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Aminoglycoside
• Bactericidal
• Against Gram(–) aerobes i.e. Pseudomonas aeruginosa
• Synergistic with β-lactams against many Gram(+) pathogens i.e. E.Coli
Aminoglycoside
• Mechanism of action.
The aminoglycosides irreversibly bind to the
30S ribosomal fragment and inhibit the rate of protein synthesis.
Aminoglycoside change the structure of mRNA translation in ribosome
which results in the synthesis of abnormal proteins & lead to death of
bacteria
• Therapeutic uses.
The aminoglycosides are used in the treatment of
Gram(–) infections in all species.
1. Streptomycin and Dihydrostreptomycin are the oldest
members of this class of antibiotics.
Narrow spectrum
Use with penicillin in case of mastitis ( penicillin is
against +ve & Streptomycin is against -ve)
Penicillin G + Streptomycin used in Enterococci (resistant
to many antibiotics)
Dihydroxystreptomycin is against vibrosis & pasturolosis.
2. Neomycin
Neomycin differs from other aminoglycosides because it
is only administered topically or orally.
It is used orally for the treatment of enteric infections
and topically for treating skin, ear, and eye infections.
Orally given for Enteric infection
Dogs and Cats
• 10-20 mg/kg q6-12h PO.
Calves, Sheep, Goats.
• 22 mg/kg/day PO
3. Gentamicin are expanded spectrum aminoglycosides with activity
against
Pseudomonas (Gram –ve)
Proteus (Gram –ve)
Staphylococcus (Gram +ve)
Corynebacterium spp.(Gram +ve)
They are used in all species for the treatment of susceptible infections of
the
skin
respiratory tract
ear, eye
 urinary tract, and septicemia.
Not effective streptococci
Drug of choice for enteric infection.
Dose rate:
Dogs
• 2-4 mg/kg q8h or 9-14 mg/kg q24h SQ, IM, or IV.
• Once-daily administration is usually the preferred interval.
Cats
• 5-8 mg/kg q24h SQ, IM, or IV.
• Once-daily administration is usually the preferred interval.
Horses
• Adult: 4-6.6 mg/kg q24h IM or IV.
• Foals younger than 2 weeks: 12-14 mg/kg q24h IM or IV.
Calves
• Younger than 2 weeks: 12-15 mg/kg q24h IV or IM.
• Adult cattle: 5-6 mg/kg q24h IM or IV.
• Amikacin active against gram -ve bacilli, that are resistant to other drugs.
Amikacin may be more active than gentamicin against many gram -ve
bacteria, especially enteric species.
Amikacin is not absorbed from oral administration.
In horses, used as an intrauterine lavage to treat metritis and other
infections of the genital tract caused by gram -ve bacteria. Amikacin also is
used for regional limb perfusion.
Activity against some bacteria (e.g., Pseudomonas) is enhanced when
combined with a beta-lactam antibiotic
Dose Rate
Dogs
• 15-30 mg/kg q24h IV, IM
Cats
• 10-14 mg/kg q24h IV, IM
Horses
• Adult: 4.4-6.6 mg/kg q12h or 10 mg/kg q24h IV or IM.
• Foal: 20-25 mg/kg q24h or 6.6 mg/kg q8h IV or IM.
• Intrauterine use: Administer 2 g (8 mL) diluted in 200-mL sterile saline solutioonce
per day for 3 days.
• Regional limb perfusion: Ranged from 125 mg to 500 mg per limb, diluted in 60
mL saline.
Cattle
• Adult: 10 mg/kg q24h IM, IV,
• Calf (<2 weeks of age): 20 mg/kg q24h IV or IM
4. Kanamycin has an antimicrobial spectrum similar to gentamicin
except it is not effective
against Pseudomonas spp.
It is less active than gentamicin, amikacin, or tobramycin. Therefore
there is little advantage for using kanamycin over the other drugs in
this class.
It is used as an oral preparation combined with bismuth carbonate
and aluminum magnesium silicate for the treatment of bacterial
enteritis in dogs and for symptomatic relief of the associated
diarrhea.
Dose Rate
Dogs and Cats
• 10 mg/kg q12h IV or IM.
• 20 mg/kg q24h IV or IM.
Horses
• 10 mg/kg q24h IV.
5. Tobramycin:
Tobramycin is usually more active against Pseudomonas aeruginosa
than gentamicin
Dose Rate:
Dogs
• 9-14 mg/kg q24h SQ, IM, or IV.
• Nebulization therapy is sometimes used in small animals.
Cats
• 5-8 mg/kg q24h SQ, IM, or IV.
Horses
• 4 mg/kg IV, IM
• Adverse effects
• 1. The aminoglycosides are relatively more toxic than other classes of
antimicrobials. Toxicity is reversible if the treatment is stopped early.
• They should not be used with other ototoxic or nephrotoxic drugs such as
furosemide or amphotericin B.
• 2. Ototoxicity is due to progressive damage to sensory & vestibular cells of
the inner ear resulting in deafness and ataxia.
• 3. Nephrotoxicity is due to the damage of tubular cells impaired
absorption, proteinuria, and decreased glomerular filtration rate.
