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Colistin

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most infections is therefore unknown. Colomycin has a recommended intravenous dose of 1 to 2 million units three times daily for patients weighing 60 kg or more with normal renal function. Coly-Mycin has a recommended dose of 2.5 to 5 mg/kg colistin base a day, which is equivalent to 6 to 12 mg/kg colistimethate sodium per day. For a 60 kg man, therefore, the recommended dose for Colomycin is 240 to 480 mg of colistimethate sodium, yet the recommended dose for Coly-Mycin is 360 to 720 mg of colistimethate sodium. Likewise, the recommended "maximum" dose for each preparation is different (480 mg for Colomycin and 720 mg for Coly-Mycin). Each country has different generic preparations of colistin, and the recommended dose depends on the manufacturer. This complete absence of any regulation or standardisation of dose makes intravenous colistin dosing difficult for the physician.
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InChI=1S/C52H98N16O13/c1-9-29(6)11-10-12-40(71)59-32(13-19-53)47(76)68-42(31(8)70)52(81)64-35(16-22-56)44(73)63-37-18-24-58-51(80)41(30(7)69)67-48(77)36(17-23-57)61-43(72)33(14-20-54)62-49(78)38(25-27(2)3)66-50(79)39(26-28(4)5)65-45(74)34(15-21-55)60-46(37)75/h27-39,41-42,69-70H,9-26,53-57H2,1-8H3,(H,58,80)(H,59,71)(H,60,75)(H,61,72)(H,62,78)(H,63,73)(H,64,81)(H,65,74)(H,66,79)(H,67,77)(H,68,76)/t29?,30-,31-,32+,33+,34+,35+,36+,37+,38+,39-,41+,42+/m1/s1
806:; it is produced by the reaction of colistin with formaldehyde and sodium bisulfite, which leads to the addition of a sulfomethyl group to the primary amines of colistin. Colistimethate sodium is less toxic than colistin when administered parenterally. In aqueous solutions it undergoes hydrolysis to form a complex mixture of partially sulfomethylated derivatives, as well as colistin. Resistance to colistin began to appear as of 2015. 40: 5143: 1489:. The first step is to have a loading domain, 6-methylheptanoic acid, associate with the A and PCP domains. Now with a C, A, and PCP domain that is associated with 2,4-diaminobutryic acid. This continues with each amino acid until the linear peptide chain is completed. The last module will have a thioesterase to complete the cyclization and form the product colistin. 1360:(damage to the nerves), but this may reflect the very high doses given, which are much higher than the doses currently recommended by any manufacturer and for which no adjustment was made for pre-existing renal disease. Neuro- and nephrotoxic effects appear to be transient and subside on discontinuation of therapy or reduction in dose. 1104:. It was found in 2011 in China on a pig farm where colistin is routinely used and became publicly known in November 2015. The presence of this plasmid-borne gene was confirmed starting December 2015 in South-East Asia, several European countries, and the United States. It is found in certain strains of the bacteria 1040:
Because colistin was introduced into clinical practice over 50 years ago, it was never subject to the regulations that modern drugs are subject to, and therefore there is no standardised dosing of colistin and no detailed trials on pharmacology or pharmacokinetics. The optimal dosing of colistin for
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Colistin binds to lipopolysaccharides and phospholipids in the outer cell membrane of Gram-negative bacteria. It competitively displaces divalent cations (Ca and Mg) from the phosphate groups of membrane lipids, which leads to disruption of the outer cell membrane, leakage of intracellular contents
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Colistimethate sodium, a less toxic prodrug, became available for injection in 1959. In the 1980s, polymyxin use was widely discontinued because of nephro- and neurotoxicity. As multi-drug resistant bacteria became more prevalent in the 1990s, colistin started to get a second look as an emergency
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India reported the first detailed colistin-resistance study, which mapped 13 colistin-resistant infections recorded over 18 months. It concluded that pan-drug-resistant infections, particularly those in the bloodstream, have a higher mortality. Multiple other cases were reported from other Indian
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Colistimethate sodium aerosol (Promixin; Colomycin Injection) is used to treat pulmonary infections, especially in cystic fibrosis. In the UK, the recommended adult dose is 1–2 million units (80–160 mg) nebulised colistimethate twice daily. Nebulized colistin has also been used to decrease
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No clinically useful absorption of colistin occurs in the gastrointestinal tract. For systemic infection, colistin must therefore be given by injection. Colistimethate is eliminated by the kidneys, but colistin is eliminated by non-renal mechanism(s) that are as of yet not characterised.
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Colistin sulfate and colistimethate sodium may both be given intravenously, but the dosing is complicated. The different labeling of the parenteral products of colistin methanesulfonate in different parts of the world was noted by Li et al. Colistimethate sodium manufactured by
1473:, and 2,4-diaminobutryic acid. The linear form of colistin is synthesized before cyclization. Non-ribosomal peptide biosynthesis begins with a loading module and then the addition of each subsequent amino acid. The subsequent amino acids are added with the help of an 1121:
A recent review from 2016 to 2021 fount that E. coli is the dominant species harbouring mcr genes. Plasmid - mediated colistin resistance is also conferred upon other species that carry different genes resistant to antibiotics. The emergence of the
4212: 954:. Colistin sulfate is stable, whereas colistimethate sodium is readily hydrolysed to a variety of methanesulfonated derivatives. Colistin sulfate and colistimethate sodium are eliminated from the body by different routes. With respect to 2825:
Liu YY, Wang Y, Walsh TR, Yi LX, Zhang R, Spencer J, et al. (February 2016). "Emergence of plasmid-mediated colistin resistance mechanism MCR-1 in animals and human beings in China: a microbiological and molecular biological study".
371:-(4-amino-1-(1-(4-amino-1-oxo-1-(3,12,23-tris(2-aminoethyl)- 20-(1-hydroxyethyl)-6,9-diisobutyl-2,5,8,11,14,19,22-heptaoxo- 1,4,7,10,13,18-hexaazacyclotricosan-15-ylamino)butan-2-ylamino)- 3-hydroxybutan-2-ylamino)-1-oxobutan-2-yl)- 1114:
hospitals. Although resistance to polymyxins is generally less than 10%, it is more frequent in the Mediterranean and South-East Asia (Korea and Singapore), where colistin resistance rates are increasing. Colistin-resistant
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Colistin has also been used in agriculture, particularly in China from the 1980s onwards. Chinese production for agriculture exceeded 2700 tons in 2015. China banned colistin use for livestock growth promotion in 2016.
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infection in lungs of patients with cystic fibrosis. Biofilms have a low-oxygen environment below the surface where bacteria are metabolically inactive, and colistin is highly effective in this environment. However,
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Motaouakkil S, Charra B, Hachimi A, Nejmi H, Benslama A, Elmdaghri N, et al. (October 2006). "Colistin and rifampicin in the treatment of nosocomial infections from multiresistant Acinetobacter baumannii".
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Conway SP, Etherington C, Munday J, Goldman MH, Strong JJ, Wootton M (November 2000). "Safety and tolerability of bolus intravenous colistin in acute respiratory exacerbations in adults with cystic fibrosis".
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that subsequently replaced it, and it has been used for extended periods up to six months with no ill effects. Colistin-induced nephrotoxicity is particularly likely in patients with hypoalbuminemia.
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Koch-Weser J, Sidel VW, Federman EB, Kanarek P, Finer DC, Eaton AE (June 1970). "Adverse effects of sodium colistimethate. Manifestations and specific reaction rates during 317 courses of therapy".
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Karakitsos D, Paramythiotou E, Samonis G, Karabinis A (November 2006). "Is intraventricular colistin an effective and safe treatment for post-surgical ventriculitis in the intensive care unit?".
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Li J, Nation RL, Turnidge JD, Milne RW, Coulthard K, Rayner CR, Paterson DL (September 2006). "Colistin: the re-emerging antibiotic for multidrug-resistant Gram-negative bacterial infections".
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Li J, Nation RL, Turnidge JD, Milne RW, Coulthard K, Rayner CR, Paterson DL (September 2006). "Colistin: the re-emerging antibiotic for multidrug-resistant Gram-negative bacterial infections".
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Two forms of colistin are available commercially: colistin sulfate and colistimethate sodium (colistin methanesulfonate sodium, colistin sulfomethate sodium). Colistin sulfate is
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Domínguez-Ortega J, Manteiga E, Abad-Schilling C, Juretzcke MA, Sánchez-Rubio J, Kindelan C (2007). "Induced tolerance to nebulized colistin after severe reaction to the drug".
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sets a MIC cutoff of 4 mg/L or less as sensitive, and 8 mg/L or more as resistant. No standards for describing colistin sensitivity are given in the United States.
1229: 2133:"Tolerance to the antimicrobial peptide colistin in Pseudomonas aeruginosa biofilms is linked to metabolically active cells, and depends on the pmr and mexAB-oprM genes" 1026: 1879:"Detection of mcr-1 encoding plasmid-mediated colistin-resistant Escherichia coli isolates from human bloodstream infection and imported chicken meat, Denmark 2015" 2870: 2965: 925:
reside in the top layers of the biofilm, where they remain metabolically active. This is because surviving tolerant cells migrate to the top of the biofilm via
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Colistin A (polymyxin E1) and colistin B (polymyxin E2) can be purified individually to research and study their effects and potencies as separate compounds.
