Connections Summer 2016

VOLUME 20    NUMBER 2         SUMMER – 2016            ISSN 1496-3876

RESISTANCE IN THE GLYCOPEPTIDE ANTIMICROBIAL CLASS

The glyopeptide antibiotics are cell-wall active agents that include glycopeptides, modified glycopeptides, and lipoglyopeptides. The primary mode of action of all these agents is inhibition of cell-wall synthesis in gram positive bacteria.

The glyopeptide antibiotics are cell-wall active agents that include glycopeptides (vancomycin), modified glycopeptides (oritavancin and dalbavancin) and lipoglyopeptides (teichoplanin and telavancin). There are a number of other compounds with similar activity that have not yet been licensed and will not be discussed here (1).

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MECHANISMS OF BACTERIAL RESISTANCE TO AMINOGLYCOSIDES

Aminoglycoside antibiotics are derived from compounds produced by a variety of soil actinomycetes. These bactericidal agents function by inhibiting bacterial protein synthesis, they have a narrow therapeutic-to-toxic ratio, and are often used in the treatment of serious aerobic gram negative infections.

Aminoglycoside antibiotics are derived from compounds produced by a variety of soil actinomycetes and have a similar structure consisting of two or more amino sugars linked by glycosidic bonds to an aminocyclitol ring (streptidine or 2-deoxy-streptamine).1 The commonly used agents in Canada include gentamicin, tobramycin, streptomycin, and amikacin (and topical neomycin). Other aminoglycosides in use elsewhere or of historical interest include kanamycin and netilmicin; aminogylcosides are bactericidal agents that function by inhibiting bacterial protein synthesis, they have a narrow therapeutic-to-toxic ratio, and are often used in the treatment of serious aerobic gram negative infections.2

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HPTA – Biological Safety Officers

In the context of the HPTA, every HPTA licence applicant should designate an individual as a biological safety officer (BSO).

The role of the BSO is to promote and monitor compliance with the provisions of the Act and the regulations.

 

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