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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
795:; 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. 29: 5132: 1478:. 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. 1349:(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. 1093:. 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 1029:
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
1462:, 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 1110:
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
4201: 943:. 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 2814:
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".
360:-(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)- 1103:
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.
1218: 2122:"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" 1015: 1868:"Detection of mcr-1 encoding plasmid-mediated colistin-resistant Escherichia coli isolates from human bloodstream infection and imported chicken meat, Denmark 2015" 2859: 2954: 914:
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".
1164:, the phenomenon wherein apparently genetically identical microbes exhibit a range of resistance to an antibiotic, has been observed in some species of 2575:
Ahmed N, Wahlgren NG (2003). "Effects of blood pressure lowering in the acute phase of total anterior circulation infarcts and other stroke subtypes".
717: 1244: 1557:"Colomycin 1 million International Units (IU) Powder for solution for injection, infusion or inhalation – Summary of Product Characteristics (SmPC)" 1744:
Falagas ME, Grammatikos AP, Michalopoulos A (October 2008). "Potential of old-generation antibiotics to address current need for new antibiotics".
4143: 4802: 1077: 3955:"Use of high-performance liquid chromatography to study the pharmacokinetics of colistin sulfate in rats following intravenous administration" 2881: 1485:
The loading domain 6-methylheptanoic acid is shown in salmon; yellow is 2,4-diaminobutryic acid; light blue is threonine; magenta is leucine.
60: 3210: 2919: 1071: 2661:"Combined colistin and rifampicin therapy for carbapenem-resistant Acinetobacter baumannii infections: clinical outcome and adverse events" 2055: 673: 1406:
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
3914:"Pharmacokinetics of colistin methanesulphonate and colistin in rats following an intravenous dose of colistin methanesulphonate" 2279: 1135: 2620:"In-vitro activity of the combination of colistin and rifampicin against multidrug-resistant strains of Acinetobacter baumannii" 1608: 4179: 4746: 2749: 2291: 1050: 841: 4002:
Koyama Y, Kurosasa A, Tsuchiya A, Takakuta K (1950). "A new antibiotic 'colistin' produced by spore-forming soil bacteria".
2520: 111: 3811:"Inhalation solutions: which one are allowed to be mixed? Physico-chemical compatibility of drug solutions in nebulizers" 2851: 4795: 2081:"Colistin-tobramycin combinations are superior to monotherapy concerning the killing of biofilm Pseudomonas aeruginosa" 1583:"Promixin 1 million International Units (IU) Powder for Nebuliser Solution – Summary of Product Characteristics (SmPC)" 3347:"Intravenous colistin in the treatment of sepsis from multiresistant Gram-negative bacilli in critically ill patients" 3057:
Chatzidimitriou M, Kavvada A, Kavvadas D, Kyriazidi MA, Meletis G, Chatzopoulou F, Chatzidimitriou D (December 2021).
2354:"Intrathecal colistin for treatment of Pseudomonas aeruginosa ventriculitis: report of a case with successful outcome" 3298:
Exhibiting Clinically Undetected Colistin Heteroresistance Leads to Treatment Failure in a Murine Model of Infection"
2171:"Selective labelling and eradication of antibiotic-tolerant bacterial populations in Pseudomonas aeruginosa biofilms" 2006: 1982: 1801: 844:. The World Health Organization classifies colistin as critically important for human medicine. It is available as a 750: 693: 3396:
Wolinsky E, Hines JD (April 1962). "Neurotoxic and nephrotoxic effects of colistin in patients with renal disease".
724: 5162: 4763: 876: 4053:"Colistin: the revival of polymyxins for the management of multidrug-resistant gram-negative bacterial infections" 3157:"The evolution of colistin resistance increases bacterial resistance to host antimicrobial peptides and virulence" 349: 239: 92: 5152: 1211: 4788: 3345:
Markou N, Apostolakos H, Koumoudiou C, Athanasiou M, Koutsoukou A, Alamanos I, Gregorakos L (October 2003).
1130:, produced by the human immune system. This cross-resistance is caused by gain-of-function mutations to the 1503: 1286: 1197: 581: 466: 1045:
evidence of synergy for colistimethate sodium used in combination with other antipseudomonal antibiotics.
1014:(Colomycin injection) is prescribed in international units, whereas colistimethate sodium manufactured by 542: 531: 5122: 4611: 1532:"Colobreathe 1,662,500 IU inhalation powder, Hard Capsules – Summary of Product Characteristics (SmPC)" 1160:
Not all resistance to colistin and some other antibiotics is due to the presence of resistance genes.
3108:"Clinical use of colistin induces cross-resistance to host antimicrobials in Acinetobacter baumannii" 2702:"In vitro assessment of colistin's antipseudomonal antimicrobial interactions with other antibiotics" 1960: 1932: 1639: 5157: 4240: 2941:"Emergence of Pan drug resistance amongst gram negative bacteria! The First case series from India" 2889: 2659:
Petrosillo N, Chinello P, Proietti MF, Cecchini L, Masala M, Franchi C, et al. (August 2005).
1395: 1204: 558: 1664:"Clinical considerations for optimal use of the polymyxins: A focus on agent selection and dosing" 4828: 4751: 4685: 4522: 2911: 1271: 986: 122: 50: 4209: 3711:
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".
1819:"Colistin methanesulfonate is an inactive prodrug of colistin against Pseudomonas aeruginosa" 1716: 1251: 1237: 1151: 947:, colistimethate is the inactive prodrug of colistin. The two drugs are not interchangeable. 803: 780: 765: 455: 70: 4459: 3724: 3629:
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
37: 4217: 4172: 4101: 4074: 3984: 3935: 3894: 3859: 3832: 3791: 3786: 3769: 3750: 3693: 3652: 3603: 3559: 3555: 3524: 3489: 3448: 3413: 3378: 3327: 3271: 3188: 3137: 3092: 3080: 3028:"Discovery of first mcr-1 gene in E. coli bacteria found in a human in United States" 3001: 2832: 2796: 2723: 2682: 2677: 2660: 2641: 2592: 2499: 2456: 2452: 2421: 2385: 2334: 2287: 2257: 2208: 2143: 2138: 2121: 2102: 2002: 1978: 1889: 1848: 1797: 1793:
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.
291: 278: 266: 84: 4086: 3970: 3615: 3571: 3059:"mcr Genes Conferring Colistin Resistance in Enterobacterales; a Five Year Overview" 3013: 2604: 2468: 2155: 1773: 415: 4832: 4678: 4628: 4151: 4064: 3974: 3966: 3925: 3886: 3822: 3781: 3740: 3732: 3683: 3642: 3595: 3551: 3516: 3479: 3466:
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.
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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).