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At a dose of 160 mg colistimethate IV every eight hours, very little nephrotoxicity is seen. Indeed, colistin appears to have less toxicity than the
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Li J, Nation RL, Milne RW, Turnidge JD, Coulthard K (January 2005). "Evaluation of colistin as an agent against multi-resistant Gram-negative bacteria".
1175:, the phenomenon wherein apparently genetically identical microbes exhibit a range of resistance to an antibiotic, has been observed in some species of 2586:
Ahmed N, Wahlgren NG (2003). "Effects of blood pressure lowering in the acute phase of total anterior circulation infarcts and other stroke subtypes".
728: 1255: 1568:"Colomycin 1 million International Units (IU) Powder for solution for injection, infusion or inhalation – Summary of Product Characteristics (SmPC)" 1755:
Falagas ME, Grammatikos AP, Michalopoulos A (October 2008). "Potential of old-generation antibiotics to address current need for new antibiotics".
4154: 4813: 1088: 3966:"Use of high-performance liquid chromatography to study the pharmacokinetics of colistin sulfate in rats following intravenous administration" 2892: 1496:
The loading domain 6-methylheptanoic acid is shown in salmon; yellow is 2,4-diaminobutryic acid; light blue is threonine; magenta is leucine.
71: 3221: 2930: 1082: 2672:"Combined colistin and rifampicin therapy for carbapenem-resistant Acinetobacter baumannii infections: clinical outcome and adverse events" 2066: 684: 1417:
just like a detergent, solubilizing the membrane in an aqueous environment. This effect is bactericidal even in an isosmolar environment.
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infection, although resistant forms have been reported. Colistimethate sodium has also been given intrathecally and intraventricularly in
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infections has led to the development of resistant bacterial strains. They have also developed resistance to the antimicrobial compounds
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Resistance to colistin is rare, but has been described. As of 2017, no agreement exists about how to define colistin resistance. The
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O=C(N(C(=O)N(C(=O)N(C(=O)N1C(=O)N(C(=O)N(C(=O)N(C(=O)N(C(=O)N(C(=O)N(C(=O)NCC1)(O)C)CCN)CCN)CC(C)C)CC(C)C)CCN)CCN)(O)C)CCN)CCCC(C)CC
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Colistin was discovered in 1947 and colistimethate sodium was approved for medical use in the United States in 1970. It is on the
3925:"Pharmacokinetics of colistin methanesulphonate and colistin in rats following an intravenous dose of colistin methanesulphonate" 2290: 1146: 2631:"In-vitro activity of the combination of colistin and rifampicin against multidrug-resistant strains of Acinetobacter baumannii" 1619: 4190: 4757: 2760: 2302: 1061: 852: 4013:
Koyama Y, Kurosasa A, Tsuchiya A, Takakuta K (1950). "A new antibiotic 'colistin' produced by spore-forming soil bacteria".
2531: 122: 3822:"Inhalation solutions: which one are allowed to be mixed? Physico-chemical compatibility of drug solutions in nebulizers" 2862: 4806: 2092:"Colistin-tobramycin combinations are superior to monotherapy concerning the killing of biofilm Pseudomonas aeruginosa" 1594:"Promixin 1 million International Units (IU) Powder for Nebuliser Solution – Summary of Product Characteristics (SmPC)" 3358:"Intravenous colistin in the treatment of sepsis from multiresistant Gram-negative bacilli in critically ill patients" 3068:
Chatzidimitriou M, Kavvada A, Kavvadas D, Kyriazidi MA, Meletis G, Chatzopoulou F, Chatzidimitriou D (December 2021).
2365:"Intrathecal colistin for treatment of Pseudomonas aeruginosa ventriculitis: report of a case with successful outcome" 3309:
Exhibiting Clinically Undetected Colistin Heteroresistance Leads to Treatment Failure in a Murine Model of Infection"
2182:"Selective labelling and eradication of antibiotic-tolerant bacterial populations in Pseudomonas aeruginosa biofilms" 2017: 1993: 1812: 855:. The World Health Organization classifies colistin as critically important for human medicine. It is available as a 761: 704: 3407:
Wolinsky E, Hines JD (April 1962). "Neurotoxic and nephrotoxic effects of colistin in patients with renal disease".
735: 5173: 4774: 887: 4064:"Colistin: the revival of polymyxins for the management of multidrug-resistant gram-negative bacterial infections" 3168:"The evolution of colistin resistance increases bacterial resistance to host antimicrobial peptides and virulence" 360: 250: 103: 5163: 1222: 4799: 3356:
Markou N, Apostolakos H, Koumoudiou C, Athanasiou M, Koutsoukou A, Alamanos I, Gregorakos L (October 2003).
1141:, produced by the human immune system. This cross-resistance is caused by gain-of-function mutations to the 1514: 1297: 1208: 592: 477: 1056:
evidence of synergy for colistimethate sodium used in combination with other antipseudomonal antibiotics.
1025:(Colomycin injection) is prescribed in international units, whereas colistimethate sodium manufactured by 553: 542: 5133: 4622: 1543:"Colobreathe 1,662,500 IU inhalation powder, Hard Capsules – Summary of Product Characteristics (SmPC)" 1171:
Not all resistance to colistin and some other antibiotics is due to the presence of resistance genes.
3119:"Clinical use of colistin induces cross-resistance to host antimicrobials in Acinetobacter baumannii" 2713:"In vitro assessment of colistin's antipseudomonal antimicrobial interactions with other antibiotics" 1971: 1943: 1650: 17: 5168: 4251: 2952:"Emergence of Pan drug resistance amongst gram negative bacteria! The First case series from India" 2900: 2670:
Petrosillo N, Chinello P, Proietti MF, Cecchini L, Masala M, Franchi C, et al. (August 2005).
1406: 1215: 569: 1675:"Clinical considerations for optimal use of the polymyxins: A focus on agent selection and dosing" 4839: 4762: 4696: 4533: 2922: 1282: 997: 133: 61: 4220: 3722:
Giacobbe DR, di Masi A, Leboffe L, Del Bono V, Rossi M, Cappiello D, et al. (August 2018).
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Hasman H, Hammerum AM, Hansen F, Hendriksen RS, Olesen B, Agersø Y, et al. (2015-12-10).
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Beringer P (November 2001). "The clinical use of colistin in patients with cystic fibrosis".
1830:"Colistin methanesulfonate is an inactive prodrug of colistin against Pseudomonas aeruginosa" 1727: 1262: 1248: 1162: 958:, colistimethate is the inactive prodrug of colistin. The two drugs are not interchangeable. 814: 791: 776: 466: 81: 4470: 3735: 3640:
Littlewood JM, Koch C, Lambert PA, Høiby N, Elborn JS, Conway SP, et al. (July 2000).
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Jangir PK, Ogunlana L, Szili P, Czikkely M, Shaw LP, Stevens EJ, et al. (April 2023).
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Bruguera-Avila N, Marin A, Garcia-Olive I, Radua J, Prat C, Gil M, Ruiz-Manzano J (2017).
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synergy exists, and the combination has been used successfully in patients. There is also
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Some studies have indicated that colistin may be useful for treating infections caused by
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Coly-mycin M 150 mg colistin base is 360 mg colistimethate or 4,500,000 units.
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Colistin was first isolated in Japan in 1949 by Y. Koyama, from a flask of fermenting
48: 4228: 4183: 4112: 4085: 3995: 3946: 3905: 3870: 3843: 3802: 3797: 3780: 3761: 3704: 3663: 3614: 3570: 3566: 3535: 3500: 3459: 3424: 3389: 3338: 3282: 3199: 3148: 3103: 3091: 3039:"Discovery of first mcr-1 gene in E. coli bacteria found in a human in United States" 3012: 2843: 2807: 2734: 2693: 2688: 2671: 2652: 2603: 2510: 2467: 2463: 2432: 2396: 2345: 2298: 2268: 2219: 2154: 2149: 2132: 2113: 2013: 1989: 1900: 1859: 1808: 1804:
Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases E-Book
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flora. Colistin sulfate is also used in topical creams, powders, and otic solutions.
302: 289: 277: 95: 4097: 3981: 3626: 3582: 3070:"mcr Genes Conferring Colistin Resistance in Enterobacterales; a Five Year Overview" 3024: 2615: 2479: 2166: 1784: 426: 4843: 4689: 4639: 4162: 4075: 3985: 3977: 3936: 3897: 3833: 3792: 3751: 3743: 3694: 3653: 3606: 3562: 3527: 3490: 3477:
Ledson MJ, Gallagher MJ, Cowperthwaite C, Convery RP, Walshaw MJ (September 1998).
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Napier BA, Burd EM, Satola SW, Cagle SM, Ray SM, McGann P, et al. (May 2013).
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in 2017–2018. In some cases this phenomenon has significant clinical consequences.
1172: 609: 321: 183: 173: 3479:"Four years' experience of intravenous colomycin in an adult cystic fibrosis unit" 3007: 2990: 1593: 5147: 4830: 4713: 4649: 3724:"Hypoalbuminemia as a predictor of acute kidney injury during colistin treatment" 3495: 3478: 2752: 1005: 967: 810: 329: 4826: 4155:"Spread of antibiotic-resistance gene does not spell bacterial apocalypse — yet" 3420: 2539: 2180:
Chua SL, Yam JK, Hao P, Adav SS, Salido MM, Liu Y, et al. (February 2016).
