BMS 450 Lecture Notes - Urinary Tract Infection, Gram-Positive Bacteria, Competitive Inhibition
Document Summary
Pbp (penicillin binding proteins including transpeptidase) cross link peptidoglycans. If cell has drugs will be bacteriocidal. If cell doesn"t have drugs will be bacteriostatic. 4 numbered cyclic ring with amine group adjacent to ketone group. Penicillin binding proteins (pbps) cross-link peptidoglycans to form bacterial cell wall. They compete with peptidoglycans for binding to pbps and inhibit cell wall synthesis. They are bacteriostatic or bacteriocidal, depending on type of bacteria. Gut e. coli can spread these resistance factors. Lactams pass through porin channels to reach the plasma membrane and. Mutation or loss of porins can cause resistance. Mutations in pbps causing loss of -lactam binding. Multiple resistance factors (two or more of above) Act on streptococci and a few gram negatives. 95% of staphylococci (gram positive) strains have -lactamase and are resistant. These are acid stable and may be taken orally. Ampicillin* - csf, synovial, peritoneal, pleural, ear, urinary tract infections. Use with -lactams that are sensitive to lactamase.