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CHAPTER 44  Tetracyclines, Macrolides, Clindamycin, Chloramphenicol, Streptogramins, & Oxazolidinones        825


                    PREP AR A TIONS                                      Chopra I, Roberts M:  Tetracycline antibiotics: Mode of action, applications,
                    A V AIL ABLE                                             molecular biology, and epidemiology of bacterial resistance. Microbiol Mol
                                                                             Biol Rev 2001;65:232.
                                                                         De Vriese AS et al: Linezolid-induced inhibition of mitochondrial protein synthe-
                                                                             sis. Clin Infect Dis 2006;42:1111.
                           GENERIC NAME             AVAILABLE AS         Dryden MS: Linezolid pharmacokinetics and pharmacodynamics in clinical treat-
                     Chloramphenicol          Generic, Chloromycetin         ment. 2011;66(Suppl 4):S7.
                                       TETRACYCLINES                     File Jr. TM et al: SOLITAIRE-IV: A randomized, double-blind, multicenter study
                     Demeclocycline           Generic, Declomycin            comparing the efficacy and safety of intravenous-to-oral solithromycin to
                                                                             intravenous-to-oral moxifloxacin for treatment of community-acquired
                     Doxycycline              Generic, Vibramycin, others    bacterial pneumonia. Clin Infect Dis 2016;63:1007.
                     Minocycline              Generic, Minocin, others   Hancock RE: Mechanisms of action of newer antibiotics for gram-positive
                     Tetracycline             Generic, others                pathogens. Lancet Infect Dis 2005;5:209.
                     Tigecycline              Tygacil                    Leclerq R: Mechanisms of resistance to macrolides and lincosamides: Nature
                                        MACROLIDES                           of the resistance elements and their clinical implications. Clin Infect Dis
                                                                             2002;34:482.
                     Azithromycin             Generic, Zithromax         Lee M et al: Linezolid for treatment of chronic extensively drug-resistant tubercu-
                     Clarithromycin           Generic, Biaxin                losis. N Engl J Med 2012;367:1508.
                     Erythromycin             Generic, others            Livermore DM: Tigecycline: What is it, and where should it be used? J Antimicrob
                                         KETOLIDES                           Chemother 2005;56:611.
                     Telithromycin            Ketek                      Moran GJ et al: Methicillin-resistant S aureus infections among patients in the
                                                                             emergency department. N Engl J Med 2006;355:666.
                                        LINCOMYCIN                       Moran GJ et al: Tedizolid for 6 days versus linezolid for 10 days for acute bacterial
                     Clindamycin              Generic, Cleocin               skin and skin-structure infections (ESTABLISH-2): A randomized, double-
                                      STREPTOGRAMINS                         blind, phase 3, non-inferiority trial. Lancet 2014;14:696.
                     Quinupristin and dalfopristin  Synercid             Prokocimer P et al: Tedizolid phosphate vs linezolid for treatment of acute bacterial
                                                                             skin and skin structure infections. JAMA 2013;309:559.
                                      OXAZOLIDINONE                      Tasina E et al: Efficacy and safety of tigecycline for the treatment of infectious
                     Linezolid                Generic, Zyvox                 diseases: A meta-analysis. Lancet Infect Dis 2011;11:834.
                     Tedizolid                Sivextro                   Van Bambeke F: Renaissance of antibiotics against difficult infections: Focus on
                                                                             oritavancin and new ketolides and quinolones. Ann Med 2014;46:512.
                                                                         Wayne RA et al: Azithromycin and risk of cardiovascular death. N Engl J Med
                                                                             2012;366:1881.
                                                                         Woytowish MR, Rowe AS: Clinical relevance of linezolid-associated serotonin
                                                                             toxicity. Ann Pharmacother 2013;47:388.
                    REFERENCES                                           Zuckerman JM: Macrolides and ketolides: Azithromycin, clarithromycin, telithro-
                    Barrera CM et al: Efficacy and safety of oral solithromycin versus oral moxifloxa-  mycin. Infect Dis Clin North Am 2004;18:621.
                        cin for treatment of community-acquired bacterial pneumonia: A global,
                        double-blind, multicenter, randomized, active-controlled, non-inferiority
                        trial (SOLITAIRE-ORAL). Lancet 2016;16:421.






                       C ASE  STUD Y  ANSWER

                       A tetracycline or a macrolide is effective in the treatment of   patient is pregnant, then tetracyclines would be contraindi-
                       chlamydial cervicitis. Doxycycline at a dose of 100 mg PO   cated and she should receive azithromycin, which is safe in
                       bid for 7 days is the preferred tetracycline, while azithro-  pregnancy.
                       mycin as a single 1 g dose is the preferred macrolide. If the
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