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Herrmann G, Yang L, Wu H, Song Z, Wang H, Høiby N, et al. (November 2010).
5034: 4768: 4585: 4490: 4424: 4355: 4274: 4232: 4221: 3860: 3747: 3455: 2951: 2428: 2324:"Successful treatment of Acinetobacter meningitis with intrathecal polymyxin E" 1364: 1353: 1153:) located on the bacterial chromosome. Similar results have been obtained with 930: 4167: 3838: 3821: 1691: 1674: 5157: 5110: 5090: 5039: 4967: 4947: 4655: 4607: 4538: 4268: 1768: 1519: 1492: 1478: 1357: 1333: 988: 972: 861: 802:
is mainly applied to the skin or taken by mouth. Colistimethate sodium is a
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Li J, Milne RW, Nation RL, Turnidge JD, Smeaton TC, Coulthard K (May 2003).
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Li J, Milne RW, Nation RL, Turnidge JD, Smeaton TC, Coulthard K (May 2004).
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Colistin sulfate may be used to treat intestinal infections, or to suppress
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World Health Organization model list of essential medicines: 21st list 2019
1904: 1863: 1776: 1700: 1486: 1371: 228: 218: 208: 198: 188: 178: 168: 3806: 3781:"Nebulized colistin causes chest tightness in adults with cystic fibrosis" 3504: 3463: 3324: 3134: 2776:"Effectiveness of treatment with nebulized colistin in patients with COPD" 2656: 890:(MIC) susceptibility data for a few medically significant microorganisms: 5100: 5075: 5024: 4985: 4909: 4876: 4866: 4861: 4822: 4670: 4558: 4480: 4314: 4284: 3941: 3924: 3303:
Band VI, Satola SW, Burd EM, Farley MM, Jacob JT, Weiss DS (March 2018).
3268: 2792: 2340: 2323: 2034:"Polymyxin E (Colistin) – The Antimicrobial Index Knowledgebase – TOKU-E" 1845: 1474: 1395: 845: 818: 148: 89: 31: 3184: 2205: 1984: 1956: 1029:(Coly-Mycin M Parenteral) is prescribed in milligrams of colistin base: 913:
For example, colistin in combination with other drugs is used to attack
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MacLaren G, Spelman D (22 November 2022). Hopper DC, Hall KK (eds.).
3355: 3222:"Common 'Superbug' Found to Disguise Resistance to Potent Antibiotic" 2711:
Rynn C, Wootton M, Bowker KE, Alan Holt H, Reeves DS (January 1999).
1466: 1312: 837: 833: 765: 412: 75: 2773: 2538:. electronic Medicines Compendium (eMC). 18 May 2016. Archived from 2130: 1465:
The biosynthesis of colistin requires the use of three amino acids:
5120: 4990: 4975: 4597: 4518: 4507: 4503: 4445: 4304: 4299: 4080: 4063: 3699: 3682: 3476: 3374: 2863:"Resistance to the Antibiotic of Last Resort Is Silently Spreading" 2381: 2131:
Pamp SJ, Gjermansen M, Johansen HK, Tolker-Nielsen T (April 2008).
2108: 2091: 1507: 1391: 1289: 1194: 1138: 970:, and it has come into recent use for treating multidrug-resistant 947: 522: 514: 437: 117: 4113:"How China is getting its farmers to kick their antibiotics habit" 2669: 1409:
by displacing magnesium and calcium bacterial counter ions in the
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Journal of Investigational Allergology & Clinical Immunology
2291:"Molecular Basis of Antibiotic Resistance in Acinetobacter spp." 2239:"Polymyxin-resistant Acinetobacter spp. isolates: what is next?" 4494: 4460: 1754: 1319: 1022: 533: 4012: 3721: 3595: 3441: 2966:"New worry: Resistance to 'last antibiotic' surfaces in India" 2780:
International Journal of Chronic Obstructive Pulmonary Disease
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Reis AO, Luz DA, Tognim MC, Sader HS, Gales AC (August 2003).
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The main toxicities described with intravenous treatment are
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Colistin has been effective in treating infections caused by
660: 1978:(6th revision ed.). Geneva: World Health Organization. 1413:. The hydrophobic and hydrophilic regions interact with the 558: 3165: 505: 39: 3639: 2759:. electronic Medicines Compendium (eMC). 12 January 2016. 2710: 1370:
The main toxicity described with aerosolised treatment is
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NB. Colistin base has an assigned potency of 30 000 IU/mg
2567:. European Medicines Agency. January 2002. Archived from 1970: 1942: 1800: 4821: 2893:"Apocalypse Pig Redux: Last-Resort Resistance in Europe" 2012:(76 ed.). Pharmaceutical Press. 2018. p. 547. 1960:. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO. 1477:
domain (A), a peptidyl carrier protein domain (PCP), an
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since at least 2016 and was observed in some strains of
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Colomycin 1,000,000 units is 80 mg colistimethate;
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World Health Organization's List of Essential Medicines
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Critically important antimicrobials for human medicine
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which can be transferred between bacterial strains is
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and more effective at killing infected caterpillars.
3302: 3061: 2988: 1919:"Colistimethate (Coly Mycin M) Use During Pregnancy" 1827: 840:
class of medications. It works by breaking down the
3210: 2991:"Colistin, mechanisms and prevalence of resistance" 2322:Benifla M, Zucker G, Cohen A, Alkan M (July 2004). 1828:Bergen PJ, Li J, Rayner CR, Nation RL (June 2006). 1801:Bennett JE, Dolin R, Blaser MJ, Mandell GL (2009). 1728:"Colistimethate Sodium Monograph for Professionals" 809:Common side effects of the injectable form include 3819: 3683:"Colistin: an antimicrobial for the 21st century?" 2236: 2089: 3250: 1449:, and became available for clinical use in 1959. 1118:was identified in the United States in May 2016. 5155: 3778: 1672: 425: 4061: 4031: 3298: 3296: 1638: 1087:uses a MIC cut-off of 2 mg/L, whereas the 400: 392: 3820:Kamin W, Schwabe A, Krämer I (December 2006). 2824: 2179: 1094:The first known colistin-resistance gene in a 1089:British Society for Antimicrobial Chemotherapy 5179:World Health Organization essential medicines 4807: 4206: 3779:Maddison J, Dodd M, Webb AK (February 1994). 3520:International Journal of Antimicrobial Agents 3406: 2585: 4110: 3854: 3349: 3293: 2628: 1673:Pogue JM, Ortwine JK, Kaye KS (April 2017). 936: 121: 4104: 3680: 1405:. These cationic regions interact with the 1044:Colistin has been used in combination with 962:Colistimethate sodium may be used to treat 859:. It is derived from bacteria of the genus 232: 222: 212: 202: 192: 66:Xylistin, Coly-Mycin M, Colobreathe, others 4814: 4800: 4213: 4199: 3251:El-Halfawy OM, Valvano MA (January 2015). 