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antibiotic |
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antibioticDrug that kills or inhibits the growth of bacteria and fungi. The earliest antibiotics, the penicillins, came into use from 1941 and were quickly joined by chloramphenicol, the cephalosporins, erythromycins, tetracyclines, and aminoglycosides. A range of broad-spectrum antibiotics, the 4-quinolones, was developed in 1989, of which ciprofloxacin was the first. Each class and individual antibiotic acts in a different way and may be effective against either a broad spectrum or a specific type of disease-causing agent. Use of antibiotics has become more selective as side effects, such as toxicity, allergy, and resistance, have become better understood. Bacteria have the ability to develop resistance following repeated or subclinical (insufficient) doses, so more advanced antibiotics and synthetic antimicrobials are continually required to overcome them.
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10) In 1988, Henderson et al reported that pneumococci recovered from children in daycare were far more likely to be resistant to trimethoprim/sulfamethoxazole (TMP/SMX) and to beta-lactam antibiotics than were organisms recovered from patients at a tertiary care university hospital. Only penicillin and its relatives, a drug family known as beta-lactam antibiotics, significantly raised the transporter concentrations in this neural tissue, the scientists report in the Jan. The need for drugs that combat resistance is urgent, Tulkens says, especially in a world in which resistance to beta-lactam antibiotics (the penicillin family) is as high as 80% among some pneumonia-causing microbes. |
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