5023: 4757: 4574: 4479: 4413: 4344: 4263: 4221: 4210: 3849: 3736: 3444: 2940: 2417: 2313:"Successful treatment of Acinetobacter meningitis with intrathecal polymyxin E" 1353: 1342: 1142:) located on the bacterial chromosome. Similar results have been obtained with 919: 4156: 3827: 3810: 1680: 1663: 5146: 5099: 5079: 5028: 4956: 4936: 4644: 4596: 4527: 4257: 1757: 1508: 1481: 1467: 1346: 1322: 977: 961: 850: 791:
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
1893: 1852: 1765: 1689: 1475: 1360: 217: 207: 197: 187: 177: 167: 157: 3795: 3770:"Nebulized colistin causes chest tightness in adults with cystic fibrosis" 3493: 3452: 3313: 3123: 2765:"Effectiveness of treatment with nebulized colistin in patients with COPD" 2645: 879:(MIC) susceptibility data for a few medically significant microorganisms: 5089: 5064: 5013: 4974: 4898: 4865: 4855: 4850: 4811: 4659: 4547: 4469: 4303: 4273: 3930: 3913: 3292:
Band VI, Satola SW, Burd EM, Farley MM, Jacob JT, Weiss DS (March 2018).
3257: 2781: 2329: 2312: 2023:"Polymyxin E (Colistin) – The Antimicrobial Index Knowledgebase – TOKU-E" 1834: 1463: 1384: 834: 807: 137: 78: 20: 3173: 2194: 1973: 1945: 1018:(Coly-Mycin M Parenteral) is prescribed in milligrams of colistin base: 902:
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.).
3344: 3211:"Common 'Superbug' Found to Disguise Resistance to Potent Antibiotic" 2700:
Rynn C, Wootton M, Bowker KE, Alan Holt H, Reeves DS (January 1999).
1455: 1301: 826: 822: 754: 401: 64: 2762: 2527:. electronic Medicines Compendium (eMC). 18 May 2016. Archived from 2119: 1454:
The biosynthesis of colistin requires the use of three amino acids:
5109: 4979: 4964: 4586: 4507: 4496: 4492: 4434: 4293: 4288: 4069: 4052: 3688: 3671: 3465: 3363: 2852:"Resistance to the Antibiotic of Last Resort Is Silently Spreading" 2370: 2120:
Pamp SJ, Gjermansen M, Johansen HK, Tolker-Nielsen T (April 2008).
2097: 2080: 1496: 1380: 1278: 1183: 1127: 959:, and it has come into recent use for treating multidrug-resistant 936: 511: 503: 426: 106: 4102:"How China is getting its farmers to kick their antibiotics habit" 2658: 1398:
by displacing magnesium and calcium bacterial counter ions in the
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Journal of Investigational Allergology & Clinical Immunology
2280:"Molecular Basis of Antibiotic Resistance in Acinetobacter spp." 2228:"Polymyxin-resistant Acinetobacter spp. isolates: what is next?" 4483: 4449: 1743: 1308: 1011: 522: 4001: 3710: 3584: 3430: 2955:"New worry: Resistance to 'last antibiotic' surfaces in India" 2769:
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
649: 1967:(6th revision ed.). Geneva: World Health Organization. 1402:. The hydrophobic and hydrophilic regions interact with the 547: 3154: 494: 28: 3628: 2748:. electronic Medicines Compendium (eMC). 12 January 2016. 2699: 1359:
The main toxicity described with aerosolised treatment is
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NB. Colistin base has an assigned potency of 30 000 IU/mg
2556:. European Medicines Agency. January 2002. Archived from 1959: 1931: 1789: 4810: 2882:"Apocalypse Pig Redux: Last-Resort Resistance in Europe" 2001:(76 ed.). Pharmaceutical Press. 2018. p. 547. 1949:. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO. 1466:
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.
3291: 3050: 2977: 1908:"Colistimethate (Coly Mycin M) Use During Pregnancy" 1816: 829:
class of medications. It works by breaking down the
3199: 2980:"Colistin, mechanisms and prevalence of resistance" 2311:Benifla M, Zucker G, Cohen A, Alkan M (July 2004). 1817:Bergen PJ, Li J, Rayner CR, Nation RL (June 2006). 1790:Bennett JE, Dolin R, Blaser MJ, Mandell GL (2009). 1717:"Colistimethate Sodium Monograph for Professionals" 798:Common side effects of the injectable form include 3808: 3672:"Colistin: an antimicrobial for the 21st century?" 2225: 2078: 3239: 1438:, and became available for clinical use in 1959. 1107:was identified in the United States in May 2016. 5144: 3767: 1661: 414: 4050: 4020: 3287: 3285: 1627: 1076:uses a MIC cut-off of 2 mg/L, whereas the 389: 381: 3809:Kamin W, Schwabe A, Krämer I (December 2006). 2813: 2168: 1083:The first known colistin-resistance gene in a 1078:British Society for Antimicrobial Chemotherapy 5168:World Health Organization essential medicines 4796: 4195: 3768:Maddison J, Dodd M, Webb AK (February 1994). 3509:International Journal of Antimicrobial Agents 3395: 2574: 4099: 3843: 3338: 3282: 2617: 1662:Pogue JM, Ortwine JK, Kaye KS (April 2017). 925: 110: 4093: 3669: 1394:. These cationic regions interact with the 1033:Colistin has been used in combination with 951:Colistimethate sodium may be used to treat 848:. It is derived from bacteria of the genus 221: 211: 201: 191: 181: 55:Xylistin, Coly-Mycin M, Colobreathe, others 4803: 4789: 4202: 4188: 3240:El-Halfawy OM, Valvano MA (January 2015). 