2989:Bialvaei AZ, Samadi Kafil H (April 2015). 2526: 2524: 2362: 1796: 1794: 1722: 1720: 1718: 1716: 1714: 1712: 1710: 836:is safe for the fetus. Colistin is in the 595: 572: 465: 4166: 4079: 3989: 3940: 3929:The Journal of Antimicrobial Chemotherapy 3837: 3796: 3755: 3698: 3657: 3494: 3383: 3373: 3332: 3276: 3193: 3183: 3142: 3085: 3006: 2801: 2791: 2728: 2687: 2646: 2635:The Journal of Antimicrobial Chemotherapy 2390: 2380: 2339: 2328:The Journal of Antimicrobial Chemotherapy 2284: 2282: 2262: 2213: 2148: 2107: 1983: 1955: 1894: 1853: 1807:. Elsevier Health Sciences. p. 469. 1750: 1748: 1690: 1382:or following a desensitisation protocol. 873: 817:. Other serious side effects may include 493: 485: 4138:(Third ed.). John Wiley & Sons. 3552: 2629:Hogg GM, Barr JG, Webb CH (April 1998). 2010:British national formulary : BNF 76 1911: 1620:"Coly-Mycin M- colistimethate injection" 1491: 1147:lipid A phosphoethanolamine transferases 4152: 2890: 2521: 1936: 1791: 1757:Expert Review of Anti-Infective Therapy 1707: 1186: 1145:gene, which controls the expression of 568: 445: 94: 14: 5156: 4133: 2978:from the original on 31 December 2014. 2288: 2279: 1745: 1666: 1485:(C). Cyclization is accomplished by a 1385: 1305: 1060:severe exacerbations in patients with 586: 308: 283: 4795: 4194: 4184:"Colistin topics page (bibliography)" 3970:Antimicrobial Agents and Chemotherapy 3555:Current Opinion in Pulmonary Medicine 3219: 2818: 2002: 1950:. Geneva: World Health Organization. 1896:10.2807/1560-7917.ES.2015.20.49.30085 1834:Antimicrobial Agents and Chemotherapy 1062:chronic obstructive pulmonary disease 768:. These may involve bacteria such as 541: 296: 112: 80: 4062:Falagas ME, Kasiakou SK (May 2005). 2995:Current Medical Research and Opinion 1347: 182: 172: 4578:Intestinal anti-inflammatory agents 3409:The New England Journal of Medicine 2717:Clinical Microbiology and Infection 2676:Clinical Microbiology and Infection 2452:Acta Anaesthesiologica Scandinavica 1679:Clinical Microbiology and Infection 1424: 521: 513: 416: 24: 4146: 4111:Schoenmakers K (21 October 2020). 3681:Stein A, Raoult D (October 2002). 2915: 2763:from the original on 16 July 2017. 2730:10.1111/j.1469-0691.1999.tb00095.x 2536:Summary of Product Characteristics 2096:The Journal of Infectious Diseases 1078:Société Française de Microbiologie 886:species. The following represents 760:treatment for multidrug-resistant 25: 5195: 4635:agents, excluding corticosteroids 4176: 3532:10.1016/j.ijantimicag.2004.10.001 2860: 828:. The inhaled form may result in 259: 5141: 3642:"A ten year review of colomycin" 3567:10.1097/00063198-200111000-00013 3483:The European Respiratory Journal 2689:10.1111/j.1469-0691.2005.01198.x 2464:10.1111/j.1399-6576.2006.01126.x 2150:10.1111/j.1365-2958.2008.06152.x 2040:from the original on 28 May 2016 1453:solution, in spite of toxicity. 888:minimum inhibitory concentration 626: 620: 47: 38: 4127: 4055: 4044:from the original on 2016-05-31 4025: 4006: 3982:10.1128/AAC.47.5.1766-1770.2003 3957: 3916: 3890:The Lancet. Infectious Diseases 3881: 3813: 3772: 3715: 3674: 3633: 3589: 3546: 3511: 3470: 3435: 3400: 3244: 3232:from the original on 2018-04-03 3159: 3110: 3049:from the original on 2016-07-11 3031: 2982: 2958: 2944: 2933:from the original on 2016-05-27 2884: 2873:from the original on 2017-01-13 2854: 2828:The Lancet. Infectious Diseases 2767: 2745: 2704: 2663: 2622: 2579: 2554: 2495:The Lancet. Infectious Diseases 2486: 2443: 2407: 2356: 2315: 2295:Acinetobacter Molecular Biology 2230: 2173: 2124: 2083: 2072:from the original on 2016-03-04 2052: 2026: 1964: 1870: 1821: 1460: 868: 830:constriction of the bronchioles 717:Key:YKQOSKADJPQZHB-QNPLFGSASA-N 1612: 1586: 1560: 1535: 1223:Elizabethkingia meningoseptica 832:. It is unclear if use during 632: 614: 272: 13: 1: 4682:Antidiarrheal micro-organisms 3902:10.1016/S1473-3099(06)70580-1 3599:The Annals of Pharmacotherapy 3257:Clinical Microbiology Reviews 3008:10.1185/03007995.2015.1018989 2840:10.1016/S1473-3099(15)00424-7 2507:10.1016/s1473-3099(06)70580-1 1500: 1071: 844:, which generally results in 4068:Clinical Infectious Diseases 3798:10.1016/0954-6111(94)90028-0 3687:Clinical Infectious Diseases 3496:10.1183/09031936.98.12030592 2243:Emerging Infectious Diseases 1356:(damage to the kidneys) and 1298:Stenotrophomonas maltophilia 1209:Chryseobacterium indologenes 966:infections in patients with 929:and form new aggregates via 7: 4153:Reardon S (December 2015). 3444:Annals of Internal Medicine 3421:10.1056/NEJM196204122661505 1230:Francisella tularensis spp. 950:; colistimethate sodium is 10: 5200: 4524:Camphorated opium tincture 4261:Intestinal anti-infectives 4136:Medicinal Natural Products 3826:Journal of Cystic Fibrosis 3748:10.1038/s41598-018-30361-5 3456:10.7326/0003-4819-72-6-857 2757:Patient Information Leafle 2429:10.1016/j.jinf.2005.11.019 2297:. Caister Academic Press. 1433: 1126:gene is quite remarkable. 604:Chemical and physical data 5048: 5004: 4966: 4937: 4918: 4895: 4838: 4752: 4706: 4681: 4577: 4489: 4435: 4260: 4244: 4168:10.1038/nature.2015.19037 3839:10.1016/j.jcf.2006.03.007 2363:Yagmur R, Esen F (2006). 1972:World Health Organization 1944:World Health Organization 1692:10.1016/j.cmi.2017.02.023 1651:European Medicines Agency 1129:Use of colistin to treat 1015: 937:Administration and dosage 786:. It comes in two forms: 725: 700: 680: 658: 641: 608: 603: 584: 552: 532: 504: 476: 456: 436: 411: 383: 356: 351: 338: 328: 320: 249: 244: 159: 132: 102: 88: 70: 60: 55: 46: 37: 4457:, known as Pepto-Bismol) 4252:Oral rehydration therapy 3220:McKay B (6 March 2018). 2891:McKenna M (2015-12-03). 2588:Cerebrovascular Diseases 2417:The Journal of Infection 1769:10.1586/14787210.6.5.593 1407:bacterial outer membrane 1027:Parkdale Pharmaceuticals 941: 880:Pseudomonas, Escherichia 762:Gram-negative infections 5174:Polypeptide antibiotics 4697:Saccharomyces boulardii 4034:"Colistin: An overview" 3228:. Wall Street Journal. 3087:10.5644/ama2006-124.355 1515:"Drug Product Database" 1131:Acinetobacter baumannii 998:Acinetobacter baumannii 995:-resistant isolates of 978:Acinetobacter baumannii 821:, muscle weakness, and 3659:10.1053/rmed.2000.0834 3305:"Carbapenem-Resistant 2255:10.3201/eid0908.030052 2137:Molecular Microbiology 1497: 1376:β2-adrenergic receptor 1269:Neisseria meningitidis 1163:antimicrobial peptides 1107:Paenibacillus polymyxa 1066:Pseudomonas aeruginosa 982:Pseudomonas aeruginosa 964:Pseudomonas aeruginosa 956:Pseudomonas aeruginosa 907:Pseudomonas aeruginosa 874:Antibacterial spectrum 796:injected into a muscle 771:Pseudomonas aeruginosa 375:,5-dimethylheptanamide 5164:Polymyxin antibiotics 4719:Bismuth subsalicylate 4455:bismuth subsalicylate 4351:Succinylsulfathiazole 4346:Phthalylsulfathiazole 3325:10.1128/mBio.02448-17 3307:Klebsiella pneumoniae 3135:10.1128/mBio.00021-13 3074:Acta Medica Academica 2532:"Colomycin Injection" 2186:Nature Communications 1495: 1421:and bacterial death. 