Clindamycin, Erythromycin, and Chloramphenicol - Mechanisms of Action and Clinical Correlations

Clindamycin, Erythromycin, and Chloramphenicol - Mechanisms of Action and Clinical Correlations

Dr. Najeeb Lectures via YouTube Direct link

Clinical co-relation; post-antibiotic effect in relation to clindamycin, erythromycin

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33 of 50

Clinical co-relation; post-antibiotic effect in relation to clindamycin, erythromycin

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Classroom Contents

Clindamycin, Erythromycin, and Chloramphenicol - Mechanisms of Action and Clinical Correlations

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  1. 1 Introduction and overview of lecture
  2. 2 Overview of similarities between Clindamycin, Macrolide and chloramphenicol
  3. 3 Clindamycin, macrolide and chloramphenicol work as protein synthesis inhibitors
  4. 4 MOA of clindamycin, macrolide and chloramphenicol on Bacterial Ribosomes
  5. 5 MOA of clindamycin, macrolide and chloramphenicol on larger 50s ribosomal subunit
  6. 6 Action of clindamycin , macrolide and Chloramphenicol on 23s Ribosomal RNA
  7. 7 Summary of above 4 similarities in the MOA of Clindamycin , Macrolide and Chloramphenicol
  8. 8 MOA of Clindamycin, Macrolide and Chloramphenicol on Ribozyme
  9. 9 What is Peptidyl Transferase?
  10. 10 Summary of all above similarities between Clindamycin, Macrolide and Chloramphenicol
  11. 11 Detailed explanation on the functions of Peptidyl Transferase
  12. 12 Transpeptidation and Ribosomal Translocation
  13. 13 Peptide chain elongation
  14. 14 How Clindamycin, Macrolide and chloramphenicol inhibit the protein synthesis by inhibiting the chain elongation process?
  15. 15 Summary of similarities between Clindamycin, Macrolide and Chloramphenicol
  16. 16 MOA; Clindamycin
  17. 17 MOA; Clindamycin as bacteriostatic and bactericidal
  18. 18 Summary of MOA of Clindamycin
  19. 19 MOA; Macrolides
  20. 20 MOA; Chloramphenicol binding site.
  21. 21 MOA; Comparison of binding site of clindamycin vs macrolide vs chloramphenicol.
  22. 22 MOA; Chloramphenicol.
  23. 23 Chloramphenicol; Adverse effects.
  24. 24 Why clindamycin and macrolide don’t produce gray baby syndrome?
  25. 25 Clinical co-relation; Competitive Inhibition; Why clindamycin and erythromycin are not used together for a treatment of any infection?
  26. 26 Summary of role of clindamycin in TSS.
  27. 27 Clinical co-relation; Cross resistance.
  28. 28 Mechanism of resistance involving the changes at binding site, 23s rRNA.
  29. 29 Mechanism#1; Mutant ribosomal protein.
  30. 30 Mechanism#2; Mutation of adenine group at target site, 23s rRNA.
  31. 31 Mechanism#3; Methylation of adenine group at target site, 23s rRNA.
  32. 32 Clinical co-relation; Cross resistance because of erm genes.
  33. 33 Clinical co-relation; post-antibiotic effect in relation to clindamycin, erythromycin
  34. 34 Secondary effect#1; Reduced quantity of proteins
  35. 35 Secondary effect#2; Distorted proteins.
  36. 36 Bacteriostatic action/ Bactericidal action
  37. 37 Surface bacterial proteins altered; Decrease adherence of bacteria.
  38. 38 Surface bacterial proteins altered; Increased opsonization and phagocytosis.
  39. 39 Summary of effects on membrane produced by clindamycin.
  40. 40 Increased active uptake of clindamycin by neutrophils and macrophages leading to increased intra-cellular killing.
  41. 41 Excellent choice for abscesses produced by the susceptible bacteria.
  42. 42 Penetration of drug; Bones.
  43. 43 Penetration of drug; Can’t cross BBB.
  44. 44 Summary of all effects produced by clindamycin.
  45. 45 Black box warning for Clindamycin.
  46. 46 Pathogenesis of Pseudomembranous colitis.
  47. 47 Risk factors for Pseudomembranous colitis.
  48. 48 Directions to be given to the patient while prescribing clindamycin.
  49. 49 Treatment for C. diff colitis.
  50. 50 Summary of Black box warning for Clindamycin.

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