2978:Bialvaei AZ, Samadi Kafil H (April 2015). 2515: 2513: 2351: 1785: 1783: 1711: 1709: 1707: 1705: 1703: 1701: 1699: 825:is safe for the fetus. Colistin is in the 584: 561: 454: 4155: 4068: 3978: 3929: 3918:The Journal of Antimicrobial Chemotherapy 3826: 3785: 3744: 3687: 3646: 3483: 3372: 3362: 3321: 3265: 3182: 3172: 3131: 3074: 2995: 2790: 2780: 2717: 2676: 2635: 2624:The Journal of Antimicrobial Chemotherapy 2379: 2369: 2328: 2317:The Journal of Antimicrobial Chemotherapy 2273: 2271: 2251: 2202: 2137: 2096: 1972: 1944: 1883: 1842: 1796:. Elsevier Health Sciences. p. 469. 1739: 1737: 1679: 1371:or following a desensitisation protocol. 862: 806:. Other serious side effects may include 482: 474: 4127:(Third ed.). John Wiley & Sons. 3541: 2618:Hogg GM, Barr JG, Webb CH (April 1998). 1999:British national formulary : BNF 76 1900: 1609:"Coly-Mycin M- colistimethate injection" 1480: 1136:lipid A phosphoethanolamine transferases 4141: 2879: 2510: 1925: 1780: 1746:Expert Review of Anti-Infective Therapy 1696: 1175: 1134:gene, which controls the expression of 557: 434: 83: 5145: 4122: 2967:from the original on 31 December 2014. 2277: 2268: 1734: 1655: 1474:(C). Cyclization is accomplished by a 1374: 1294: 1049:severe exacerbations in patients with 575: 297: 272: 4784: 4183: 4173:"Colistin topics page (bibliography)" 3959:Antimicrobial Agents and Chemotherapy 3544:Current Opinion in Pulmonary Medicine 3208: 2807: 1991: 1939:. Geneva: World Health Organization. 1885:10.2807/1560-7917.ES.2015.20.49.30085 1823:Antimicrobial Agents and Chemotherapy 1051:chronic obstructive pulmonary disease 757:. These may involve bacteria such as 530: 285: 101: 69: 4051:Falagas ME, Kasiakou SK (May 2005). 2984:Current Medical Research and Opinion 1336: 171: 161: 4567:Intestinal anti-inflammatory agents 3398:The New England Journal of Medicine 2706:Clinical Microbiology and Infection 2665:Clinical Microbiology and Infection 2441:Acta Anaesthesiologica Scandinavica 1668:Clinical Microbiology and Infection 1413: 510: 502: 405: 13: 4135: 4100:Schoenmakers K (21 October 2020). 3670:Stein A, Raoult D (October 2002). 2904: 2752:from the original on 16 July 2017. 2719:10.1111/j.1469-0691.1999.tb00095.x 2525:Summary of Product Characteristics 2085:The Journal of Infectious Diseases 1067:Société Française de Microbiologie 875:species. The following represents 749:treatment for multidrug-resistant 14: 5184: 4624:agents, excluding corticosteroids 4165: 3521:10.1016/j.ijantimicag.2004.10.001 2849: 817:. The inhaled form may result in 248: 5130: 3631:"A ten year review of colomycin" 3556:10.1097/00063198-200111000-00013 3472:The European Respiratory Journal 2678:10.1111/j.1469-0691.2005.01198.x 2453:10.1111/j.1399-6576.2006.01126.x 2139:10.1111/j.1365-2958.2008.06152.x 2029:from the original on 28 May 2016 1442:solution, in spite of toxicity. 877:minimum inhibitory concentration 615: 609: 36: 27: 4116: 4044: 4033:from the original on 2016-05-31 4014: 3995: 3971:10.1128/AAC.47.5.1766-1770.2003 3946: 3905: 3879:The Lancet. Infectious Diseases 3870: 3802: 3761: 3704: 3663: 3622: 3578: 3535: 3500: 3459: 3424: 3389: 3233: 3221:from the original on 2018-04-03 3148: 3099: 3038:from the original on 2016-07-11 3020: 2971: 2947: 2933: 2922:from the original on 2016-05-27 2873: 2862:from the original on 2017-01-13 2843: 2817:The Lancet. Infectious Diseases 2756: 2734: 2693: 2652: 2611: 2568: 2543: 2484:The Lancet. Infectious Diseases 2475: 2432: 2396: 2345: 2304: 2284:Acinetobacter Molecular Biology 2219: 2162: 2113: 2072: 2061:from the original on 2016-03-04 2041: 2015: 1953: 1859: 1810: 1449: 857: 819:constriction of the bronchioles 706:Key:YKQOSKADJPQZHB-QNPLFGSASA-N 1601: 1575: 1549: 1524: 1212:Elizabethkingia meningoseptica 821:. It is unclear if use during 621: 603: 261: 1: 4671:Antidiarrheal micro-organisms 3891:10.1016/S1473-3099(06)70580-1 3588:The Annals of Pharmacotherapy 3246:Clinical Microbiology Reviews 2997:10.1185/03007995.2015.1018989 2829:10.1016/S1473-3099(15)00424-7 2496:10.1016/s1473-3099(06)70580-1 1489: 1060: 833:, which generally results in 4057:Clinical Infectious Diseases 3787:10.1016/0954-6111(94)90028-0 3676:Clinical Infectious Diseases 3485:10.1183/09031936.98.12030592 2232:Emerging Infectious Diseases 1345:(damage to the kidneys) and 1287:Stenotrophomonas maltophilia 1198:Chryseobacterium indologenes 955:infections in patients with 918:and form new aggregates via 7: 4142:Reardon S (December 2015). 3433:Annals of Internal Medicine 3410:10.1056/NEJM196204122661505 1219:Francisella tularensis spp. 939:; colistimethate sodium is 10: 5189: 4513:Camphorated opium tincture 4250:Intestinal anti-infectives 4125:Medicinal Natural Products 3815:Journal of Cystic Fibrosis 3737:10.1038/s41598-018-30361-5 3445:10.7326/0003-4819-72-6-857 2746:Patient Information Leafle 2418:10.1016/j.jinf.2005.11.019 2286:. Caister Academic Press. 