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B. Anti-Mycobacterial agents
Anti-mycobacterial agents are generally used in combination with other antimicrobials since treatment is prolonged
and resistance develops readily to individual agents.
1. Para-aminosalicylic acid (PSA) (bacteriostatic)
Mode of action: This is similar to sulfonamides
Spectrum of activity: PSA is specific for Mycobacterium tuberculosis
2. Dapsone (bacteriostatic)
Mode of action: Similar to sulfonamides
Spectrum of activity: Dapsone is used in treatment of leprosy
3. Isoniazid (INH) (bacteriostatic)
Mode of action: Isoniazid inhibit synthesis of mycolic acids.
Spectrum of activity: INH is used in treatment of tuberculosis
Resistance: Resistance has developed
Antimicrobial Drug Resistance
A. Principles and Definitions
1. Clinical Resistance
Clinical resistance to an antimicrobial agent occurs when the MIC of the drug for a particular strain of bacteria
exceeds that which is capable of being achieved with safety in vivo. Resistance to an antimicrobial can arise:
* By mutation in the gene that determines sensitivity/resistance to the agent
* By acquisition of extra chromosomal DNA (plasmid) carrying a resistance gene.
Resistance that appears after introduction of an antimicrobial agent into the environment usually results from a
selective process, i.e. the antibiotic selects for survival of those strains possessing a resistance gene.
Resistance can develop in a single step or it can result from the accumulation of multiple mutations.
2. Cross Resistance
Cross resistance implies that a single mechanism confers resistance to multiple antimicrobial agents while
multiple resistance implies that multiple mechanisms are involved. Cross resistance is commonly seen with
closely related antimicrobial agents while multiple resistance is seen with unrelated antimicrobial agents.
B. Mechanisms of Resistance
1. Altered permeability of the antimicrobial agent
Altered permeability may be due to the inability of the antimicrobial agent to enter the bacterial cell or
alternatively to the active export of the agent from the cell.
2. Inactivation of the antimicrobial agent
Resistance is often the result of the production of an enzyme that is capable of inactivating the antimicrobial
agent.
3. Altered target site
Resistance can arise due to alteration of the target site for the antimicrobial agent.
4. Replacement of a sensitive pathway
Resistance can result from the acquisition of a new enzyme to replace the sensitive one.
List of antibiotics
List of antibiotics
Following is the list of antibiotics, sorted by class. The highest division is between bactericidal antibiotics and
bacteriostatic antibiotics. Bactericidals kill bacteria directly where bacteriostatics prevent them from dividing.
However, these classifications are based on laboratory behavior; in practice, both of these are capable of ending a
bacterial infection.[1]
See also pathogenic bacteria for a list of antibiotics sorted by target bacteria.
Antibiotics by class
Generic name
Brand names
[2]
Common uses
[2]
Possible side effects
Mechanism of action
Aminoglycosides
Amikacin
Amikin
Gentamicin
Garamycin
Kanamycin
Kantrex
Neomycin
Neo-Fradin
Netilmicin
Netromycin
Tobramycin
Nebcin
Paromomycin
Humatin
Spectinomycin
Trobicin
[3]
Infections caused by
Gram-negative bacteria,
Hearing loss
Vertigo
Kidney damage
Gonorrhea
Ansamycins
Geldanamycin
Experimental, as antitumor
antibiotics
Herbimycin
Rifaximin
Xifaxan
Loracarbef
Lorabid
Discontinued
Carbapenems
Ertapenem
Invanz
Doripenem
Doribax
Imipenem/Cilastatin
Primaxin
Meropenem
Merrem
Gastrointestinal
upset and diarrhea
Nausea
Seizures
Headache
Rash and allergic
reactions
Duricef
Cefazolin
Ancef
Cefalotin or Cefalothin
Keflin
(discontinued)
Cefalexin
Gastrointestinal
upset and diarrhea
Nausea (if alcohol
taken concurrently)
Allergic reactions
Keflex
Cephalosporins (Second generation)
List of antibiotics
Cefaclor
Distaclor
Cefamandole
Mandol
(discontinued)
Cefoxitin
Mefoxin
(discontinued)
Cefprozil
Cefzil
Cefuroxime
Ceftin, Zinnat
(UK)
Gastrointestinal
upset and diarrhea
Nausea (if alcohol
taken concurrently)
Allergic reactions
Suprax
Cefdinir
Omnicef,
Cefdiel
Cefditoren
Spectracef
Cefoperazone
Cefobid
(discontinued)
Cefotaxime
Claforan
Cefpodoxime
Vantin
Ceftazidime
Fortaz
Ceftibuten
Cedax
Ceftizoxime
Cefizox
(discontinued)
Ceftriaxone
Rocephin
Gastrointestinal
upset and diarrhea
Nausea (if alcohol
taken concurrently)
Allergic reactions
Maxipime
Covers pseudomonal
infections.
