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[四环素、磺胺类药物和甲硝唑]

[Tetracyclines, sulfonamides and metronidazole].

作者信息

Pérez-Trallero Emilio, Iglesias Luis

机构信息

Servicio de Microbiología. Hospital Donostia. San Sebastián. España.

出版信息

Enferm Infecc Microbiol Clin. 2003 Nov;21(9):520-8; quiz 529, 533. doi: 10.1016/s0213-005x(03)72999-1.

Abstract

Tetracyclines form a group of natural and semisynthetic products that acts inhibiting the bacterial protein synthesis. They are bacteriostatic agents, exhibiting activity against a wide range of organisms, but they are at the present of limited use because of their acquired resistance. Doxycycline is currently the most frequently used tetracycline in human medicine and it is included in the List of Essential Medicines of the World Health Organization. Sulfonamides are synthetic, broad-spectrum bacteriostatic antibiotics. They were the first effective systemic antimicrobial agents. Their mode of action is based on the inhibition of DNA synthesis. Due to their toxicity and high adquired resistance their use is currently very low. Metronidazole is the main compound of 5-nitroimidazole family. It is a very active bactericidal antibiotic against anaerobic and some microaerophilic bacteria and it is still very useful in the treatment of bacterian and parasitic infections.

摘要

四环素类是一组天然和半合成产物,其作用是抑制细菌蛋白质合成。它们是抑菌剂,对多种生物体具有活性,但由于获得性耐药性,目前其用途有限。多西环素是目前人类医学中最常用的四环素类药物,它被列入世界卫生组织基本药物清单。磺胺类是合成的广谱抑菌抗生素。它们是最早有效的全身性抗菌剂。其作用方式基于对DNA合成的抑制。由于其毒性和高获得性耐药性,它们目前的使用非常少。甲硝唑是5-硝基咪唑家族的主要化合物。它是一种对厌氧菌和一些微需氧菌非常有效的杀菌抗生素,在治疗细菌和寄生虫感染方面仍然非常有用。

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