1422: 1115:gene is quite remarkable. 593:Chemical and physical data 5037: 4993: 4955: 4926: 4907: 4884: 4827: 4741: 4695: 4670: 4566: 4478: 4424: 4249: 4233: 4157:10.1038/nature.2015.19037 3828:10.1016/j.jcf.2006.03.007 2352:Yagmur R, Esen F (2006). 1961:World Health Organization 1933:World Health Organization 1681:10.1016/j.cmi.2017.02.023 1640:European Medicines Agency 1118:Use of colistin to treat 1004: 926:Administration and dosage 775:. It comes in two forms: 714: 689: 669: 647: 630: 597: 592: 573: 541: 521: 493: 465: 445: 425: 400: 372: 345: 340: 327: 317: 309: 238: 233: 148: 121: 91: 77: 59: 49: 44: 35: 26: 4446:, known as Pepto-Bismol) 4241:Oral rehydration therapy 3209:McKay B (6 March 2018). 2880:McKenna M (2015-12-03). 2577:Cerebrovascular Diseases 2406:The Journal of Infection 1758:10.1586/14787210.6.5.593 1396:bacterial outer membrane 1016:Parkdale Pharmaceuticals 930: 869:Pseudomonas, Escherichia 751:Gram-negative infections 5163:Polypeptide antibiotics 4686:Saccharomyces boulardii 4023:"Colistin: An overview" 3217:. Wall Street Journal. 3076:10.5644/ama2006-124.355 1504:"Drug Product Database" 1120:Acinetobacter baumannii 987:Acinetobacter baumannii 984:-resistant isolates of 967:Acinetobacter baumannii 810:, muscle weakness, and 3648:10.1053/rmed.2000.0834 3294:"Carbapenem-Resistant 2244:10.3201/eid0908.030052 2126:Molecular Microbiology 1486: 1365:β2-adrenergic receptor 1258:Neisseria meningitidis 1152:antimicrobial peptides 1096:Paenibacillus polymyxa 1055:Pseudomonas aeruginosa 971:Pseudomonas aeruginosa 953:Pseudomonas aeruginosa 945:Pseudomonas aeruginosa 896:Pseudomonas aeruginosa 863:Antibacterial spectrum 785:injected into a muscle 760:Pseudomonas aeruginosa 364:,5-dimethylheptanamide 5153:Polymyxin antibiotics 4708:Bismuth subsalicylate 4444:bismuth subsalicylate 4340:Succinylsulfathiazole 4335:Phthalylsulfathiazole 3314:10.1128/mBio.02448-17 3296:Klebsiella pneumoniae 3124:10.1128/mBio.00021-13 3063:Acta Medica Academica 2521:"Colomycin Injection" 2175:Nature Communications 1484: 1410:and bacterial death. 1383:peptide and has both 1252:Neisseria gonorrhoeae 1238:Moraxella catarrhalis 1170:Klebsiella pneumoniae 898:: ≤0.06–16 μg/mL 892:: 0.25–128 μg/mL 890:Klebsiella pneumoniae 886:: 0.12–128 μg/mL 813:Clostridium difficile 804:neurological problems 777:colistimethate sodium 766:Klebsiella pneumoniae 745:medication used as a 5038:Other antibacterials 4696:Other antidiarrheals 3774:Respiratory Medicine 3635:Respiratory Medicine 3258:10.1128/CMR.00058-14 3118:(3): e00021–e00013. 2963:. 28 December 2014. 2916:www.sciencedaily.com 2782:10.2147/COPD.S138428 2637:10.1093/jac/41.4.494 1835:10.1128/AAC.00035-06 1404:cytoplasmic membrane 1191:Burkholderia cepacia 1176:Inherently resistant 835:bacterial cell death 831:cytoplasmic membrane 815:-associated diarrhea 781:injected into a vein 4545:does not cross BBB: 3729:2018NatSR...811968G 3174:10.7554/eLife.84395 2195:10.1038/ncomms10750 2187:2016NatCo...710750C 1643:. 17 September 2018 1589:. 23 September 2020 1472:condensation domain 1375:Mechanism of action 1295:Variable resistance 1231:Helicobacter pylori 1225:Gram-negative cocci 1053:and infection with 281:(Prescription only) 257:(Prescription only) 23: 4768:Never to phase III 4123:Dewick PM (2009). 4029:. Wolters Kluwer. 4004:J Antibiot (Tokyo) 3931:10.1093/jac/dkh167 3717:Scientific Reports 2960:The Times of India 2330:10.1093/jac/dkh289 2278:Towner KJ (2008). 1635:"Colobreathe EPAR" 1487: 1470:domain (E), and a 1400:lipopolysaccharide 846:generic medication 787:, or inhaled, and 19: 5118: 5117: 4833:Lipoglycopeptides 4778: 4777: 4218:anti-inflammatory 3600:10.1345/aph.19370 3594:(11): 1238–1242. 2589:10.1159/000069498 2447:(10): 1309–1310. 2293:978-0-306-43902-5 2091:(10): 1585–1592. 1872:Euro Surveillance 1615:. 3 December 2018 1367:agonists such as 1337:Adverse reactions 732: 731: 660:Interactive image 543:CompTox Dashboard 301: 289: 276: 264: 252: 104: 5180: 5135: 5134: 5133: 5126: 4805: 4798: 4791: 4782: 4781: 4679:Escherichia coli 4639:Aminosalicylates 4629:Cromoglicic acid 4204: 4197: 4190: 4181: 4180: 4176: 4161: 4159: 4129: 4128: 4120: 4114: 4113: 4111: 4109: 4097: 4091: 4090: 4072: 4063:(9): 1333–1341. 4048: 4042: 4041: 4039: 4038: 4018: 4012: 4011: 3999: 3993: 3992: 3982: 3965:(5): 1766–1770. 3950: 3944: 3943: 3933: 3909: 3903: 3902: 3874: 3868: 3867: 3847: 3841: 3840: 3830: 3806: 3800: 3799: 3789: 3765: 3759: 3758: 3748: 3708: 3702: 3701: 3691: 3667: 3661: 3660: 3650: 3626: 3620: 3619: 3582: 3576: 3575: 3539: 3533: 3532: 3504: 3498: 3497: 3487: 3463: 3457: 3456: 3428: 3422: 3421: 3393: 3387: 3386: 3376: 3366: 3342: 3336: 3335: 3325: 3308:(2): e02448–17. 