Aminoglycosides are a class of antibiotics derived from amino sugars that are effective against many aerobic gram-negative bacilli. They work by binding to the 30S ribosome in bacteria and inhibiting protein synthesis. Common examples include streptomycin, gentamicin, and amikacin. While bactericidal, they are not absorbed orally and can cause nephrotoxicity and ototoxicity with prolonged use. Resistance develops through enzymatic inactivation of the drug.