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Principles in antimicrobial therapy - Pediatric Infectious Disease ...

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PD antibacterial effect of <strong>antimicrobial</strong> agents by<br />

primary bacterial target and by antibiotic class<br />

Primary target Antibacterial class Pharmacodynamics Intracellular<br />

activity<br />

Cell wall<br />

Cell membrane<br />

B-lactams<br />

- penicill<strong>in</strong>s<br />

- cephalospor<strong>in</strong>s<br />

- monobactams<br />

- carbapenems<br />

Glycopeptides<br />

- vancomyc<strong>in</strong><br />

- teicoplan<strong>in</strong><br />

Lipopetides<br />

- Daptomyc<strong>in</strong><br />

Polymyx<strong>in</strong>s<br />

- Polymyx<strong>in</strong> B<br />

- Colist<strong>in</strong><br />

Bactericidal<br />

Time-dependent<br />

PAE only aga<strong>in</strong>st<br />

G(+) organisms<br />

Carbapenems PAE<br />

aga<strong>in</strong>st G(+) & G(-)<br />

organisms<br />

Bactericidal<br />

Concentrationdependent<br />

Long PAE<br />

(Daptomyc<strong>in</strong>)<br />

PAE (polymyx<strong>in</strong>s)<br />

Not generally<br />

effective<br />

Not known

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