bindt 50S-subeenheid > goede verdeling & Aêroob G(+), Methylatie 23S rRNA Diarree door
clindamycine strepto/stafylokokke inhibitie peptidyl resorptie anaëroob G(+ en -) (kruisresistentie met macroliden) clostridium difficile
n transferase (in flora aanw)
 menginfecties

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