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Table 6–2. Medically Important Members of the Normal Flora.

Location Important Organisms1 Less Important Organisms2


Skin Staphylococcus epidermidis Staphylococcus aureus, Corynebacterium (diphtheroids),
various streptococci, Pseudomonas aeruginosa,
anaerobes (e.g., Propionibacterium), yeasts (e.g., Candida
albicans)

Nose Staphylococcus aureus3 S. epidermidis, Corynebacterium (diphtheroids), various


streptococci

Mouth Viridans streptococci Various streptococci, Eikenella corrodens

Dental Streptococcus mutans Prevotella intermedia, Porphyromonas gingivalis


plaque

Gingival Various anaerobes, e.g.,  


crevices Bacteroides, Fusobacterium,
streptococci, Actinomyces

Throat Viridans streptococci Various streptococci (including Streptococcus pyogenes


and Streptococcus pneumoniae), Neisseria species,
Haemophilus influenzae, S. epidermidis

Colon Bacteroides fragilis, Escherichia Bifidobacterium, Eubacterium, Fusobacterium,


coli Lactobacillus, various aerobic gram-negative rods,
Enterococcus faecalis and other streptococci, Clostridium

Vagina Lactobacillus, E. coli,3 group B Various streptococci, various gram-negative rods. B.


streptococci3 fragilis, Corynebacterium (diphtheroids), C. albicans

Urethra   S. epidermidis, Corynebacterium (diphtheroids), various


streptococci, various gram-negative rods, e.g., E. coli3
 Chemotherapeutic agent – Chemical used to treat disease

 Antimicrobial agent – Chemical that kills or inhibits the growth of microorganisms

 Antibiotic – Chemical produced by a microorganism that kills or inhibits the growth of another
microorganism
Table 10–1. Mechanism of Action of Important Antibacterial and Antifungal Drugs.

Mechanism of Action Drugs


Inhibition of cell wall synthesis
  1. Antibacterial activity
     Inhibition of cross-linking (transpeptidation) of Penicillins, cephalosporins, imipenem, aztreonam,
peptidoglycan vancomycin
     Inhibition of other steps in peptidoglycan Cycloserine, bacitracin
synthesis
  2. Antifungal activity
Caspofungin

     Inhibition of -glucan synthesis

Inhibition of protein synthesis


  Action on 50S ribosomal subunit Chloramphenicol, erythromycin, clindamycin,
linezolid
  Action on 30S ribosomal subunit Tetracyclines and aminoglycosides

Inhibition of nucleic acid synthesis


  Inhibition of nucleotide synthesis Sulfonamides, trimethoprim
  Inhibition of DNA synthesis Quinolones
  Inhibition of mRNA synthesis Rifampin

Alteration of cell membrane function


  Antibacterial activity Polymyxin, daptomycin
  Antifungal activity Amphotericin B, nystatin, ketoconazole

Other mechanisms of action


  1. Antibacterial activity Isoniazid, metronidazole, ethambutol, pyrazinamide
  2. Antifungal activity Griseofulvin, pentamidine

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