1394:peptide and has both 1263:Neisseria gonorrhoeae 1249:Moraxella catarrhalis 1181:Klebsiella pneumoniae 909:: ≤0.06–16 μg/mL 903:: 0.25–128 μg/mL 901:Klebsiella pneumoniae 897:: 0.12–128 μg/mL 824:Clostridium difficile 815:neurological problems 788:colistimethate sodium 777:Klebsiella pneumoniae 756:medication used as a 5049:Other antibacterials 4707:Other antidiarrheals 3785:Respiratory Medicine 3646:Respiratory Medicine 3269:10.1128/CMR.00058-14 3129:(3): e00021–e00013. 2974:. 28 December 2014. 2927:www.sciencedaily.com 2793:10.2147/COPD.S138428 2648:10.1093/jac/41.4.494 1846:10.1128/AAC.00035-06 1415:cytoplasmic membrane 1202:Burkholderia cepacia 1187:Inherently resistant 846:bacterial cell death 842:cytoplasmic membrane 826:-associated diarrhea 792:injected into a vein 4556:does not cross BBB: 3740:2018NatSR...811968G 3185:10.7554/eLife.84395 2206:10.1038/ncomms10750 2198:2016NatCo...710750C 1654:. 17 September 2018 1600:. 23 September 2020 1483:condensation domain 1386:Mechanism of action 1306:Variable resistance 1242:Helicobacter pylori 1236:Gram-negative cocci 1064:and infection with 292:(Prescription only) 268:(Prescription only) 34: 4779:Never to phase III 4134:Dewick PM (2009). 4040:. Wolters Kluwer. 4015:J Antibiot (Tokyo) 3942:10.1093/jac/dkh167 3728:Scientific Reports 2971:The Times of India 2341:10.1093/jac/dkh289 2289:Towner KJ (2008). 1646:"Colobreathe EPAR" 1498: 1481:domain (E), and a 1411:lipopolysaccharide 857:generic medication 798:, or inhaled, and 30: 5129: 5128: 4844:Lipoglycopeptides 4789: 4788: 4229:anti-inflammatory 3611:10.1345/aph.19370 3605:(11): 1238–1242. 2600:10.1159/000069498 2458:(10): 1309–1310. 2304:978-0-306-43902-5 2102:(10): 1585–1592. 1883:Euro Surveillance 1626:. 3 December 2018 1378:agonists such as 1348:Adverse reactions 743: 742: 671:Interactive image 554:CompTox Dashboard 312: 300: 287: 275: 263: 115: 16:(Redirected from 5191: 5146: 5145: 5144: 5137: 4816: 4809: 4802: 4793: 4792: 4690:Escherichia coli 4650:Aminosalicylates 4640:Cromoglicic acid 4215: 4208: 4201: 4192: 4191: 4187: 4172: 4170: 4140: 4139: 4131: 4125: 4124: 4122: 4120: 4108: 4102: 4101: 4083: 4074:(9): 1333–1341. 4059: 4053: 4052: 4050: 4049: 4029: 4023: 4022: 4010: 4004: 4003: 3993: 3976:(5): 1766–1770. 3961: 3955: 3954: 3944: 3920: 3914: 3913: 3885: 3879: 3878: 3858: 3852: 3851: 3841: 3817: 3811: 3810: 3800: 3776: 3770: 3769: 3759: 3719: 3713: 3712: 3702: 3678: 3672: 3671: 3661: 3637: 3631: 3630: 3593: 3587: 3586: 3550: 3544: 3543: 3515: 3509: 3508: 3498: 3474: 3468: 3467: 3439: 3433: 3432: 3404: 3398: 3397: 3387: 3377: 3353: 3347: 3346: 3336: 3319:(2): e02448–17. 3300: 3291: 3290: 3280: 3248: 3242: 3241: 3239: 3237: 3217: 3208: 3207: 3197: 3187: 3163: 3157: 3156: 3146: 3114: 3108: 3107: 3089: 3065: 3059: 3058: 3056: 3054: 3035: 3029: 3028: 3010: 2986: 2980: 2979: 2962: 2956: 2955: 2954:. December 2014. 2948: 2942: 2941: 2939: 2938: 2919: 2913: 2912: 2910: 2908: 2899:. Archived from 2888: 2882: 2881: 2879: 2878: 2858: 2852: 2851: 2822: 2816: 2815: 2805: 2795: 2771: 2765: 2764: 2749: 2743: 2742: 2732: 2708: 2702: 2701: 2691: 2667: 2661: 2660: 2650: 2626: 2620: 2619: 2583: 2577: 2575: 2574:on 18 July 2006. 2573: 2566: 2558: 2552: 2551: 2549: 2547: 2528: 2519: 2518: 2490: 2484: 2483: 2447: 2441: 2440: 2411: 2405: 2404: 2394: 2384: 2360: 2354: 2353: 2343: 2319: 2313: 2312: 2307:. Archived from 2286: 2277: 2276: 2266: 2249:(8): 1025–1027. 2234: 2228: 2227: 2217: 2177: 2171: 2170: 2152: 2128: 2122: 2121: 2111: 2087: 2081: 2080: 2078: 2077: 2071: 2065:. 3 March 2016. 2064: 2056: 2050: 2049: 2047: 2045: 2030: 2024: 2023: 2006: 2000: 1999: 1987: 1968: 1962: 1961: 1959: 1940: 1934: 1933: 1931: 1929: 1915: 1909: 1908: 1898: 1874: 1868: 1867: 1857: 1840:(6): 1953–1958. 1825: 1819: 1818: 1798: 1789: 1788: 1752: 1743: 1742: 1740: 1738: 1724: 1705: 1704: 1694: 1670: 1664: 1663: 1661: 1659: 1642: 1636: 1635: 1633: 1631: 1616: 1610: 1609: 1607: 1605: 1590: 1584: 1583: 1581: 1579: 1564: 1558: 1557: 1555: 1553: 1539: 1533: 1532: 1530: 1528: 1511: 1425:Pharmacokinetics 1341:Escherichia coli 1295:Some strains of 1173:Heteroresistance 1086: 895:Escherichia coli 800:colistin sulfate 748:, also known as 739: 738: 731: 673: 653: 651: 634: 628: 622: 616: 599: 588: 577: 576: 562: 560: 545: 525: 517: 497: 489: 469: 449: 429: 419: 418: 404: 396: 343: 310: 307: 298: 295: 285: 282: 274: 271: 261: 258: 236: 226: 216: 206: 196: 186: 176: 125: 114: 111: 98: 84: 51: 42: 35: 33: 29: 21: 5199: 5198: 5194: 5193: 5192: 5190: 5189: 5188: 5169:Cyclic peptides 5154: 5153: 5152: 5142: 5140: 5132: 5130: 5125: 5044: 5000: 4962: 4933: 4914: 4891: 4842: 4834: 4820: 4790: 4785: 4784: 4769:Clinical trials 4748: 4714:Albumin tannate 4702: 4677: 4586:corticosteroids 4573: 4491:Antipropulsives 4485: 4431: 4256: 4240: 4219: 4182: 4179: 4149: 4147:Further reading 4144: 4143: 4132: 4128: 4118: 4116: 4109: 4105: 4060: 4056: 4047: 4045: 4030: 4026: 4011: 4007: 3962: 3958: 3921: 3917: 3886: 3882: 3859: 3855: 3818: 3814: 3777: 3773: 3720: 3716: 3679: 3675: 3638: 3634: 3594: 3590: 3551: 3547: 3516: 3512: 3475: 3471: 3440: 3436: 3415:(15): 759–762. 3405: 3401: 3354: 3350: 3301: 3294: 3249: 3245: 3235: 3233: 3218: 3211: 3164: 3160: 3115: 3111: 3066: 3062: 3052: 3050: 3037: 3036: 3032: 2987: 2983: 2964: 2963: 2959: 2950: 2949: 2945: 2936: 2934: 2921: 2920: 2916: 2906: 2904: 2889: 2885: 2876: 2874: 2859: 2855: 2823: 2819: 2772: 2768: 2751: 2750: 2746: 2709: 2705: 2668: 2664: 2627: 2623: 2584: 2580: 2571: 2564: 2560: 2559: 2555: 2545: 2543: 2542:on 16 July 2017 2530: 2529: 2522: 2491: 2487: 2448: 2444: 2412: 2408: 2361: 2357: 2320: 2316: 2305: 2287: 2280: 2235: 2231: 2178: 2174: 2129: 2125: 2088: 2084: 2075: 2073: 2069: 2062: 2058: 2057: 2053: 2043: 2041: 2032: 2031: 2027: 2020: 2008: 2007: 2003: 1996: 1969: 1965: 1941: 1937: 1927: 1925: 1917: 1916: 1912: 1875: 1871: 1826: 1822: 1815: 1799: 1792: 1753: 1746: 1736: 1734: 1726: 1725: 1708: 1671: 1667: 1657: 1655: 1644: 1643: 1639: 1629: 1627: 1618: 1617: 1613: 1603: 1601: 1592: 1591: 1587: 1577: 1575: 1566: 1565: 1561: 1551: 1549: 1541: 1540: 1536: 1526: 1524: 1523:. 