Vancomycin - Biotech, Pharma and Life Science Channel
Vancomycin is an antobiotic indicated for the treatment of serious, life-threatening infections by Gram-positive bacteria that are unresponsive to other less-toxic antibiotics. In particular, vancomycin should not be used to treat methicillin-sensitive Staphylococcus aureus because it is inferior to penicillins such as nafcillin.
Vancomycin acts by inhibiting proper cell wall synthesis in Gram-positive bacteria. Due to the different mechanism by which Gram-negative bacteria produce their cell walls and the various factors related to entering the outer membrane of Gram-negative organisms, vancomycin is not active against Gram-negative bacteria (except some non-gonococcal species of Neisseria).
The increasing emergence of vancomycin-resistant enterococci has resulted in the development of guidelines for use by the Centers for Disease Control (CDC) Hospital Infection Control Practices Advisory Committee. These guidelines restrict use of vancomycin to the following indications:
* treatment of serious infections caused by susceptible organisms resistant to penicillins (methicillin-resistant Staphylococcus aureus and multi-resistant Staphylococcus epidermidis (MRSE)) or in individuals with serious allergy to penicillins
* pseudomembranous colitis (relapse or unresponsive to metronidazole treatment)
* For treatment of infections caused by gram-positive microorganisms in patients with serious allergies to beta-lactam antimicrobials.
* antibacterial prophylaxis for endocarditis following certain procedures in penicillin-hypersensitive individuals at high risk
* surgical prophylaxis for major procedures involving implantation of prostheses in institutions with a high rate of MRSA or MRSE.
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Medical and Biotech [MESH] Definitions
Vancomycin Resistance
Nonsusceptibility of bacteria to the action of VANCOMYCIN, an inhibitor of cell wall synthesis.