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Updated: Aug 7, 2026

Quantitative Polymerase Chain Reaction-based Analyses of Murine Intestinal Microbiota After Oral Antibiotic Treatment
Published on: November 17, 2018
Abstract:
A review of the side effects of antibiotics in human patients is presented. At least three classes of untoward reactions may be distinguished: development of drug hypersensitivity, toxicological hazards, and microbial effects such as emergence of drug resistance. The intrinsic toxicitiies of the oldest discoveries, penicillin, penicillin and sulphonamides, have turned out to be very low for most animals as well as for man. These agents interfere with specific synthetic pathways in bacteria which are absent in mammals. The antibiotics discovered next (streptomycin and other amino-glycosides; chloramphenicol; tetracyclines) have all been shown to display, under certain circumstances various types of sometimes serious toxicities. As with thalidomide, the nature of their toxic effects had not been predicted by animal experiments. The present set of medically optimum antibiotics has its origin largely in substances with a long medical tradition. They represent the result of close cooperation of medical and scientific men of various disciplines. For the near future it seems unlikely that antimicrobial drugs will enter human and animal environments while yet tainted with any of the unforeseen side effects revealed in the past. Admirable work very recently carried out in the Institute of professor van Genderen shows that he never lost interest in the group of drugs that he so successfully explored when he was still on the staff of the institute where he started his career.
Insights
Antibiotic side effects include hypersensitivity, toxicity, and drug resistance. Newer antibiotics, unlike older ones, have shown serious toxicities not predicted in animal studies.
Area of Science:
- Pharmacology
- Microbiology
- Toxicology
Background:
- Antibiotics are crucial for treating bacterial infections.
- Adverse reactions to antibiotics can manifest as hypersensitivity, toxicity, or microbial resistance.
- Early antibiotics like penicillin had low toxicity, but later classes presented significant risks.
Purpose of the Study:
- To review the spectrum of antibiotic side effects in human patients.
- To differentiate between hypersensitivity, toxicological, and microbial adverse effects.
- To discuss the historical development and safety profile of antibiotic classes.
Main Methods:
- Literature review of antibiotic side effects.
- Classification of untoward reactions.
- Historical analysis of antibiotic discovery and toxicity.
Main Results:
- Three main categories of antibiotic side effects identified: hypersensitivity, toxicity, and resistance.
- Older antibiotics (penicillin, sulfonamides) exhibit low toxicity due to targeting bacterial-specific pathways.
- Later antibiotics (aminoglycosides, chloramphenicol, tetracyclines) demonstrated unpredictable and serious toxicities, sometimes not predicted by animal models.
- Current optimal antibiotics are derived from traditional sources, reflecting interdisciplinary collaboration.
Conclusions:
- The evolution of antibiotic development has led to safer, more effective antimicrobial agents.
- Future antimicrobial drugs are less likely to carry unforeseen toxicities seen in past discoveries.
- Ongoing research continues to refine antibiotic safety and efficacy.
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