25 April 2012 1513: 1512: 1508: 1503: 1463: 1436: 1427: 1388: 1365:aminoglycosides 1350: 1308: 1303: 1256:Morganella spp. 1189: 1080: 1074: 1018: 968:cystic fibrosis 944: 939: 876: 871: 811:kidney problems 734: 732: 729:(what is this?) 726: 721: 718: 713: 708: 707: 696: 693: 688: 687: 676: 649: 647: 637: 631: 625: 619: 580: 556: 548: 528: 500: 472: 452: 432: 415: 407: 379: 376: 364: 363: 341: 330:Bioavailability 322:Pharmacokinetic 316: 240: 135: 128: 28: 23: 22: 15: 12: 11: 5: 5197: 5187: 5186: 5181: 5176: 5171: 5166: 5151: 5150: 5127: 5126: 5124: 5123: 5118: 5113: 5108: 5103: 5098: 5093: 5088: 5083: 5078: 5073: 5068: 5063: 5058: 5052: 5050: 5046: 5045: 5043: 5042: 5037: 5035:Nitrofurantoin 5032: 5027: 5022: 5017: 5011: 5009: 5002: 5001: 4999: 4998: 4993: 4988: 4983: 4978: 4972: 4970: 4968:Pleuromutilins 4964: 4963: 4961: 4960: 4955: 4950: 4944: 4942: 4935: 4934: 4932: 4931: 4925: 4923: 4922:antibacterials 4916: 4915: 4913: 4912: 4907: 4901: 4899: 4893: 4892: 4890: 4889: 4884: 4879: 4874: 4869: 4864: 4859: 4854: 4848: 4846: 4836: 4835: 4823:Antibacterials 4819: 4818: 4811: 4804: 4796: 4787: 4786: 4783: 4782: 4781: 4780: 4777: 4766: 4760: 4754: 4753: 4750: 4749: 4747: 4746: 4741: 4736: 4731: 4726: 4721: 4716: 4710: 4708: 4704: 4703: 4701: 4700: 4693: 4685: 4683: 4679: 4678: 4676: 4675: 4674: 4673: 4668: 4663: 4658: 4645: 4644: 4643: 4642: 4628: 4627: 4626: 4625: 4620: 4615: 4610: 4605: 4600: 4598:Hydrocortisone 4595: 4588:acting locally 4581: 4579: 4575: 4574: 4572: 4571: 4561: 4552: 4551: 4546: 4528: 4527: 4521: 4516: 4511: 4504:Opium tincture 4500: 4498: 4487: 4486: 4484: 4483: 4478: 4473: 4468: 4463: 4458: 4448: 4442: 4440: 4433: 4432: 4430: 4429: 4428: 4427: 4425:Broxyquinoline 4414: 4413: 4412: 4411: 4398: 4397: 4396: 4395: 4382: 4381: 4380: 4379: 4374: 4361: 4360: 4359: 4358: 4356:Sulfaguanidine 4353: 4348: 4335: 4334: 4333: 4332: 4327: 4322: 4317: 4312: 4307: 4302: 4297: 4292: 4287: 4282: 4277: 4275:Amphotericin B 4264: 4262: 4258: 4257: 4255: 4254: 4248: 4246: 4242: 4241: 4233:anti-infective 4222:Antidiarrheals 4218: 4217: 4210: 4203: 4195: 4189: 4188: 4186:. Science.gov. 4178: 4177:External links 4175: 4174: 4173: 4148: 4145: 4142: 4141: 4126: 4103: 4081:10.1086/429323 4054: 4024: 4005: 3956: 3935:(5): 837–840. 3915: 3896:(9): 589–601. 3880: 3853: 3832:(4): 205–213. 3812: 3791:(2): 145–147. 3771: 3714: 3700:10.1086/342570 3693:(7): 901–902. 3673: 3652:(7): 632–640. 3632: 3588: 3561:(6): 434–440. 3545: 3510: 3489:(3): 592–594. 3469: 3450:(6): 857–868. 3434: 3399: 3375:10.1186/cc2358 3368:(5): R78–R83. 3348: 3292: 3263:(1): 191–207. 3243: 3209: 3158: 3109: 3080:(3): 365–371. 3060: 3030: 3001:(4): 707–721. 2981: 2957: 2943: 2914: 2903:on 28 May 2016 2883: 2853: 2834:(2): 161–168. 2817: 2766: 2744: 2703: 2682:(8): 682–683. 2662: 2641:(4): 494–495. 2621: 2594:(4): 235–243. 2578: 2553: 2520: 2501:(9): 589–601. 2485: 2442: 2423:(4): 274–278. 2406: 2382:10.1186/cc5088 2355: 2334:(1): 290–292. 2314: 2311:on 2012-02-07. 2303: 2278: 2229: 2172: 2143:(1): 223–240. 2123: 2109:10.1086/656788 2082: 2051: 2025: 2018: 2001: 1994: 1963: 1935: 1910: 1869: 1820: 1813: 1790: 1763:(5): 593–600. 1744: 1706: 1685:(4): 229–233. 1665: 1637: 1611: 1585: 1559: 1534: 1505: 1504: 1502: 1499: 1462: 1459: 1435: 1432: 1426: 1423: 1390:Colistin is a 1387: 1384: 1354:nephrotoxicity 1349: 1346: 1345: 1344: 1337: 1330: 1323: 1316: 1307: 1304: 1302: 1301: 1293: 1286: 1279: 1272: 1259: 1252: 1245: 1238: 1233: 1226: 1219: 1212: 1205: 1198: 1190: 1188: 1185: 1073: 1070: 1048:; evidence of 1038: 1037: 1034: 1017: 1014: 1013: 1012: 1009: 1002: 943: 940: 938: 935: 931:quorum sensing 911: 910: 904: 898: 875: 872: 870: 867: 741: 740: 723: 722: 720: 719: 716: 714: 711: 703: 702: 701: 698: 697: 695: 694: 691: 683: 682: 681: 678: 677: 675: 674: 666: 664: 656: 655: 645: 639: 638: 635: 629: 623: 617: 612: 606: 605: 601: 600: 590: 582: 581: 579: 578: 565: 563: 550: 549: 547: 546: 538: 536: 530: 529: 527: 526: 520:as salt:  518: 510: 508: 502: 501: 499: 498: 492:as salt:  490: 482: 480: 474: 473: 471: 470: 462: 460: 454: 453: 451: 450: 442: 440: 434: 433: 431: 430: 422: 420: 409: 408: 406: 405: 399:as salt:  397: 389: 387: 381: 380: 378: 377: 367: 359: 358: 357: 354: 353: 349: 348: 345: 336: 335: 332: 326: 325: 318: 317: 315: 314: 305: 293: 280: 269: 255: 253: 247: 246: 242: 241: 239: 238: 165: 163: 157: 156: 138: 136:administration 130: 129: 127: 126: 123:Colistimethate 108: 106: 100: 99: 92: 86: 85: 78: 68: 67: 64: 58: 57: 53: 52: 44: 43: 26: 9: 6: 4: 3: 2: 5196: 5185: 5182: 5180: 5177: 5175: 5172: 5170: 5167: 5165: 5162: 5161: 5159: 5149: 5139: 5138: 5135: 5122: 5119: 5117: 5114: 5112: 5111:Spectinomycin 5109: 5107: 5104: 5102: 5099: 5097: 5094: 5092: 5091:Mandelic acid 5089: 5087: 5084: 5082: 5079: 5077: 5074: 5072: 5069: 5067: 5064: 5062: 5059: 5057: 5054: 5053: 5051: 5047: 5041: 5040:Nitrofurazone 5038: 5036: 5033: 5031: 5028: 5026: 5023: 5021: 5018: 5016: 5013: 5012: 5010: 5007: 5003: 4997: 4994: 4992: 4989: 4987: 4984: 4982: 4979: 4977: 4974: 4973: 4971: 4969: 4965: 4959: 4956: 4954: 4951: 4949: 4948:Metronidazole 4946: 4945: 4943: 4940: 4936: 4930: 4927: 4926: 4924: 4921: 4917: 4911: 4908: 4906: 4903: 4902: 4900: 4898: 4894: 4888: 4885: 4883: 4880: 4878: 4875: 4873: 4870: 4868: 4865: 4863: 4860: 4858: 4855: 4853: 4850: 4849: 4847: 4845: 4841: 4840:Glycopeptides 4837: 4832: 4828: 4824: 4817: 4812: 4810: 4805: 4803: 4798: 4797: 4794: 4778: 4776: 4773: 4772: 4770: 4767: 4764: 4761: 4759: 4756: 4755: 4751: 4745: 4742: 4740: 4737: 4735: 4732: 4730: 4727: 4725: 4722: 4720: 4717: 4715: 4712: 4711: 4709: 4705: 4699: 4698: 4694: 4692: 4691: 4687: 4686: 4684: 4680: 4672: 4669: 4667: 4664: 4662: 4659: 4657: 4656:Sulfasalazine 4654: 4653: 4652: 4651: 4647: 4646: 4641: 4638: 4637: 4636: 4634: 4630: 4629: 4624: 4623:Beclometasone 4621: 4619: 4616: 4614: 4611: 4609: 4608:Betamethasone 4606: 4604: 4601: 4599: 4596: 4594: 4591: 4590: 4589: 4587: 4583: 4582: 4580: 4576: 4569: 4565: 4562: 4560: 4557: 4554: 4553: 4550: 4547: 4544: 4540: 4539:Diphenoxylate 4537: 4535: 4530: 4529: 4525: 4522: 4520: 4517: 4515: 4512: 4509: 4505: 4502: 4501: 4499: 4496: 4492: 4488: 4482: 4479: 4477: 4474: 4472: 4469: 4467: 4464: 4462: 4459: 4456: 4452: 4449: 4447: 4444: 4443: 4441: 4439: 4434: 4426: 4423: 4422: 4421: 4420: 4416: 4415: 4410: 4407: 4406: 4405: 4404: 4400: 4399: 4394: 4391: 4390: 4389: 4388: 4384: 4383: 4378: 4375: 4373: 4370: 4369: 4368: 4367: 4363: 4362: 4357: 4354: 4352: 4349: 4347: 4344: 4343: 4342: 4341: 4337: 4336: 4331: 4328: 4326: 4323: 4321: 4318: 4316: 4313: 4311: 4308: 4306: 4303: 4301: 4298: 4296: 4293: 4291: 4288: 4286: 4283: 4281: 4278: 4276: 4273: 4272: 4271: 4270: 4266: 4265: 4263: 4259: 4253: 4250: 4249: 4247: 4243: 4238: 4234: 4230: 4227: 4223: 4216: 4211: 4209: 4204: 4202: 4197: 4196: 4193: 4185: 4181: 4180: 4169: 4164: 4160: 4156: 4151: 4150: 4137: 4130: 4114: 4107: 4099: 4095: 4091: 4087: 4082: 4077: 4073: 4069: 4065: 4058: 4043: 4039: 4035: 4028: 4020: 4016: 4009: 4001: 3997: 3992: 3987: 3983: 3979: 3975: 3971: 3967: 3960: 3952: 3948: 3943: 3938: 3934: 3930: 3926: 3919: 3911: 3907: 3903: 3899: 3895: 3891: 3884: 3876: 3872: 