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Related Experiment Videos

The aminoglycosides.

R S Edson1, C L Terrell

  • 1Division of Infectious Diseases and Internal Medicine, Mayo Clinic Rochester, Minnesota 55905, USA.

Mayo Clinic Proceedings
|May 13, 1999
PubMed
Summary
This summary is machine-generated.

Aminoglycosides remain vital for treating serious infections caused by enterococci, mycobacteria, and gram-negative bacteria. Single daily dosing offers a safe and effective alternative to traditional multidose regimens.

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Area of Science:

  • Pharmacology
  • Infectious Diseases
  • Microbiology

Background:

  • Aminoglycosides are crucial for treating severe enterococcal, mycobacterial, and gram-negative bacillary infections.
  • Gentamicin is a cost-effective choice for specific infections, often used with beta-lactam antibiotics.
  • Amikacin and streptomycin are valuable for resistant gram-negative bacilli, Nocardia, nontuberculous mycobacteria, and multidrug-resistant tuberculosis.

Purpose of the Study:

  • To review the current role of aminoglycosides in treating serious bacterial infections.
  • To discuss the utility of specific aminoglycosides like gentamicin, amikacin, and streptomycin.
  • To evaluate the safety and efficacy of single daily dosing regimens for aminoglycosides.

Main Methods:

  • Literature review of aminoglycoside use in clinical practice.

Related Experiment Videos

  • Analysis of resistance patterns in enterococci and gram-negative bacilli.
  • Evaluation of single daily dosing versus traditional multidose regimens.
  • Main Results:

    • Aminoglycosides remain essential despite newer agents, with varying resistance patterns.
    • Gentamicin is preferred where resistance is low; amikacin and streptomycin address resistant strains.
    • Single daily dosing appears as safe and effective as traditional regimens, offering convenience and cost-effectiveness.

    Conclusions:

    • Aminoglycosides continue to be indispensable in managing specific serious bacterial infections.
    • Resistance patterns necessitate careful selection of aminoglycosides.
    • Single daily dosing represents a promising strategy for aminoglycoside therapy.