Pharmacology · Antimicrobials (Cell Wall Inhibitors, Protein Synthesis Inhibitors, Fluoroquinolones)

A patient has an infection caused by Acinetobacter baumannii. Which beta-lactamase inhibitor has intrinsic bactericidal activity against this organism, independent of its enzyme inhibitory action?

  • A Clavulanic acid
  • B Tazobactam
  • C Avibactam
  • D Sulbactam
Correct answer: D. Sulbactam

Explanation

Sulbactam is a beta-lactamase inhibitor that also has intrinsic bactericidal activity against Acinetobacter baumannii by binding to penicillin-binding proteins. Clavulanic acid, tazobactam, and avibactam lack this intrinsic anti-Acinetobacter activity. The combination of ampicillin and sulbactam is frequently used for such multidrug-resistant infections. It provides both enzyme inhibition and direct antibacterial action.

Reference: Goodman and Gilman's The Pharmacological Basis of Therapeutics, 14th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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