Vancomycin সম্পর্কে টুকিটাকি কথা

Introduction

  • Bacteriocidal
  • Non B lactam
  • Brand ambassador of Gram (+)ve bacteria.

Covers:

Gram +ve cocci, Gram -ve bacilli Including:

  • MRSA
  • MRSE
  • Listeria
  • Enterococcus

+ এগুলোর পাশাপাশি একটা anaerobe – Clostridium


Dosen’t Cover:

  • Atypical bacteria
  • Gram -ve bacteria

Always given IV, except for Pseudomembranous colitis by Clostridium, where it is given orally.


Indication:

  • Stahphylococcal infection including MRSA, MRSE.
  • Some form of Endocarditis
  • Prosthetic valve impaltation
  • Pseudomembranous colitis (Oral)

Dose:

TDS due to its short half life.
Teicoplanin is a similar drug, with long half life, which can be given once daily. However, Teicoplanin is not approved in USA.


Renal excretion, so dose adjustment is necessary in renal impairment.

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