3868: 3864: 3857: 3849: 3845: 3840: 3835: 3831: 3827: 3823: 3816: 3808: 3804: 3799: 3794: 3790: 3786: 3782: 3775: 3767: 3763: 3758: 3753: 3749: 3745: 3741: 3737: 3733: 3729: 3725: 3718: 3710: 3706: 3701: 3696: 3692: 3688: 3684: 3677: 3669: 3665: 3660: 3655: 3651: 3647: 3643: 3636: 3628: 3624: 3620: 3616: 3612: 3608: 3604: 3600: 3592: 3584: 3580: 3576: 3572: 3568: 3564: 3560: 3556: 3549: 3541: 3537: 3533: 3529: 3525: 3521: 3514: 3506: 3502: 3497: 3492: 3488: 3484: 3480: 3473: 3465: 3461: 3457: 3453: 3449: 3445: 3438: 3430: 3426: 3422: 3418: 3414: 3410: 3403: 3395: 3391: 3386: 3381: 3376: 3371: 3367: 3363: 3362:Critical Care 3359: 3352: 3344: 3340: 3335: 3330: 3326: 3322: 3318: 3314: 3310: 3308: 3299: 3297: 3288: 3284: 3279: 3274: 3270: 3266: 3262: 3258: 3254: 3247: 3231: 3227: 3223: 3216: 3214: 3205: 3201: 3196: 3191: 3186: 3181: 3177: 3173: 3169: 3162: 3154: 3150: 3145: 3140: 3136: 3132: 3128: 3124: 3120: 3113: 3105: 3101: 3097: 3093: 3088: 3083: 3079: 3075: 3071: 3064: 3048: 3044: 3040: 3034: 3026: 3022: 3018: 3014: 3009: 3004: 3000: 2996: 2992: 2985: 2977: 2973: 2972: 2967: 2961: 2953: 2947: 2932: 2928: 2924: 2918: 2902: 2898: 2894: 2887: 2872: 2868: 2864: 2857: 2849: 2845: 2841: 2837: 2833: 2829: 2821: 2813: 2809: 2804: 2799: 2794: 2789: 2786:: 2909–2915. 2785: 2781: 2777: 2770: 2762: 2758: 2754: 2748: 2740: 2736: 2731: 2726: 2722: 2718: 2714: 2707: 2699: 2695: 2690: 2685: 2681: 2677: 2673: 2666: 2658: 2654: 2649: 2644: 2640: 2636: 2632: 2625: 2617: 2613: 2609: 2605: 2601: 2597: 2593: 2589: 2582: 2570: 2563: 2557: 2541: 2537: 2533: 2527: 2525: 2516: 2512: 2508: 2504: 2500: 2496: 2489: 2481: 2477: 2473: 2469: 2465: 2461: 2457: 2453: 2446: 2438: 2434: 2430: 2426: 2422: 2418: 2410: 2402: 2398: 2393: 2388: 2383: 2378: 2374: 2370: 2369:Critical Care 2366: 2359: 2351: 2347: 2342: 2337: 2333: 2329: 2325: 2318: 2310: 2306: 2300: 2296: 2292: 2285: 2283: 2274: 2270: 2265: 2260: 2256: 2252: 2248: 2244: 2240: 2233: 2225: 2221: 2216: 2211: 2207: 2203: 2199: 2195: 2191: 2187: 2183: 2176: 2168: 2164: 2160: 2156: 2151: 2146: 2142: 2138: 2134: 2127: 2119: 2115: 2110: 2105: 2101: 2097: 2093: 2086: 2068: 2061: 2055: 2039: 2035: 2029: 2021: 2019:9780857113382 2015: 2011: 2005: 1997: 1995:9789241515528 1991: 1986: 1981: 1977: 1973: 1967: 1958: 1953: 1949: 1945: 1939: 1924: 1920: 1914: 1906: 1902: 1897: 1892: 1889:(49): 30085. 1888: 1884: 1880: 1873: 1865: 1861: 1856: 1851: 1847: 1843: 1839: 1835: 1831: 1824: 1816: 1814:9781437720600 1810: 1806: 1805: 1797: 1795: 1786: 1782: 1778: 1774: 1770: 1766: 1762: 1758: 1751: 1749: 1733: 1729: 1723: 1721: 1719: 1717: 1715: 1713: 1711: 1702: 1698: 1693: 1688: 1684: 1680: 1676: 1669: 1653: 1652: 1647: 1641: 1625: 1621: 1615: 1599: 1595: 1589: 1574:. 27 May 2020 1573: 1569: 1563: 1548: 1544: 1538: 1522: 1521: 1520:Health Canada 1516: 1510: 1506: 1494: 1490: 1488: 1484: 1480: 1479:epimerization 1476: 1472: 1468: 1458: 1454: 1450: 1448: 1444: 1441: 1431: 1422: 1418: 1416: 1412: 1408: 1404: 1401: 1397: 1393: 1383: 1381: 1377: 1373: 1368: 1366: 1361: 1359: 1358:neurotoxicity 1355: 1343: 1342: 1338: 1336: 1335: 1334:Fusobacterium 1331: 1329: 1328: 1324: 1322: 1321: 1317: 1315: 1314: 1310: 1309: 1300: 1299: 1294: 1292: 1291: 1287: 1285: 1284: 1280: 1278: 1277: 1273: 1271: 1270: 1265: 1264: 1260: 1258: 1257: 1253: 1251: 1250: 1246: 1244: 1243: 1239: 1237: 1234: 1232: 1231: 1227: 1225: 1224: 1220: 1218: 1217: 1213: 1211: 1210: 1206: 1204: 1203: 1199: 1197: 1196: 1192: 1191: 1184: 1182: 1178: 1174: 1169: 1167: 1164: 1160: 1156: 1152: 1148: 1144: 1140: 1136: 1132: 1127: 1125: 1119: 1117: 1111: 1109: 1108: 1103: 1102: 1097: 1092: 1090: 1084: 1079: 1069: 1067: 1063: 1057: 1055: 1051: 1047: 1042: 1035: 1032: 1031: 1030: 1028: 1024: 1010: 1007: 1003: 1000: 999: 994: 990: 989:ventriculitis 986: 983: 979: 975: 974: 973:Acinetobacter 969: 965: 961: 960: 959: 957: 953: 949: 934: 932: 928: 924: 923:P. aeruginosa 919: 916: 915:P. aeruginosa 908: 905: 902: 899: 896: 893: 892: 891: 889: 885: 881: 866: 864: 863: 862:Paenibacillus 858: 854: 849: 847: 843: 839: 835: 831: 827: 825: 820: 816: 812: 807: 805: 801: 797: 793: 789: 785: 784: 783:Acinetobacter 779: 778: 773: 772: 767: 763: 759: 755: 751: 747: 737: 730: 724: 715: 710: 709: 706: 699: 690: 689: 686: 679: 672: 668: 667: 665: 662: 657: 646: 644: 640: 613: 611: 607: 602: 598: 594: 591: 589: 587:ECHA InfoCard 583: 575: 571: 570:DTXSID1040663 567: 566: 564: 555: 551: 544: 540: 539: 537: 535: 531: 524: 519: 516: 512: 511: 509: 507: 503: 496: 491: 488: 484: 483: 481: 479: 475: 468: 464: 463: 461: 459: 455: 448: 444: 443: 441: 439: 435: 428: 424: 423: 421: 414: 410: 403: 398: 395: 391: 390: 388: 386: 382: 374: 370: 366: 365: 362: 355: 350: 346: 344: 337: 333: 331: 327: 323: 319: 313: Rx-only 306: 304: 294: 291: 281: 279: 270: 267: 257: 256: 254: 252: 248: 243: 235: 230: 225: 220: 215: 210: 205: 200: 195: 190: 185: 180: 175: 170: 167: 166: 164: 162: 158: 154: 153:intramuscular 150: 146: 142: 139: 137: 131: 124: 119: 110: 109: 107: 105: 101: 97: 93: 91: 87: 83: 79: 77: 73: 69: 65: 63: 59: 56:Clinical data 54: 50: 45: 41: 36: 19: 5184:Decapeptides 5020:Nifuroxazide 5015:Furazolidone 4929:Fusidic acid 4904: 4739:Racecadotril 4695: 4688: 4648: 4633:antiallergic 4631: 4593:Prednisolone 4584: 4568:+simethicone 4555: 4531: 4471:Crospovidone 4419:Oxyquinoline 4417: 4401: 4385: 4372:Nifuroxazide 4364: 4340:Sulfonamides 4338: 4325:Streptomycin 4279: 4267: 4158: 4135: 4129: 4117:. Retrieved 4106: 4071: 4067: 4057: 4046:. Retrieved 4037: 4027: 4018: 4014: 4008: 3973: 3969: 3959: 3932: 3928: 3918: 3893: 3889: 3883: 3869:(1): 59–61. 3866: 3862: 3856: 3829: 3825: 3815: 3788: 3784: 3774: 3734:(1): 11968. 3731: 3727: 3717: 3690: 3686: 3676: 3649: 3645: 3635: 3602: 3598: 3591: 3558: 3554: 3548: 3526:(1): 11–25. 3523: 3519: 3513: 3486: 3482: 3472: 3447: 3443: 3437: 3412: 3408: 3402: 3365: 3361: 3351: 3316: 3312: 3306: 3260: 3256: 3246: 3234:. Retrieved 3225: 3175: 3171: 3161: 3126: 3122: 3112: 3077: 3073: 3063: 3051:. Retrieved 3042: 3033: 2998: 2994: 2984: 2969: 2960: 2946: 2935:. Retrieved 2926: 2917: 2905:. Retrieved 2901:the original 2896: 2886: 2875:. Retrieved 2867:The Atlantic 2866: 2856: 2831: 2827: 2820: 2783: 2779: 2769: 2756: 2747: 2723:(1): 32–36. 