Major Classes of Antibioticscontinued Clinical Microbiology Review 225
REPRESENTATIVE
CLASS ANTIBIOTICS MODE OF ACTION SPECTRUM OF ACTIVITY OTHER
Glycopeptides
Macrolides
Tetracyclines
Aminoglycosides
Bactericidal. Used for serious
infections.
Bacteriostatic.
Bacteriostatic. Used less often
than b-lactams. Not given to
children or pregnant women
due to staining of teeth,
abnormal bone growth.
Bactericidal. Toxic to kidneys
& ears. Only used to treat
serious GN infections.
Inhibit cell wall synthesis
Inhibit protein synthesis
Inhibit protein synthesis
Inhibit protein synthesis
Vancomycin
Erythromycin,
clarithromycin,
azithromycin
Tetracycline,
doxycycline
Gentamycin, to-
bramycin, amikacin
GPs. Drug of choice for
MRSA. Some strains of
Enterococcus are now
resistant (VRE).
GPs & some GNs, intracel-
lular organisms, atypical
mycobacteria.
GPs & GNs, intracellular
organisms, spirochetes,
MRSA, VRE.
Used primarily for GNs.
Ineffective against
anaerobes.
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