Vancomycin: A History

Vancomycin became available for clinical use >50 years ago but was soon discarded in favor of other antibiotics that were deemed to be more efficacious and less toxic. The advent of pseudomembranous enterocolitis, coupled with the spread of methicillin-resistant Staphylococcus aureus, led to a re...

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Veröffentlicht in:Clinical infectious diseases 2006-01, Vol.42 (Supplement-1), p.S5-S12
1. Verfasser: Levine, Donald P
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container_title Clinical infectious diseases
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creator Levine, Donald P
description Vancomycin became available for clinical use >50 years ago but was soon discarded in favor of other antibiotics that were deemed to be more efficacious and less toxic. The advent of pseudomembranous enterocolitis, coupled with the spread of methicillin-resistant Staphylococcus aureus, led to a resurgence in the use of vancomycin. Almost immediately, concerns arose with regard to its therapeutic utility. In addition, resistance to vancomycin developed, first in enterococci and later in staphylococci. Several types of resistance have now been identified, each with a unique effect on infections treated with vancomycin. Recent studies have rekindled interest in the best way to administer the antibiotic. The findings of future studies may result in a return to measuring levels of vancomycin in serum, to assure a successful therapeutic outcome.
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source Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Anti-Bacterial Agents - history
Anti-Bacterial Agents - pharmacology
Anti-Bacterial Agents - therapeutic use
Antibiotics
Bacteremia
Bacteria
Disease control
Dosage
Drugs
Endocarditis
Enterococcus - drug effects
Gene Transfer, Horizontal - drug effects
History of medicine
History, 20th Century
History, 21st Century
Humans
Infections
Internships
Medical treatment
Nephrotoxicity
Organisms
Patients
Staphylococcus
Staphylococcus aureus
Staphylococcus aureus - drug effects
Toxicity
Vancomycin - history
Vancomycin - pharmacology
Vancomycin - therapeutic use
Vancomycin Resistance - genetics
title Vancomycin: A History
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