MRCEM Notes

Aminoglycosides

Aminoglycosides Key Points

  • Bacteriocidal antibiotics active against both gram positive and negative bacteria.
  • Can cause nephrotoxicity and ototoxicity in high doses (accumulation in renal failure)
  • Serum concentrations should be monitored.
  • Aminoglycosides are not absorbed from the gastrointestinal tract, they are usually administered intravenously and intramuscularly.
  • Oral administration can be used for gut decontamination e.g. in hepatic encephalopathy
  • Primarily exerted by the kidney
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