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Vancomycin

Vancomycin

Vancomycin is a glycopeptide antibiotic used in the treatment of Gram-positive infections, particularly methicillin-resistant Staphylococcus aureus (MRSA).

Mechanism of action
  • inhibits cell wall formation by binding to D-Ala-D-Ala moieties, preventing polymerization of peptidoglycans

Mechanism of resistance
  • alteration to the terminal amino acid residues of the NAM/NAG-peptide subunits (normally D-alanyl-D-alanine) to which the antibiotic binds

Adverse effects
  • nephrotoxicity
  • ototoxicity
  • thrombophlebitis
  • red man syndrome; occurs on rapid infusion of vancomycin
+PassMedicine Notes

Vancomycin is a glycopeptide antibiotic used in the treatment of Gram-positive infections, particularly methicillin-resistant Staphylococcus aureus (MRSA).

Mechanism of action
  • inhibits cell wall formation by binding to D-Ala-D-Ala moieties, preventing polymerization of peptidoglycans
Mechanism of resistance
  • alteration to the terminal amino acid residues of the NAM/NAG-peptide subunits (normally D-alanyl-D-alanine) to which the antibiotic binds
Adverse effects
  • nephrotoxicity
  • ototoxicity
  • thrombophlebitis
  • red man syndrome; occurs on rapid infusion of vancomycin


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