Aminoglycosides: Gentamycin, Neomycin, Amikacin, Tobramycin, and, Streptomycin
–
Gram-negative infections
– Not effective against anaerobes
– Often used synergistically with
beta-lactams
– Bind the 30S subunit
Causes misreading of bacterial mRNA and blocking translocation
– Enzymatic inactivation of the antibiotics
– Nephrotoxicity
– Neuromuscular blockade
– Ototoxicity
– Contraindicated in pregnancy (teratogens)