Page 113 - MNU-PM502- Pharmaeutical Microbiology Theoritical Book
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Pharm D- Clinical Pharmacy Program        Third Level          Pharmaceutical Microbiology& Antimicrobials (PM 502)


                       ➢  Has  a  broad  spectrum  of  activity  against  many  different  categories  of
                          bacteria

                       ➢  One of the most effective antibiotics against anaerobic bacteria
                       ➢  excellent activity against atypical bacteria.

                        Uses
                            •  Superficial eye infections (bacterial conjunctivitis)
                            •  Bacterial meningitis
                            •  Has been used for Typhoid fever, cholera.



                       Toxicity:
                                • Bone marrow suppression => fatal aplastic
                                anemia
                                • Gray baby syndrome in neonates









                                   Macrolides                                                                               50s

                  Erythromycin, Clarithromycin, and Azithromycin, Telithromycin
                  Mechanism:  It  binds  at  the  P-site  of  the  50S  ribosomal

                  subunit                                                                    Bacteriostatic
                  prevents the transfer of the peptidyl tRNA from the A-site to
                  the P-site and blocks the protein synthesis









                   Broad spectrum, active against
                           -  some Gram-positive bacteria
                           -  some Gram-negative bacteria,





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