Aminoglycosides: Mechanism and Use
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Questions and Answers

What is the primary mechanism of action of aminoglycosides?

  • Bacteriostatic, time dependent
  • Bactericidal, concentration dependent (correct)
  • Bacteriostatic, concentration dependent
  • Bactericidal, time dependent
  • What factors influence the efficacy of aminoglycosides?

  • The maximum concentration (Cmax) of the drug above the MIC (correct)
  • The duration of drug administration
  • The renal clearance rate of the drug
  • The minimum inhibitory concentration (MIC) of the bacteria
  • To what extent should the Cmax of aminoglycosides exceed the MIC for optimal efficacy?

  • 2-3 times higher than MIC
  • 4-6 times higher than MIC
  • Above 12 times higher than MIC
  • 8-10 times higher than MIC (correct)
  • Which statement accurately describes the relationship between the Cmax and MIC for aminoglycosides?

    <p>Cmax should be significantly greater than the MIC</p> Signup and view all the answers

    What type of drug activity is associated with aminoglycosides?

    <p>Bactericidal action against aerobic gram-negative bacteria</p> Signup and view all the answers

    How does increasing the dosage of an antibiotic influence the post-antibiotic effect (PAE)?

    <p>It prolongs the duration of PAE.</p> Signup and view all the answers

    What is a significant benefit of using extended interval dosing of antibiotics?

    <p>Convenience and reduced nephrotoxicity.</p> Signup and view all the answers

    Which of the following statements is true regarding extended interval dosing?

    <p>It involves administering a single large dose once daily.</p> Signup and view all the answers

    What effect does a single large dose have in the context of antibiotics?

    <p>It could enhance convenience and reduce toxicity.</p> Signup and view all the answers

    Which factor primarily contributes to extending the post-antibiotic effect (PAE)?

    <p>Size of the administered dose.</p> Signup and view all the answers

    Study Notes

    Aminoglycosides: Mechanism of Action

    • Bactericidal action: Efficacy depends on peak drug concentration (Cmax) exceeding the minimum inhibitory concentration (MIC) by 8-10 times.
    • Post-antibiotic effect (PAE): Duration increases with higher doses.
    • Extended-interval dosing: Single large daily dose reduces nephrotoxicity and improves patient compliance.
    • Vertigo: A potential side effect, particularly with streptomycin.
    • Neuromuscular paralysis: Risk increases with high-dose, rapid infusions or concurrent use of neuromuscular blockers.

    Aminoglycoside Use and Limitations

    • Not recommended as monotherapy for staphylococcal infections (rapid resistance development, poor lung penetration).
    • Generally ineffective against Pseudomonas and streptococci.
    • Primarily used topically or orally due to toxicity limitations (e.g., neomycin unsuitable for injection).
    • Topical application: Neomycin-polymyxin-bacitracin combinations treat infected skin lesions.

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    Description

    This quiz covers the mechanism of action, use, and limitations of aminoglycosides. Explore their bactericidal effects, dosing strategies, and potential side effects. Understand when these antibiotics should not be used alone and their applications in treatment.

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