Penicillin G + Procaine penicillin G + Dihydrostreptomycin Sulfate
L= 5mg/kg
S= 1mg/kg
Gentamycin
Horses: 3-6mg/kg BID IM
Ruminants: 3-6mg/kg BID IM
Gentamycin
Gentamycin + Doxycillin
Gentamycin + Trimethoprim + Sulfonamide
Amikacin
Tylosin
Tylosin + Gentamycin
Kanamycin
Kanasysm
Kanacon
Kana Kak
Kanamycin
Kanachron
Horses: 12-15mg/kg IM
Ruminants: 12-15 mg/kg IM
Kanmycine + Ampicillin + Prednisolone +
Chlorpheniramine
Kapcine
Aminoglycoside Mode of action Therapeutic uses Adverse effect & Brand name by Mushhood Qazi

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Aminoglycoside Mode of action Therapeutic uses Adverse effect & Brand name by Mushhood Qazi

  • 1. Aminoglycoside • Bactericidal • Against Gram(–) aerobes i.e. Pseudomonas aeruginosa • Synergistic with β-lactams against many Gram(+) pathogens i.e. E.Coli
  • 2. Aminoglycoside • Mechanism of action. The aminoglycosides irreversibly bind to the 30S ribosomal fragment and inhibit the rate of protein synthesis. Aminoglycoside change the structure of mRNA translation in ribosome which results in the synthesis of abnormal proteins & lead to death of bacteria
  • 3. • Therapeutic uses. The aminoglycosides are used in the treatment of Gram(–) infections in all species. 1. Streptomycin and Dihydrostreptomycin are the oldest members of this class of antibiotics. Narrow spectrum Use with penicillin in case of mastitis ( penicillin is against +ve & Streptomycin is against -ve) Penicillin G + Streptomycin used in Enterococci (resistant to many antibiotics) Dihydroxystreptomycin is against vibrosis & pasturolosis.
  • 4. 2. Neomycin Neomycin differs from other aminoglycosides because it is only administered topically or orally. It is used orally for the treatment of enteric infections and topically for treating skin, ear, and eye infections. Orally given for Enteric infection Dogs and Cats • 10-20 mg/kg q6-12h PO. Calves, Sheep, Goats. • 22 mg/kg/day PO
  • 5. 3. Gentamicin are expanded spectrum aminoglycosides with activity against Pseudomonas (Gram –ve) Proteus (Gram –ve) Staphylococcus (Gram +ve) Corynebacterium spp.(Gram +ve) They are used in all species for the treatment of susceptible infections of the skin respiratory tract ear, eye  urinary tract, and septicemia. Not effective streptococci Drug of choice for enteric infection.
  • 6. Dose rate: Dogs • 2-4 mg/kg q8h or 9-14 mg/kg q24h SQ, IM, or IV. • Once-daily administration is usually the preferred interval. Cats • 5-8 mg/kg q24h SQ, IM, or IV. • Once-daily administration is usually the preferred interval. Horses • Adult: 4-6.6 mg/kg q24h IM or IV. • Foals younger than 2 weeks: 12-14 mg/kg q24h IM or IV. Calves • Younger than 2 weeks: 12-15 mg/kg q24h IV or IM. • Adult cattle: 5-6 mg/kg q24h IM or IV.
  • 7. • Amikacin active against gram -ve bacilli, that are resistant to other drugs. Amikacin may be more active than gentamicin against many gram -ve bacteria, especially enteric species. Amikacin is not absorbed from oral administration. In horses, used as an intrauterine lavage to treat metritis and other infections of the genital tract caused by gram -ve bacteria. Amikacin also is used for regional limb perfusion. Activity against some bacteria (e.g., Pseudomonas) is enhanced when combined with a beta-lactam antibiotic
  • 8. Dose Rate Dogs • 15-30 mg/kg q24h IV, IM Cats • 10-14 mg/kg q24h IV, IM Horses • Adult: 4.4-6.6 mg/kg q12h or 10 mg/kg q24h IV or IM. • Foal: 20-25 mg/kg q24h or 6.6 mg/kg q8h IV or IM. • Intrauterine use: Administer 2 g (8 mL) diluted in 200-mL sterile saline solutioonce per day for 3 days. • Regional limb perfusion: Ranged from 125 mg to 500 mg per limb, diluted in 60 mL saline. Cattle • Adult: 10 mg/kg q24h IM, IV, • Calf (<2 weeks of age): 20 mg/kg q24h IV or IM
  • 9. 4. Kanamycin has an antimicrobial spectrum similar to gentamicin except it is not effective against Pseudomonas spp. It is less active than gentamicin, amikacin, or tobramycin. Therefore there is little advantage for using kanamycin over the other drugs in this class. It is used as an oral preparation combined with bismuth carbonate and aluminum magnesium silicate for the treatment of bacterial enteritis in dogs and for symptomatic relief of the associated diarrhea.
  • 10. Dose Rate Dogs and Cats • 10 mg/kg q12h IV or IM. • 20 mg/kg q24h IV or IM. Horses • 10 mg/kg q24h IV.
  • 11. 5. Tobramycin: Tobramycin is usually more active against Pseudomonas aeruginosa than gentamicin Dose Rate: Dogs • 9-14 mg/kg q24h SQ, IM, or IV. • Nebulization therapy is sometimes used in small animals. Cats • 5-8 mg/kg q24h SQ, IM, or IV. Horses • 4 mg/kg IV, IM
  • 12. • Adverse effects • 1. The aminoglycosides are relatively more toxic than other classes of antimicrobials. Toxicity is reversible if the treatment is stopped early. • They should not be used with other ototoxic or nephrotoxic drugs such as furosemide or amphotericin B. • 2. Ototoxicity is due to progressive damage to sensory & vestibular cells of the inner ear resulting in deafness and ataxia. • 3. Nephrotoxicity is due to the damage of tubular cells impaired absorption, proteinuria, and decreased glomerular filtration rate.
  • 13. Penicillin G + Procaine penicillin G + Dihydrostreptomycin Sulfate L= 5mg/kg S= 1mg/kg
  • 14. Gentamycin Horses: 3-6mg/kg BID IM Ruminants: 3-6mg/kg BID IM
  • 17. Gentamycin + Trimethoprim + Sulfonamide
  • 22. Kanmycine + Ampicillin + Prednisolone + Chlorpheniramine Kapcine