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10 Cards in this Set

  • Front
  • Back
Cidal or static?
Static
Mechanism
Binds 50S subunit
Binds at similar site as macrolides
Resistance
Methylation of binding site
Cross-resistance with erythromycin
D-Test
Erythromycin induces resistance in clindamycin
Mechanism of cross-resistance
Erythromycin binding causes expression of a methylase that methylates the 50S subunit
Absorption
Distribution
Metabolism
Excretion
Oral
Poor CSF
Extensively metabolized to inactive
Renal and bile
Pseudomembranous colitis treatment
Stop antibiotic
Treat with metronidazole
Adverse effects
Skeletal weakness
Antimicrobial activity
None activity on gram negative
Clinical uses
Gram +
Anaerobic