3289: 3280: 3279: 3269: 3237: 3231: 3230: 3228: 3226: 3206: 3197: 3196: 3186: 3176: 3152: 3146: 3145: 3135: 3103: 3097: 3096: 3078: 3054: 3048: 3047: 3045: 3043: 3024: 3018: 3017: 2999: 2975: 2969: 2968: 2951: 2945: 2944: 2943:. December 2014. 2937: 2931: 2930: 2928: 2927: 2908: 2902: 2901: 2899: 2897: 2888:. Archived from 2877: 2871: 2870: 2868: 2867: 2847: 2841: 2840: 2811: 2805: 2804: 2794: 2784: 2760: 2754: 2753: 2738: 2732: 2731: 2721: 2697: 2691: 2690: 2680: 2656: 2650: 2649: 2639: 2615: 2609: 2608: 2572: 2566: 2564: 2563:on 18 July 2006. 2562: 2555: 2547: 2541: 2540: 2538: 2536: 2517: 2508: 2507: 2479: 2473: 2472: 2436: 2430: 2429: 2400: 2394: 2393: 2383: 2373: 2349: 2343: 2342: 2332: 2308: 2302: 2301: 2296:. Archived from 2275: 2266: 2265: 2255: 2238:(8): 1025–1027. 2223: 2217: 2216: 2206: 2166: 2160: 2159: 2141: 2117: 2111: 2110: 2100: 2076: 2070: 2069: 2067: 2066: 2060: 2054:. 3 March 2016. 2053: 2045: 2039: 2038: 2036: 2034: 2019: 2013: 2012: 1995: 1989: 1988: 1976: 1957: 1951: 1950: 1948: 1929: 1923: 1922: 1920: 1918: 1904: 1898: 1897: 1887: 1863: 1857: 1856: 1846: 1829:(6): 1953–1958. 1814: 1808: 1807: 1787: 1778: 1777: 1741: 1732: 1731: 1729: 1727: 1713: 1694: 1693: 1683: 1659: 1653: 1652: 1650: 1648: 1631: 1625: 1624: 1622: 1620: 1605: 1599: 1598: 1596: 1594: 1579: 1573: 1572: 1570: 1568: 1553: 1547: 1546: 1544: 1542: 1528: 1522: 1521: 1519: 1517: 1500: 1414:Pharmacokinetics 1330:Escherichia coli 1284:Some strains of 1162:Heteroresistance 1075: 884:Escherichia coli 789:colistin sulfate 737:, also known as 728: 727: 720: 662: 642: 640: 623: 617: 611: 605: 588: 577: 566: 565: 551: 549: 534: 514: 506: 486: 478: 458: 438: 418: 408: 407: 393: 385: 332: 299: 296: 287: 284: 274: 271: 263: 260: 250: 247: 225: 215: 205: 195: 185: 175: 165: 114: 103: 100: 87: 73: 40: 31: 24: 22: 18: 5188: 5187: 5183: 5182: 5181: 5179: 5178: 5177: 5158:Cyclic peptides 5143: 5142: 5141: 5131: 5129: 5121: 5119: 5114: 5033: 4989: 4951: 4922: 4903: 4880: 4831: 4823: 4809: 4779: 4774: 4773: 4758:Clinical trials 4737: 4703:Albumin tannate 4691: 4666: 4575:corticosteroids 4562: 4480:Antipropulsives 4474: 4420: 4245: 4229: 4208: 4171: 4168: 4138: 4136:Further reading 4133: 4132: 4121: 4117: 4107: 4105: 4098: 4094: 4049: 4045: 4036: 4034: 4019: 4015: 4000: 3996: 3951: 3947: 3910: 3906: 3875: 3871: 3848: 3844: 3807: 3803: 3766: 3762: 3709: 3705: 3668: 3664: 3627: 3623: 3583: 3579: 3540: 3536: 3505: 3501: 3464: 3460: 3429: 3425: 3404:(15): 759–762. 3394: 3390: 3343: 3339: 3290: 3283: 3238: 3234: 3224: 3222: 3207: 3200: 3153: 3149: 3104: 3100: 3055: 3051: 3041: 3039: 3026: 3025: 3021: 2976: 2972: 2953: 2952: 2948: 2939: 2938: 2934: 2925: 2923: 2910: 2909: 2905: 2895: 2893: 2878: 2874: 2865: 2863: 2848: 2844: 2812: 2808: 2761: 2757: 2740: 2739: 2735: 2698: 2694: 2657: 2653: 2616: 2612: 2573: 2569: 2560: 2553: 2549: 2548: 2544: 2534: 2532: 2531:on 16 July 2017 2519: 2518: 2511: 2480: 2476: 2437: 2433: 2401: 2397: 2350: 2346: 2309: 2305: 2294: 2276: 2269: 2224: 2220: 2167: 2163: 2118: 2114: 2077: 2073: 2064: 2062: 2058: 2051: 2047: 2046: 2042: 2032: 2030: 2021: 2020: 2016: 2009: 1997: 1996: 1992: 1985: 1958: 1954: 1930: 1926: 1916: 1914: 1906: 1905: 1901: 1864: 1860: 1815: 1811: 1804: 1788: 1781: 1742: 1735: 1725: 1723: 1715: 1714: 1697: 1660: 1656: 1646: 1644: 1633: 1632: 1628: 1618: 1616: 1607: 1606: 1602: 1592: 1590: 1581: 1580: 1576: 1566: 1564: 1555: 1554: 1550: 1540: 1538: 1530: 1529: 1525: 1515: 1513: 1512:. 25 April 2012 1502: 1501: 1497: 1492: 1452: 1425: 1416: 1377: 1354:aminoglycosides 1339: 1297: 1292: 1245:Morganella spp. 1178: 1069: 1063: 1007: 957:cystic fibrosis 933: 928: 865: 860: 800:kidney problems 723: 721: 718:(what is this?) 715: 710: 707: 702: 697: 696: 685: 682: 677: 676: 665: 638: 636: 626: 620: 614: 608: 569: 545: 537: 517: 489: 461: 441: 421: 404: 396: 368: 365: 353: 352: 330: 319:Bioavailability 311:Pharmacokinetic 305: 229: 124: 117: 17: 12: 11: 5: 5186: 5176: 5175: 5170: 5165: 5160: 5155: 5140: 5139: 5116: 5115: 5113: 5112: 5107: 5102: 5097: 5092: 5087: 5082: 5077: 5072: 5067: 5062: 5057: 5052: 5047: 5041: 5039: 5035: 5034: 5032: 5031: 5026: 5024:Nitrofurantoin 5021: 5016: 5011: 5006: 5000: 4998: 4991: 4990: 4988: 4987: 4982: 4977: 4972: 4967: 4961: 4959: 4957:Pleuromutilins 4953: 4952: 4950: 4949: 4944: 4939: 4933: 4931: 4924: 4923: 4921: 4920: 4914: 4912: 4911:antibacterials 4905: 4904: 4902: 4901: 4896: 4890: 4888: 4882: 4881: 4879: 4878: 4873: 4868: 4863: 4858: 4853: 4848: 4843: 4837: 4835: 4825: 4824: 4812:Antibacterials 4808: 4807: 4800: 4793: 4785: 4776: 4775: 4772: 4771: 4770: 4769: 4766: 4755: 4749: 4743: 4742: 4739: 4738: 4736: 4735: 4730: 4725: 4720: 4715: 4710: 4705: 4699: 4697: 4693: 4692: 4690: 4689: 4682: 4674: 4672: 4668: 4667: 4665: 4664: 4663: 4662: 4657: 4652: 4647: 4634: 