Bacitracin topical

Anthra-Derm) Amphotericin B (Amphocin) Bacitracin, Topical (Baciguent)... 

Acitretin (Soriatane) Acyclovir (Zovirax) Alefacept (Amevive) Anthralin (Anthra-Derm) Amphotericin B (Amphocin) Bacitracin, Topical (Baciguent)... 

Bacitracin. Bacitracin, a cycHc peptide active against gram-positive bacteria, was discovered in 1943. Bacitracin received dmg certification in 1949 (60—62). Whereas human usage of bacitracin is almost exclusively topical, the vast majority of bacitracin manufactured worldwide is used as an animal feed additive. Reviews of work on bacitracin include its chemistry (63—67), comprehensive aspects (62), medical aspects (62,68), biosynthesis on large enzyme complexes and genetics (69—71), and production (71,72). 

Bacitracin given parenteraHy is sufftciendy nephrotoxic that it is rarely used in human medicine for other than topical indications (80). Thus safe and effective use, especially as the zinc salt, is limited almost completely to ointments, sprays, and solutions for skin and ophthalmic use in concentrations of 250 to 1000 units per milliliter. Bacitracin is only rarely skin sensitizing. As in the case of polymyxin, bacitracin is usually combined with other antibiotics to enlarge its spectmm of activity, or with corticoids or analgesics to reUeve pain or itching. 

Topical antibiotics exert a direct local effect on specific microorganisms and may be bactericidal or bacteriostatic. Bacitracin (Baciguent) inhibits the cell wall synthesis. Bacitracin, gentamicin (G-myticin), erythromycin (Emgel), and neomycin are examples of topical antibiotics. These drugp are used to prevent superficial infections in minor cuts, wounds, skin abrasions, and minor burns. Erythromycin is also indicated for treatment of acne vulgaris. 

Systemic therapy with a variety of (3-lactams, macro-lides and lincosamides (clindamycin) has been the cornerstone of skin infection therapy for many years [17]. However, topical antibiotics can play an important role in both treatment and prevention of many primary cutaneous bacterial infections commonly seen in the dermatological practice [18], Indeed, while systemic antimicrobials are needed in the complicated infections of skin and skin structure, the milder forms can be successfully treated with topical therapy alone [18], The topical agents used most often in the treatment of superficial cutaneous bacterial infections are tetracyclines, mupirocin, bacitracin, polymyxin B, and neomycin. 

Topical agents with minimal pregnancy risk include bacitracin, benzoyl peroxide, ciclopirox, clindamycin, erythromycin, metronidazole, mupi-rocin, permethrin, and terbinafine. 

Other inhibitors of cell wall synthesis. Bacitracin and vancomycin interfere with the transport of pepti-doglycans through the cytoplasmic membrane and are active only against gram-positive bacteria. Bacitracin is a polypeptide mixture, markedly nephrotoxic and used only topically. Vancomycin is a glycopeptide and the drug of choice for the (oral) treatment of bowel inflammations occurring as a complication of antibiotic therapy (pseudomembranous enterocolitis caused by Clostridium difficile), it is not absorbed. 

Bacitracin (Fig. 4) is a cyclic peptide antibiotic. The lipid II molecule involved in the bacterial cell wall biosynthesis has a C55 isoprenyl pyrophosphate moiety that must be dephosphorylated so that it can reparticipate in another round of lipid II transfer. Bacitracin binds to the isoprenyl pyrophosphate and prevents the dephosphorylation which, in turn, blocks cell wall growth by interfering with the release of the muropeptide subunits to the outside of the bacterial cell membrane. Bacitracin inhibits similar reactions in eukaryotic cells. So, it is systemically toxic but is an effective and widely used topical antibiotic. 

Bacitracin Polymyxin B, Topical (Polysporin) Bacitracin, Neomycin, Polymyxin B, Topical (Neosporin Ointment) Bacitracin, Neomycin, Pol5rm5 xm B, Hydrocortisone, Topical (Cortisporin)... 

Bacitracin, Neomycin, Polymyxin B, Lidocaine, Topical (Clomycin)... 

Bacitracin and gramicidin are polypeptide antibiotics with activity against gram-positive organisms and against most anaerobic cocci. Systemic toxicity for bacitracin is rare because of poor absorption through the skin. Gramicidin is used only topically... 

Bacitracin is primarily a topical antibiotic. Previously, it was administered intramuscularly, but the toxicity associated with its parenteral administration has precluded systemic use. The bacitracins are not absorbed from the gastrointestinal tract following oral administration. 

Bacitracin is well tolerated topically and orally and is frequently used in combination with other agents (no-... 

C. Teicoplanin, although used in Europe, is not approved for use in the United States. It can be used to treat a variety of gram-positive infections and should be considered in resistant gram-positive infections as well. Bacitracin and polymyxins are topical agents with potential for serious nephrotoxicity when used parenterally. Linezolid is recently approved for resistant gram-positive infections (VRE and MRSA) and is available in the United States. 

OTC Topical with bacitracin (Bacimyxin, Polysporin) with bacitracin, neomycin (Neosporin, Triple Antibiotic) with bacitracin, neomycin, lidocaine (Lanabiotic, Spectrocin) with gramicidin (Polysporin) with gramicidin, lidocaine (Lidosporin, Polysporin Burn Formula) with gramicidin, neomycin (Neosporin)... 

Bacitracin is highly nephrotoxic when administered systemically and is only used topically (Chapter 62). Bacitracin is poorly absorbed. Topical application results in local antibacterial activity without systemic toxicity. Bacitracin, 500 units/g in an ointment base (often combined with polymyxin or neomycin), is indicated for the suppression of mixed bacterial flora in surface lesions of the skin, in wounds, or on mucous membranes. Solutions of bacitracin containing 100-200 units/mL in saline can be used for irrigation of joints, wounds, or the pleural cavity. 

Gramicidin is available only for topical use, in combination with other antibiotics such as neomycin, polymyxin, bacitracin, and nystatin. Systemic toxicity limits this drug to topical use. The incidence of sensitization following topical application is exceedingly low in therapeutic concentrations. 

Neomycin is available in numerous topical formulations, both alone and in combination with polymyxin, bacitracin, and other antibiotics. It is also available as a sterile powder for topical use. Gentamicin is available as an ointment or cream. 

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