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TMP/SMZ

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Microbiology

Definition

TMP/SMZ, also known as Trimethoprim/Sulfamethoxazole, is a combination antibiotic used to treat various bacterial infections. It inhibits bacterial synthesis of folic acid, essential for DNA replication and cell survival.

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5 Must Know Facts For Your Next Test

  1. TMP/SMZ is effective against a broad spectrum of Gram-positive and Gram-negative bacteria.
  2. It is commonly used to treat skin infections, such as MRSA (Methicillin-resistant Staphylococcus aureus).
  3. This antibiotic combination is also used for gastrointestinal infections like traveler's diarrhea caused by E. coli.
  4. TMP/SMZ works synergistically by inhibiting two consecutive steps in the bacterial folate synthesis pathway.
  5. Patients with a sulfa allergy should avoid TMP/SMZ due to potential severe allergic reactions.

Review Questions

  • What types of bacteria are targeted by TMP/SMZ?
  • Why is TMP/SMZ effective in treating MRSA skin infections?
  • What precautions should be taken for patients with sulfa allergies when prescribing TMP/SMZ?

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