4633: 4632: 4631: 4617: 4616: 4615: 4614: 4609: 4604: 4599: 4594: 4589: 4587:Hydrocortisone 4584: 4577:acting locally 4570: 4568: 4564: 4563: 4561: 4560: 4550: 4541: 4540: 4535: 4517: 4516: 4510: 4505: 4500: 4493:Opium tincture 4489: 4487: 4476: 4475: 4473: 4472: 4467: 4462: 4457: 4452: 4447: 4437: 4431: 4429: 4422: 4421: 4419: 4418: 4417: 4416: 4414:Broxyquinoline 4403: 4402: 4401: 4400: 4387: 4386: 4385: 4384: 4371: 4370: 4369: 4368: 4363: 4350: 4349: 4348: 4347: 4345:Sulfaguanidine 4342: 4337: 4324: 4323: 4322: 4321: 4316: 4311: 4306: 4301: 4296: 4291: 4286: 4281: 4276: 4271: 4266: 4264:Amphotericin B 4253: 4251: 4247: 4246: 4244: 4243: 4237: 4235: 4231: 4230: 4222:anti-infective 4211:Antidiarrheals 4207: 4206: 4199: 4192: 4184: 4178: 4177: 4175:. Science.gov. 4167: 4166:External links 4164: 4163: 4162: 4137: 4134: 4131: 4130: 4115: 4092: 4070:10.1086/429323 4043: 4013: 3994: 3945: 3924:(5): 837–840. 3904: 3885:(9): 589–601. 3869: 3842: 3821:(4): 205–213. 3801: 3780:(2): 145–147. 3760: 3703: 3689:10.1086/342570 3682:(7): 901–902. 3662: 3641:(7): 632–640. 3621: 3577: 3550:(6): 434–440. 3534: 3499: 3478:(3): 592–594. 3458: 3439:(6): 857–868. 3423: 3388: 3364:10.1186/cc2358 3357:(5): R78–R83. 3337: 3281: 3252:(1): 191–207. 3232: 3198: 3147: 3098: 3069:(3): 365–371. 3049: 3019: 2990:(4): 707–721. 2970: 2946: 2932: 2903: 2892:on 28 May 2016 2872: 2842: 2823:(2): 161–168. 2806: 2755: 2733: 2692: 2671:(8): 682–683. 2651: 2630:(4): 494–495. 2610: 2583:(4): 235–243. 2567: 2542: 2509: 2490:(9): 589–601. 2474: 2431: 2412:(4): 274–278. 2395: 2371:10.1186/cc5088 2344: 2323:(1): 290–292. 2303: 2300:on 2012-02-07. 2292: 2267: 2218: 2161: 2132:(1): 223–240. 2112: 2098:10.1086/656788 2071: 2040: 2014: 2007: 1990: 1983: 1952: 1924: 1899: 1858: 1809: 1802: 1779: 1752:(5): 593–600. 1733: 1695: 1674:(4): 229–233. 1654: 1626: 1600: 1574: 1548: 1523: 1494: 1493: 1491: 1488: 1451: 1448: 1424: 1421: 1415: 1412: 1379:Colistin is a 1376: 1373: 1343:nephrotoxicity 1338: 1335: 1334: 1333: 1326: 1319: 1312: 1305: 1296: 1293: 1291: 1290: 1282: 1275: 1268: 1261: 1248: 1241: 1234: 1227: 1222: 1215: 1208: 1201: 1194: 1187: 1179: 1177: 1174: 1062: 1059: 1037:; evidence of 1027: 1026: 1023: 1006: 1003: 1002: 1001: 998: 991: 932: 929: 927: 924: 920:quorum sensing 900: 899: 893: 887: 864: 861: 859: 856: 730: 729: 712: 711: 709: 708: 705: 703: 700: 692: 691: 690: 687: 686: 684: 683: 680: 672: 671: 670: 667: 666: 664: 663: 655: 653: 645: 644: 634: 628: 627: 624: 618: 612: 606: 601: 595: 594: 590: 589: 579: 571: 570: 568: 567: 554: 552: 539: 538: 536: 535: 527: 525: 519: 518: 516: 515: 509:as salt:  507: 499: 497: 491: 490: 488: 487: 481:as salt:  479: 471: 469: 463: 462: 460: 459: 451: 449: 443: 442: 440: 439: 431: 429: 423: 422: 420: 419: 411: 409: 398: 397: 395: 394: 388:as salt:  386: 378: 376: 370: 369: 367: 366: 356: 348: 347: 346: 343: 342: 338: 337: 334: 325: 324: 321: 315: 314: 307: 306: 304: 303: 294: 282: 269: 258: 244: 242: 236: 235: 231: 230: 228: 227: 154: 152: 146: 145: 127: 125:administration 119: 118: 116: 115: 112:Colistimethate 97: 95: 89: 88: 81: 75: 74: 67: 57: 56: 53: 47: 46: 42: 41: 33: 32: 15: 9: 6: 4: 3: 2: 5185: 5174: 5171: 5169: 5166: 5164: 5161: 5159: 5156: 5154: 5151: 5150: 5148: 5138: 5128: 5127: 5124: 5111: 5108: 5106: 5103: 5101: 5100:Spectinomycin 5098: 5096: 5093: 5091: 5088: 5086: 5083: 5081: 5080:Mandelic acid 5078: 5076: 5073: 5071: 5068: 5066: 5063: 5061: 5058: 5056: 5053: 5051: 5048: 5046: 5043: 5042: 5040: 5036: 5030: 5029:Nitrofurazone 5027: 5025: 5022: 5020: 5017: 5015: 5012: 5010: 5007: 5005: 5002: 5001: 4999: 4996: 4992: 4986: 4983: 4981: 4978: 4976: 4973: 4971: 4968: 4966: 4963: 4962: 4960: 4958: 4954: 4948: 4945: 4943: 4940: 4938: 4937:Metronidazole 4935: 4934: 4932: 4929: 4925: 4919: 4916: 4915: 4913: 4910: 4906: 4900: 4897: 4895: 4892: 4891: 4889: 4887: 4883: 4877: 4874: 4872: 4869: 4867: 4864: 4862: 4859: 4857: 4854: 4852: 4849: 4847: 4844: 4842: 4839: 4838: 4836: 4834: 4830: 4829:Glycopeptides 4826: 4821: 4817: 4813: 4806: 4801: 4799: 4794: 4792: 4787: 4786: 4783: 4767: 4765: 4762: 4761: 4759: 4756: 4753: 4750: 4748: 4745: 4744: 4740: 4734: 4731: 4729: 4726: 4724: 4721: 4719: 4716: 4714: 4711: 4709: 4706: 4704: 4701: 4700: 4698: 4694: 4688: 4687: 4683: 4681: 4680: 4676: 4675: 4673: 4669: 4661: 4658: 4656: 4653: 4651: 4648: 4646: 4645:Sulfasalazine 4643: 4642: 4641: 4640: 4636: 4635: 4630: 4627: 4626: 4625: 4623: 4619: 4618: 4613: 4612:Beclometasone 4610: 4608: 4605: 4603: 4600: 4598: 4597:Betamethasone 4595: 4593: 4590: 4588: 4585: 4583: 4580: 4579: 4578: 4576: 4572: 4571: 4569: 4565: 4558: 4554: 4551: 4549: 4546: 4543: 4542: 4539: 4536: 4533: 4529: 4528:Diphenoxylate 4526: 4524: 4519: 4518: 4514: 4511: 4509: 4506: 4504: 4501: 4498: 4494: 4491: 4490: 4488: 4485: 4481: 4477: 4471: 4468: 4466: 4463: 4461: 4458: 