Streptomycin and Gentamicin Overview

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Questions and Answers

What condition is particularly associated with the antibiotic streptomycin?

  • Neuromuscular paralysis
  • Vertigo (correct)
  • Allergic reaction
  • Tendonitis

Which of the following is a potential risk when administering antibiotics at high doses?

  • Skin irritation
  • Neuromuscular paralysis (correct)
  • Increased infection rate
  • Gastrointestinal distress

What concurrent treatment may increase the risk of neuromuscular paralysis when administered with high doses of antibiotics?

  • Anticoagulants
  • Analgesics
  • Neuromuscular blockers (correct)
  • Corticosteroids

Which of the following statements is NOT true regarding the side effects of antibiotics?

<p>Vertigo is a common side effect of all antibiotics. (D)</p> Signup and view all the answers

What event related to antibiotics should be considered uncommon?

<p>Neuromuscular paralysis (B)</p> Signup and view all the answers

What is a potential consequence of producing a protein with altered biological function?

<p>Significant disruption of normal bacterial metabolism (B)</p> Signup and view all the answers

Which factor may influence the alteration of protein production in bacteria?

<p>Genetic mutations or changes (C)</p> Signup and view all the answers

How might a change in protein function affect a bacterium?

<p>It may lead to resistance against antibiotics (D)</p> Signup and view all the answers

Why is the production of proteins with altered functions significant in bacteria?

<p>It may cause the bacteria to produce toxins (C)</p> Signup and view all the answers

What can be a result of an abnormal protein impacting bacterial metabolism?

<p>Reduced metabolic activities (D)</p> Signup and view all the answers

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Study Notes

Streptomycin Side Effects

  • Altered protein production can disrupt bacterial metabolism.
  • Vertigo is a potential side effect, particularly with streptomycin.
  • High-dose, rapid infusion or concurrent neuromuscular blockers can cause neuromuscular paralysis.

Streptomycin Combination Therapies

  • Streptomycin and tetracycline are used to treat plague, tularemia, and sometimes brucellosis.
  • Streptomycin and penicillin are used to treat enterococcal and viridans streptococcal endocarditis.

Gentamicin Properties and Uses

  • Isolated from Micromonospora purpurea.
  • Effective against gram-positive and gram-negative bacteria.
  • Used alone or synergistically with beta-lactam antibiotics against various gram-negative rods (e.g., Pseudomonas, Proteus, Enterobacter, Klebsiella, Serratia, Stenotrophomonas).
  • Clinically used to treat Pseudomonas aeruginosa respiratory infections in cystic fibrosis patients (inhalation route minimizes nephrotoxicity and ototoxicity due to reduced systemic absorption).

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