Gastrointestinal
upset and diarrhea
Nausea (if alcohol
taken concurrently)
Allergic reactions
Teflaro
Ceftobiprole
Zeftera
Gastrointestinal
upset and diarrhea
Allergic reaction
Gastrointestinal
upset and diarrhea
Nausea (if alcohol
taken concurrently)
Allergic reactions
Glycopeptides
Teicoplanin
Targocid (UK)
Vancomycin
Vancocin
Telavancin
Vibativ
List of antibiotics
Clindamycin
Cleocin
Lincomycin
Lincocin
Possible C.
difficile-related
pseudomembranous
enterocolitis
Lipopeptide
Daptomycin
Cubicin
Gram-positive organisms
Macrolides
Azithromycin
Zithromax,
Sumamed,
Xithrone
Clarithromycin
Biaxin
Dirithromycin
Dynabac
(discontinued)
Erythromycin
Erythocin,
Erythroped
Streptococcal infections,
syphilis, upper respiratory
tract infections, lower
respiratory tract infections,
mycoplasmal infections,
Lyme disease
Nausea, vomiting,
and diarrhea
(especially at higher
doses)
Prolonged QT
interval (especially
erythromycin)
Jaundice
Roxithromycin
Troleandomycin
Tao
(discontinued)
Telithromycin
Ketek
Pneumonia
Spiramycin
Rovamycine
Mouth infections
Visual Disturbance,
[4]
Liver Toxicity.
Monobactams
Aztreonam
Azactam
Furazolidone
Furoxone
Bacterial or protozoal
diarrhea or enteritis
Nitrofurantoin
Macrodantin,
Macrobid
Oxazolidonones
Linezolid
Zyvox
Posizolid
Phase II clinical
trials
Radezolid
Phase II clinical
trials
Torezolid
Phase II clinical
trials
VRSA
Thrombocytopenia
Peripheral
neuropathy
List of antibiotics
4
Penicillins
Amoxicillin
Novamox,
Amoxil
Ampicillin
Principen
(discontinued)
Azlocillin
Carbenicillin
Geocillin
(discontinued)
Cloxacillin
Tegopen
(discontinued)
Dicloxacillin
Dynapen
(discontinued)
Flucloxacillin
Floxapen (Sold
to European
generics
Actavis Group)
Mezlocillin
Mezlin
(discontinued)
Methicillin
Staphcillin
(discontinued)
Nafcillin
Unipen
(discontinued)
Oxacillin
Prostaphlin
(discontinued)
Penicillin G
Pentids
(discontinued)
Penicillin V
Veetids
(Pen-Vee-K)
(discontinued)
Piperacillin
Pipracil
(discontinued)
Penicillin G
Pfizerpen
Temocillin
Negaban (UK)
(discontinued)
Ticarcillin
Ticar
(discontinued)
Gastrointestinal
upset and diarrhea
Allergy with serious
anaphylactic
reactions
Brain and kidney
damage (rare)
Penicillin combinations
Amoxicillin/clavulanate
Augmentin
Ampicillin/sulbactam
Unasyn
Piperacillin/tazobactam
Zosyn
Ticarcillin/clavulanate
Timentin
Polypeptides
List of antibiotics
Bacitracin
Colistin
Coly-Mycin-S
Polymyxin B
Quinolones
Ciprofloxacin
Cipro,
Ciproxin,
Ciprobay
Enoxacin
Penetrex
Gatifloxacin
Tequin
Levofloxacin
Levaquin
Lomefloxacin
Maxaquin
Moxifloxacin
Avelox
Nalidixic acid
NegGram
Norfloxacin
Noroxin
Ofloxacin
Floxin, Ocuflox
Trovafloxacin
Trovan
Withdrawn
Grepafloxacin
Raxar
Withdrawn
Sparfloxacin
Zagam
Withdrawn
Temafloxacin
Omniflox
Withdrawn
Nausea (rare),
irreversible damage to
central nervous system
(uncommon), tendinosis
(rare)
Sulfonamides
Mafenide
Sulfamylon
Sulfacetamide
Sulamyd,
Bleph-10
Sulfadiazine
Micro-Sulfon
Silver sulfadiazine