4456: 4453: 4451: 4448: 4445: 4441: 4438: 4436: 4433: 4432: 4430: 4428: 4423: 4415: 4412: 4411: 4410: 4409: 4405: 4404: 4399: 4396: 4395: 4394: 4393: 4389: 4388: 4383: 4380: 4379: 4378: 4377: 4373: 4372: 4367: 4364: 4362: 4359: 4358: 4357: 4356: 4352: 4351: 4346: 4343: 4341: 4338: 4336: 4333: 4332: 4331: 4330: 4326: 4325: 4320: 4317: 4315: 4312: 4310: 4307: 4305: 4302: 4300: 4297: 4295: 4292: 4290: 4287: 4285: 4282: 4280: 4277: 4275: 4272: 4270: 4267: 4265: 4262: 4261: 4260: 4259: 4255: 4254: 4252: 4248: 4242: 4239: 4238: 4236: 4232: 4227: 4223: 4219: 4216: 4212: 4205: 4200: 4198: 4193: 4191: 4186: 4185: 4182: 4174: 4170: 4169: 4158: 4153: 4149: 4145: 4140: 4139: 4126: 4119: 4103: 4096: 4088: 4084: 4080: 4076: 4071: 4066: 4062: 4058: 4054: 4047: 4032: 4028: 4024: 4017: 4009: 4005: 3998: 3990: 3986: 3981: 3976: 3972: 3968: 3964: 3960: 3956: 3949: 3941: 3937: 3932: 3927: 3923: 3919: 3915: 3908: 3900: 3896: 3892: 3888: 3884: 3880: 3873: 3865: 3861: 3857: 3853: 3846: 3838: 3834: 3829: 3824: 3820: 3816: 3812: 3805: 3797: 3793: 3788: 3783: 3779: 3775: 3771: 3764: 3756: 3752: 3747: 3742: 3738: 3734: 3730: 3726: 3722: 3718: 3714: 3707: 3699: 3695: 3690: 3685: 3681: 3677: 3673: 3666: 3658: 3654: 3649: 3644: 3640: 3636: 3632: 3625: 3617: 3613: 3609: 3605: 3601: 3597: 3593: 3589: 3581: 3573: 3569: 3565: 3561: 3557: 3553: 3549: 3545: 3538: 3530: 3526: 3522: 3518: 3514: 3510: 3503: 3495: 3491: 3486: 3481: 3477: 3473: 3469: 3462: 3454: 3450: 3446: 3442: 3438: 3434: 3427: 3419: 3415: 3411: 3407: 3403: 3399: 3392: 3384: 3380: 3375: 3370: 3365: 3360: 3356: 3352: 3351:Critical Care 3348: 3341: 3333: 3329: 3324: 3319: 3315: 3311: 3307: 3303: 3299: 3297: 3288: 3286: 3277: 3273: 3268: 3263: 3259: 3255: 3251: 3247: 3243: 3236: 3220: 3216: 3212: 3205: 3203: 3194: 3190: 3185: 3180: 3175: 3170: 3166: 3162: 3158: 3151: 3143: 3139: 3134: 3129: 3125: 3121: 3117: 3113: 3109: 3102: 3094: 3090: 3086: 3082: 3077: 3072: 3068: 3064: 3060: 3053: 3037: 3033: 3029: 3023: 3015: 3011: 3007: 3003: 2998: 2993: 2989: 2985: 2981: 2974: 2966: 2962: 2961: 2956: 2950: 2942: 2936: 2921: 2917: 2913: 2907: 2891: 2887: 2883: 2876: 2861: 2857: 2853: 2846: 2838: 2834: 2830: 2826: 2822: 2818: 2810: 2802: 2798: 2793: 2788: 2783: 2778: 2775:: 2909–2915. 2774: 2770: 2766: 2759: 2751: 2747: 2743: 2737: 2729: 2725: 2720: 2715: 2711: 2707: 2703: 2696: 2688: 2684: 2679: 2674: 2670: 2666: 2662: 2655: 2647: 2643: 2638: 2633: 2629: 2625: 2621: 2614: 2606: 2602: 2598: 2594: 2590: 2586: 2582: 2578: 2571: 2559: 2552: 2546: 2530: 2526: 2522: 2516: 2514: 2505: 2501: 2497: 2493: 2489: 2485: 2478: 2470: 2466: 2462: 2458: 2454: 2450: 2446: 2442: 2435: 2427: 2423: 2419: 2415: 2411: 2407: 2399: 2391: 2387: 2382: 2377: 2372: 2367: 2363: 2359: 2358:Critical Care 2355: 2348: 2340: 2336: 2331: 2326: 2322: 2318: 2314: 2307: 2299: 2295: 2289: 2285: 2281: 2274: 2272: 2263: 2259: 2254: 2249: 2245: 2241: 2237: 2233: 2229: 2222: 2214: 2210: 2205: 2200: 2196: 2192: 2188: 2184: 2180: 2176: 2172: 2165: 2157: 2153: 2149: 2145: 2140: 2135: 2131: 2127: 2123: 2116: 2108: 2104: 2099: 2094: 2090: 2086: 2082: 2075: 2057: 2050: 2044: 2028: 2024: 2018: 2010: 2008:9780857113382 2004: 2000: 1994: 1986: 1984:9789241515528 1980: 1975: 1970: 1966: 1962: 1956: 1947: 1942: 1938: 1934: 1928: 1913: 1909: 1903: 1895: 1891: 1886: 1881: 1878:(49): 30085. 1877: 1873: 1869: 1862: 1854: 1850: 1845: 1840: 1836: 1832: 1828: 1824: 1820: 1813: 1805: 1803:9781437720600 1799: 1795: 1794: 1786: 1784: 1775: 1771: 1767: 1763: 1759: 1755: 1751: 1747: 1740: 1738: 1722: 1718: 1712: 1710: 1708: 1706: 1704: 1702: 1700: 1691: 1687: 1682: 1677: 1673: 1669: 1665: 1658: 1642: 1641: 1636: 1630: 1614: 1610: 1604: 1588: 1584: 1578: 1563:. 27 May 2020 1562: 1558: 1552: 1537: 1533: 1527: 1511: 1510: 1509:Health Canada 1505: 1499: 1495: 1483: 1479: 1477: 1473: 1469: 1468:epimerization 1465: 1461: 1457: 1447: 1443: 1439: 1437: 1433: 1430: 1420: 1411: 1407: 1405: 1401: 1397: 1393: 1390: 1386: 1382: 1372: 1370: 1366: 1362: 1357: 1355: 1350: 1348: 1347:neurotoxicity 1344: 1332: 1331: 1327: 1325: 1324: 1323:Fusobacterium 1320: 1318: 1317: 1313: 1311: 1310: 1306: 1304: 1303: 1299: 1298: 1289: 1288: 1283: 1281: 1280: 1276: 1274: 1273: 1269: 1267: 1266: 1262: 1260: 1259: 1254: 1253: 1249: 1247: 1246: 1242: 1240: 1239: 1235: 1233: 1232: 1228: 1226: 1223: 1221: 1220: 1216: 1214: 1213: 1209: 1207: 1206: 1202: 1200: 1199: 1195: 1193: 1192: 1188: 1186: 1185: 1181: 1180: 1173: 1171: 1167: 1163: 1158: 1156: 1153: 1149: 1145: 1141: 1137: 1133: 1129: 1125: 1121: 1116: 1114: 1108: 1106: 1100: 1098: 1097: 1092: 1091: 1086: 1081: 1079: 1073: 1068: 1058: 1056: 1052: 1046: 1044: 1040: 1036: 1031: 1024: 1021: 1020: 1019: 1017: 1013: 999: 996: 992: 989: 988: 983: 979: 978:ventriculitis 975: 972: 968: 964: 963: 962:Acinetobacter 958: 954: 950: 949: 948: 946: 942: 938: 923: 921: 