TY - CHAP M1 - Book, Section TI - Aminoglycosides A1 - MacDougall, Conan A1 - Chambers, Henry F. A2 - Brunton, Laurence L. A2 - Chabner, Bruce A. A2 - Knollmann, Björn C. PY - 2015 T2 - Goodman & Gilman's: The Pharmacological Basis of Therapeutics, 12e AB - The aminoglycoside group includes gentamicin, tobramycin, amikacin, netilmicin (not available in the U.S.), kanamycin, streptomycin, paromomycin, and neomycin. These drugs are used primarily to treat infections caused by aerobic gram-negative bacteria; streptomycin is an important agent for the treatment of tuberculosis, and paromomycin is used orally for intestinal amebiasis and in the management of hepatic coma. In contrast to most inhibitors of microbial protein synthesis, which are bacteriostatic, the aminoglycosides are bactericidal inhibitors of protein synthesis. Mutations affecting proteins in the bacterial ribosome, the target for these drugs, can confer marked resistance to their action. However, most commonly resistance is due to acquisition of plasmids or transposon-encoding genes for aminoglycoside-metabolizing enzymes or from impaired transport of drug into the cell. Thus, there can be cross-resistance between members of the class. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2023/09/29 UR - accessbiomedicalscience.mhmedical.com/content.aspx?aid=1127870722 ER -