Page 119 - MNU-PM502- Pharmaeutical Microbiology Theoritical Book
P. 119

Pharm D- Clinical Pharmacy Program        Third Level          Pharmaceutical Microbiology& Antimicrobials (PM 502)


                   ❑ note,  rifampin  causes  an  orange-red  discoloration  of
                      tears, urine, and other body fluids, which can lead to

                      patient anxiety and the staining of contact lenses






                   Metronidazole
                     ➢  It is an antiprotozoal drug but also has antibacterial effects  on anaerobic
                        bacteria causing damage of DNA.


                     ➢  metronidazole’s  spectrum  of  activity  is  limited  to  obligate  anaerobic
                        bacteria.



                   Nitrofurans
                   Nitrofurantoin

                   Mechanism:  of action of nitrofurantoin remains poorly characterized but it is
                   reduced to toxic intermediate compounds that can interfere
                   with enzymes in DNA, RNA and protein synthesis.                         Bactericidal


                    ➢  has activity against many of the organisms that commonly cause urinary tract

                       infections, including
                       -  aerobic Gram-negative bacteria (except Proteus spp. and P. aeruginosa)
                       -  aerobic Gram-positive bacteria
                       ➢  It is concentrated in urine, so used almost exclusively for the treatment of

                          urinary tract infections  (cystitis)



















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