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Aminoglycosides Potent bactericidal antibiotics 
Aminoglycosides Strong Aerobic, gram-negative and gram-positive bacterial coverage  Rapid concentration-dependent killing and post-antibiotic effect  Used in the treatment of severe infections of urinary, intra-abdominal and sepsis etc. But,
Major limitation
Aminoglycosidenephrotoxicity cascade Amer J Med 1986;80:105-114
Antimicrob Agents Chemother 1999;43:1003-12
AminoglycosideOtotoxicity cascade
Amikacin

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Amikacin