2720: 2716: 2706: 2679: 2675: 2665: 2638: 2634: 2624: 2591: 2587: 2581: 2569:the original 2556: 2544:. Retrieved 2540:the original 2535: 2498: 2494: 2488: 2455: 2451: 2445: 2420: 2416: 2409: 2372: 2368: 2358: 2331: 2327: 2317: 2309:the original 2294: 2246: 2242: 2232: 2189: 2185: 2175: 2140: 2136: 2126: 2099: 2095: 2085: 2074:. Retrieved 2054: 2042:. Retrieved 2028: 2009: 2004: 1985:10665/312266 1975: 1966: 1957:10665/325771 1947: 1938: 1926:. Retrieved 1922: 1913: 1886: 1882: 1872: 1837: 1833: 1823: 1803: 1760: 1756: 1735:. Retrieved 1731: 1682: 1678: 1668: 1656:. Retrieved 1649: 1640: 1628:. Retrieved 1623: 1614: 1602:. Retrieved 1597: 1588: 1576:. Retrieved 1571: 1562: 1550:. Retrieved 1546: 1537: 1525:. Retrieved 1518: 1509: 1487:thioesterase 1464: 1461:Biosynthesis 1455: 1451: 1446: 1442: 1439: 1437: 1428: 1419: 1392:polycationic 1389: 1372:bronchospasm 1369: 1362: 1351: 1339: 1332: 1325: 1318: 1311: 1296: 1288: 1281: 1274: 1267: 1261: 1254: 1247: 1240: 1228: 1221: 1216:Edwardsiella 1214: 1207: 1200: 1193: 1180: 1177:Enterobacter 1176: 1170: 1165: 1158: 1154: 1150: 1149:(similar to 1142: 1130: 1128: 1123: 1120: 1115: 1112: 1105: 1099: 1093: 1075: 1065: 1058: 1053: 1049: 1043: 1039: 1019: 996: 981: 977: 971: 963: 955: 945: 922: 914: 912: 906: 900: 894: 883: 879: 877: 869:Medical uses 860: 850: 823: 808: 799: 787: 781: 775: 769: 749: 745: 744: 733:   727:   543:ChEMBL501505 372: 368: 340:Elimination 251:Legal status 245:Legal status 155:, inhalation 104:License data 5101:Nitroxoline 5096:Methenamine 5076:Furaltadone 5025:Nifurtoinol 5008:derivatives 4986:Retapamulin 4941:derivatives 4910:Polymyxin B 4877:Teicoplanin 4867:Oritavancin 4862:Dalbavancin 4765:from market 4671:Balsalazide 4559:Eluxadoline 4526:(paregoric) 4481:Diosmectite 4476:Attapulgite 4453:(including 4436:Intestinal 4315:Polymyxin B 4310:Paromomycin 4285:Fidaxomicin 4269:Antibiotics 4245:Rehydration 1928:11 November 1658:16 November 1630:16 November 1604:16 November 1578:16 November 1552:16 November 1475:adenylation 1396:hydrophilic 1283:Providencia 1081: [ 819:anaphylaxis 758:last-resort 750:polymyxin E 654: g·mol 593:100.012.644 352:Identifiers 149:intravenous 90:MedlinePlus 62:Trade names 5158:Categories 5106:Novobiocin 5071:Fosfomycin 5066:Daptomycin 5056:Bacitracin 5006:Nitrofuran 4996:Valnemulin 4958:Tinidazole 4953:Ornidazole 4897:Polymyxins 4887:Vancomycin 4882:Telavancin 4872:Ristocetin 4857:Corbomycin 4825:: others ( 4744:Kaopectate 4734:Octreotide 4729:Crofelemer 4666:Olsalazine 4661:Mesalazine 4618:Budesonide 4613:Tixocortol 4603:Prednisone 4564:Loperamide 4438:adsorbents 4393:Miconazole 4366:Nitrofuran 4330:Vancomycin 4226:intestinal 4048:2016-06-06 3178:: e84395. 2937:2016-05-27 2877:2017-01-12 2375:(6): 428. 2076:2014-02-10 1737:6 November 1527:13 January 1501:References 1447:colistinus 1400:lipophilic 1380:salbutamol 1327:Prevotella 1072:Resistance 1046:rifampicin 993:carbapenem 985:meningitis 884:Klebsiella 764:including 754:antibiotic 659:3D model ( 643:Molar mass 495:XW0E5YS77G 487:Z67X93HJG1 458:ChemSpider 385:CAS Number 361:IUPAC name 27:Antibiotic 5116:Tedizolid 5086:Linezolid 5081:Lefamulin 5061:Clofoctol 5030:Nifurzide 4981:Lefamulin 4939:Imidazole 4852:Avoparcin 4775:Phase III 4763:Withdrawn 4724:Ceratonia 4549:Difenoxin 4543:+atropine 4409:Acetarsol 4403:Arsenical 4387:Imidazole 4377:Nifurzide 4320:Rifaximin 4295:Natamycin 4290:Kanamycin 3104:246826086 2897:Phenomena 2861:Zhang S. 2192:: 10750. 1923:Drugs.com 1732:Drugs.com 1467:threonine 1313:Aeromonas 1157:positive 838:polymyxin 834:pregnancy 766:pneumonia 402:8068-28-8 394:1066-17-7 342:half-life 134:Routes of 82:Monograph 76:Drugs.com 18:Colomycin 5148:Medicine 5121:Xibornol 4991:Tiamulin 4976:Azamulin 4905:Colistin 4532:crosses 4519:Morphine 4508:laudanum 4446:Charcoal 4305:Nystatin 4300:Neomycin 4280:Colistin 4235:agents ( 4119:2 August 4115:. Nature 4098:21679015 4090:15825037 4042:Archived 4038:UpToDate 4000:12709357 3951:15044428 3910:16931410 3875:17323867 3848:16678502 3766:30097635 3709:12228836 3668:10926333 3627:42625124 3619:11098334 3583:38084953 3575:11706322 3540:15620821 3429:14008070 3394:12974973 3343:29511071 3287:25567227 3230:Archived 3204:37094804 3195:10129329 3153:23695834 3096:35164512 3047:Archived 3025:33476061 3017:25697677 2976:Archived 2931:Archived 2871:Archived 2848:26603172 2812:29042767 2761:Archived 2739:11856210 2698:16008625 2616:12205902 2608:12686786 2515:16931410 2480:25679033 2472:17067336 2437:16442632 2401:17214907 2350:15190037 2273:12971377 2224:26892159 2167:44556845 2159:18312276 2118:20942647 2067:Archived 2038:Archived 1974:(2019). 1946:(2019). 1905:26676364 1864:16723551 1785:13158593 1777:18847400 1701:28238870 1624:DailyMed 1443:polymyxa 1440:Bacillus 1403:moieties 1290:Serratia 1195:Brucella 1166:in vitro 1139:lysozyme 1054:in vitro 1050:in vitro 948:cationic 752:, is an 746:Colistin 736:(verify) 438:DrugBank 229:QJ51XB01 219:QJ01XB01 209:QG51AG07 199:QA07AA98 189:QA07AA10 161:ATC code 145:by mouth 118:DailyMed 32:Colistin 4920:Steroid 4514:Codeine 4495:opioids 4451:Bismuth 3807:8146414 3757:6086859 3736:Bibcode 3505:9762785 3464:5448745 3334:5844991 3278:4284305 3226:wsj.com 3144:3663567 3043:cdc.gov 2803:5634377 2657:9598783 2392:1794456 2264:3020604 2215:4762895 2194:Bibcode 1855:1479097 1471:leucine 1434:History 1276:Proteus 1159:E. coli 1116:E. coli 1096:plasmid 1006:colonic 952:anionic 918:biofilm 804:prodrug 790:can be 610:Formula 467:4470591 447:DB00803 427:5311054 413:PubChem 347:5 hours 276:: 231: ( 221: ( 211: ( 201: ( 191: ( 181: ( 179:J01XB01 177:) 171: ( 169:A07AA10 141:Topical 120::  96:a682860 5134:Portal 4758:WHO-EM 4466:Kaolin 4461:Pectin 4159:Nature 4096:  4088:  3998:  3991:153303 3988:  3949:  3908:  3873:  3846:  3805:  3764:  3754:  3707:  3666:  3625:  3617:  3581:  3573:  3538:  3503:  3462:  3427:  3392:  3385:270720 3382:  3341:  3331:  3285:  3275:  3202:  3192:  3151:  3141:  3102:  3094:  3053:6 July 3023:  3015:  2907:28 May 2846:  2810:  2800:  2737:  2696:  2655:  2614:  2606:  2546:3 June 2513:  2478:  2470:  2435:  2399:  2389:  2348:  2301:  2271:  2261:  2222:  2212:  2165:  2157:  2116:  2044:28 May 2016:  1992:  1903:  1862:  1852:  1811:  1783:  1775:  1699:  1320:Vibrio 1023:Xellia 1016:Dosage 882:, and 685:SMILES 534:ChEMBL 523:D02049 515:D02138 303:℞-only 301: 288: 278:℞-only 264: 116:  4831:D06AX 4094:S2CID 3623:S2CID 3579:S2CID 3236:1 Nov 3172:eLife 3100:S2CID 3021:S2CID 2612:S2CID 2572:(PDF) 2565:(PDF) 2476:S2CID 2163:S2CID 2070:(PDF) 2063:(PDF) 1781:S2CID 1598:(emc) 1572:(emc) 1547:(emc) 1445:var. 1155:mcr-1 1151:mcr-1 1135:LL-37 1124:mcr-9 1101:mcr-1 1085:] 942:Forms 780:, or 705:InChI 661:JSmol 4827:J01X 4231:and 4121:2021 4086:PMID 3996:PMID 3947:PMID 3906:PMID 3871:PMID 3844:PMID 3803:PMID 3762:PMID 3705:PMID 3664:PMID 3615:PMID 3571:PMID 3536:PMID 3501:PMID 3460:PMID 3425:PMID 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a682860
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by mouth
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A07AA10
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J01XB01
WHO
QA07AA10
WHO
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QG51AG07
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