Silvadene
Nausea, vomiting,
and diarrhea
Allergy (including
skin rashes)
Crystals in urine
Kidney failure
Decrease in white
blood cell count
Sensitivity to
sunlight
List of antibiotics
Sulfamethizole
Thiosulfil Forte
Sulfamethoxazole
Gantanol
Sulfanilimide (archaic)
Sulfasalazine
Azulfidine
Sulfisoxazole
Gantrisin
Trimethoprim-Sulfamethoxazole
(Co-trimoxazole) (TMP-SMX)
Bactrim, Septra
Tetracyclines
Demeclocycline
Declomycin
Doxycycline
Vibramycin
Minocycline
Minocin
Oxytetracycline
Terramycin
Tetracycline
Sumycin,
Achromycin V,
Steclin
Syphilis, chlamydial
Gastrointestinal
upset
Sensitivity to
sunlight
Potential toxicity to
mother and fetus
during pregnancy
Enamel hypoplasia
(staining of teeth;
potentially
permanent)
transient depression
of bone growth
Lamprene
Antileprotic
Dapsone
Avlosulfon
Antileprotic
Capreomycin
Capastat
Antituberculosis
Cycloserine
Seromycin
Antituberculosis, urinary
tract infections
Ethambutol
Myambutol
Antituberculosis
Ethionamide
Trecator
Antituberculosis
Isoniazid
I.N.H.
Antituberculosis
Pyrazinamide
Aldinamide
Antituberculosis
Rifadin,
Rimactane
Reddish-orange sweat,
tears, and urine
Rifabutin
Mycobutin
Mycobacterium avium
complex
Rifapentine
Priftin
Antituberculosis
Streptomycin
Antituberculosis
Neurotoxicity,
ototoxicity
As other aminoglycosides
Others
Arsphenamine
Salvarsan
Spirochaetal infections
(obsolete)
Chloramphenicol
Chloromycetin
List of antibiotics
Fosfomycin
Monurol
Fusidic acid
Fucidin
Metronidazole
Flagyl
Infections caused by
anaerobic bacteria; also
amoebiasis, trichomoniasis,
Giardiasis
Mupirocin
Bactroban
Discolored urine,
headache, metallic taste,
nausea ; alcohol is
contraindicated
Platensimycin
Quinupristin/Dalfopristin
Synercid
Thiamphenicol
Gram-negative,
Gram-positive, anaerobes.
widely used in veterinary
medicine.
Tigecycline
Tigacyl
Tinidazole
Tindamax
Fasigyn
protozoan infections
Trimethoprim
Proloprim,
Trimpex
Generic Name
Brand Names
[2]
Common Uses
[2]
Mechanism of action
References
[1] Pelczar, M.J., Chan, E.C.S. and Krieg, N.R. (1999) Host-Parasite Interaction; Nonspecific Host Resistance, In: Microbiology Conceptsand
Applications, 6th ed., McGraw-Hill Inc., New York, U.S.A. pp. 478-479.
[2] For common Uses and possible side effects reference is: Robert Berkow (ed.) The Merck Manual of Medical Information - Home Edition.
Pocket (September 1999), ISBN 0-671-02727-1.
[3] "Neomycin Drug Information" (http:/ / www. uptodate. com/ contents/ neomycin-drug-information?source=search_result&
search=neomycin& selectedTitle=1~135). uptodate. . Retrieved 2/11/2012.(subscription required)
[4] Splete, Heidi; Kerri Wachter (March 2006). "Liver toxicity reported with Ketek". Internal Medicine News.
[5] Mechanism of Action of Bacitracin: Complexation with Metal Ion and C55-Isoprenyl Pyrophosphate (http:/ / www. pnas. org/ cgi/ content/
abstract/ 68/ 12/ 3223) K. John Stone and Jack L. Strominger
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