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Ideally, how should you select an antimicrobial to treat an animal?
- justify antimicrobial use
- use culture and sensitivity tests to give an accurate diagnosis
- use a narrow-spectrum drug
What are requirements for labelling antimicrobials?
Red on White: "Keep out of reach of children; for animal use only"
- name, strength and quantity of medication
- adequate directions for use
- name and address
For off-label use of an antimicrobial, outline a veterinarian's responsiblities?
Have a professional responsibility in prescribing, residue minimisation and withholding periods
Consider pharmacokinetics of medications when estimating tissue residues
The pharmacokinetics of drugs is influenced by ?
Route of administration; target species; age; physiology; pathology; diet
List 6 different classes of antimicrobials?
1. penicillin
2. oxytetracycline
3. cephalosporines
4. sulphonamides
5. trimethprim & sulphadiazine
6. macrolides
List 5 types of Penicillins?
1. natural
2. β-lactamase-resistant
3. Aminopenicillins
4. Extended spectrum
5. Potentiated
List 4 natural Penicillins?
1. sodium salt Penicillin G
2. Procaine penicillin G
3. Benzathine penicillin
4. Penethamate hydriodide
List 1 β-lactamase-resistant penicillin?
Cloxacillin
List 2 aminopenicillins?
1. Amoxicillin
2. Ampicillin
List 1 extended spectrum penicillins?
Carbenicillin
List 2 potentiated penicillins?
Amoxicillin-potassium clavulanate
Procaine G Penicillin is active against ?
Most Gram Positive bacteria
How does Procaine G Penicillin work? What conditions inhibit PGP?
Disrupts cell wall synthesis
Broken down by gastric HCl
Procaine G Penicillin is eliminated by ?
the KIDNEYS
Procaine G Penicillin reaches clinically effective concentrations in _________________ but does NOT reach this in _______________
Most tissues!
The CNS, bones and eyes
Oxytetracyclines are bacterio_____________
Bacteriostatic
Oxytetracyclines are narrow spectrum
T/F
False - broad spectrum
Oxytetracyclines are active against ???
Gram Positive, Gram Negative,
Myoplasma
A side effect of Oxytetracyclines is ?
Nephrotoxicity
Cephalosporins are bacter______________
Bactericidal
_____________ are first to third generation antibiotics; third generation is extremely important to AMR
Cephalosporins
=> should NOT be first choice
Cephalosporins are excreted through ?
The KIDNEYS
Cephalosporins are considered toxic
T/F
False - non toxic
Sulphonamides are bacteri__________________
Bacteriostatic
Trimethoprim and Sulphadiazine are bacteri______________
Bactericidal
Trimethoprim and Sulphadiazine have broad spectrum activity
T/F
True
Macrolides include ?
Erythromycin
Tylosin
Tulathromycin
Tilmicosin
Macrolides are bacteri______________ and function by ?
Bacteriostatic
inhibiting protein synthesis
Macrolides are active against ?
Gram positive bacteria
Mycoplasma
Describe the CNS distribution of Macrolides
There is none!
Erythromycin is a _____________ that is an alternative to ?
Macrolide
Penicillin
___________ is used to treat S agalactiae mastitis in cattle
Erythromycin
Tylosin is a _____________ that is active against ?
Macrolide
Gram positive & mycoplasma
Tylosin is used for ??? in large animals but is (narrow/broad) spectrum
Mastitis
Narrow
Tulathromycin is a ____________ that is used in ?
Macrolide
Respiratory infections
Tulathromycin is NOT used in ? (groups)
Adult cattle producing milk
Bobby calves
Tilmicosin is a ______________ that is used in ?
Macrolide
BRD & calf pneumonia
Describe the distribution of Tilmicosin?
Concentrates and persists in tissues, esp. the lungs
IV can cause death
Tilmicosin is NOT used in what group ?
Milking cows
What are 4 anti-inflammatory drugs that are carried in large animal ambulatory practices?
1. Flunixin megalumine
2. meloxicam
3. Tolfedine
4. Ketoprofen
How do anti-inflammatory drugs function in large animals (in an ambulatory setting) and what are associated side effects?
Do NOT suppress immune system like GCS, work by inhibiting prostaglandin biosynthesis
Can cause Gi ulceration, hepatotoxicity and renal toxicity
=> stomach ulcers in young ruminants and neonates