15. ANTIBIOTICS

ANTIBIOTICS

Introduction:

Antibiotics are substances that kill or inhibit the growth of microorganisms. They may be natural, semi-synthetic, or synthetic. Antibiotics can be bactericidal (kill bacteria) or bacteriostatic (inhibit bacterial growth).

Classification of Antibiotics:

  • β-lactam antibiotics: Penicillins, Cephalosporins, Carbapenems
  • Tetracyclines: Doxycycline
  • Macrolides: Erythromycin, Azithromycin
  • Aminoglycosides: Streptomycin, Gentamicin
  • Miscellaneous: Chloramphenicol, Clindamycin

β-Lactam Antibiotics:

These contain a β-lactam ring and act by inhibiting bacterial cell wall synthesis, leading to cell death.

Important Drugs:

  • Penicillin G: Used in severe infections like meningitis and pneumonia
  • Amoxicillin: Broad-spectrum antibiotic for respiratory and urinary infections
  • Cloxacillin: Resistant to β-lactamase; used in staphylococcal infections

Aminoglycosides:

These inhibit protein synthesis by binding to the 30S ribosomal subunit and are effective against gram-negative bacteria.

  • Streptomycin: Used in tuberculosis and severe infections

Tetracyclines:

Broad-spectrum antibiotics that inhibit protein synthesis by preventing tRNA attachment.

  • Doxycycline: Used in respiratory infections, STDs, and rickettsial diseases

Macrolides:

These bind to the 50S ribosomal subunit and inhibit protein synthesis.

  • Erythromycin: Used in respiratory infections
  • Azithromycin: Long-acting antibiotic with better tissue penetration

Miscellaneous Antibiotics:

  • Chloramphenicol: Broad-spectrum; used in serious infections
  • Clindamycin: Effective against anaerobic infections
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