917: 913: 912:P. aeruginosa 908: 905: 904:P. aeruginosa 897: 894: 891: 888: 885: 882: 881: 880: 878: 874: 870: 855: 853: 852: 851:Paenibacillus 847: 843: 838: 836: 832: 828: 824: 820: 816: 814: 809: 805: 801: 796: 794: 790: 786: 782: 778: 774: 773: 772:Acinetobacter 768: 767: 762: 761: 756: 752: 748: 744: 740: 736: 726: 719: 713: 704: 699: 698: 695: 688: 679: 678: 675: 668: 661: 657: 656: 654: 651: 646: 635: 633: 629: 602: 600: 596: 591: 587: 583: 580: 578: 576:ECHA InfoCard 572: 564: 560: 559:DTXSID1040663 556: 555: 553: 544: 540: 533: 529: 528: 526: 524: 520: 513: 508: 505: 501: 500: 498: 496: 492: 485: 480: 477: 473: 472: 470: 468: 464: 457: 453: 452: 450: 448: 444: 437: 433: 432: 430: 428: 424: 417: 413: 412: 410: 403: 399: 392: 387: 384: 380: 379: 377: 375: 371: 363: 359: 355: 354: 351: 344: 339: 335: 333: 326: 322: 320: 316: 312: 308: 302: Rx-only 295: 293: 283: 280: 270: 268: 259: 256: 246: 245: 243: 241: 237: 232: 224: 219: 214: 209: 204: 199: 194: 189: 184: 179: 174: 169: 164: 159: 156: 155: 153: 151: 147: 143: 142:intramuscular 139: 135: 131: 128: 126: 120: 113: 108: 99: 98: 96: 94: 90: 86: 82: 80: 76: 72: 68: 66: 62: 58: 54: 52: 48: 45:Clinical data 43: 39: 34: 30: 25: 5173:Decapeptides 5009:Nifuroxazide 5004:Furazolidone 4918:Fusidic acid 4893: 4728:Racecadotril 4684: 4677: 4637: 4622:antiallergic 4620: 4582:Prednisolone 4573: 4557:+simethicone 4544: 4520: 4460:Crospovidone 4408:Oxyquinoline 4406: 4390: 4374: 4361:Nifuroxazide 4353: 4329:Sulfonamides 4327: 4314:Streptomycin 4268: 4256: 4147: 4124: 4118: 4106:. Retrieved 4095: 4060: 4056: 4046: 4035:. Retrieved 4026: 4016: 4007: 4003: 3997: 3962: 3958: 3948: 3921: 3917: 3907: 3882: 3878: 3872: 3858:(1): 59–61. 3855: 3851: 3845: 3818: 3814: 3804: 3777: 3773: 3763: 3723:(1): 11968. 3720: 3716: 3706: 3679: 3675: 3665: 3638: 3634: 3624: 3591: 3587: 3580: 3547: 3543: 3537: 3515:(1): 11–25. 3512: 3508: 3502: 3475: 3471: 3461: 3436: 3432: 3426: 3401: 3397: 3391: 3354: 3350: 3340: 3305: 3301: 3295: 3249: 3245: 3235: 3223:. Retrieved 3214: 3164: 3160: 3150: 3115: 3111: 3101: 3066: 3062: 3052: 3040:. Retrieved 3031: 3022: 2987: 2983: 2973: 2958: 2949: 2935: 2924:. Retrieved 2915: 2906: 2894:. Retrieved 2890:the original 2885: 2875: 2864:. Retrieved 2856:The Atlantic 2855: 2845: 2820: 2816: 2809: 2772: 2768: 2758: 2745: 2736: 2712:(1): 32–36. 2709: 2705: 2695: 2668: 2664: 2654: 2627: 2623: 2613: 2580: 2576: 2570: 2558:the original 2545: 2533:. Retrieved 2529:the original 2524: 2487: 2483: 2477: 2444: 2440: 2434: 2409: 2405: 2398: 2361: 2357: 2347: 2320: 2316: 2306: 2298:the original 2283: 2235: 2231: 2221: 2178: 2174: 2164: 2129: 2125: 2115: 2088: 2084: 2074: 2063:. Retrieved 2043: 2031:. Retrieved 2017: 1998: 1993: 1974:10665/312266 1964: 1955: 1946:10665/325771 1936: 1927: 1915:. Retrieved 1911: 1902: 1875: 1871: 1861: 1826: 1822: 1812: 1792: 1749: 1745: 1724:. Retrieved 1720: 1671: 1667: 1657: 1645:. Retrieved 1638: 1629: 1617:. Retrieved 1612: 1603: 1591:. Retrieved 1586: 1577: 1565:. Retrieved 1560: 1551: 1539:. Retrieved 1535: 1526: 1514:. Retrieved 1507: 1498: 1476:thioesterase 1453: 1450:Biosynthesis 1444: 1440: 1435: 1431: 1428: 1426: 1417: 1408: 1381:polycationic 1378: 1361:bronchospasm 1358: 1351: 1340: 1328: 1321: 1314: 1307: 1300: 1285: 1277: 1270: 1263: 1256: 1250: 1243: 1236: 1229: 1217: 1210: 1205:Edwardsiella 1203: 1196: 1189: 1182: 1169: 1166:Enterobacter 1165: 1159: 1154: 1147: 1143: 1139: 1138:(similar to 1131: 1119: 1117: 1112: 1109: 1104: 1101: 1094: 1088: 1082: 1064: 1054: 1047: 1042: 1038: 1032: 1028: 1008: 985: 970: 966: 960: 952: 944: 934: 911: 903: 901: 895: 889: 883: 872: 868: 866: 858:Medical uses 849: 839: 812: 797: 788: 776: 770: 764: 758: 738: 734: 733: 722:   716:   532:ChEMBL501505 361: 357: 329:Elimination 240:Legal status 234:Legal status 144:, inhalation 93:License data 5090:Nitroxoline 5085:Methenamine 5065:Furaltadone 5014:Nifurtoinol 4997:derivatives 4975:Retapamulin 4930:derivatives 4899:Polymyxin B 4866:Teicoplanin 4856:Oritavancin 4851:Dalbavancin 4754:from market 4660:Balsalazide 4548:Eluxadoline 4515:(paregoric) 4470:Diosmectite 4465:Attapulgite 4442:(including 4425:Intestinal 4304:Polymyxin B 4299:Paromomycin 4274:Fidaxomicin 4258:Antibiotics 4234:Rehydration 1917:11 November 1647:16 November 1619:16 November 1593:16 November 1567:16 November 1541:16 November 1464:adenylation 1385:hydrophilic 1272:Providencia 1070: [ 808:anaphylaxis 747:last-resort 739:polymyxin E 643: g·mol 582:100.012.644 341:Identifiers 138:intravenous 79:MedlinePlus 51:Trade names 5147:Categories 5095:Novobiocin 5060:Fosfomycin 5055:Daptomycin 5045:Bacitracin 4995:Nitrofuran 4985:Valnemulin 4947:Tinidazole 4942:Ornidazole 4886:Polymyxins 4876:Vancomycin 4871:Telavancin 4861:Ristocetin 4846:Corbomycin 4814:: others ( 4733:Kaopectate 4723:Octreotide 4718:Crofelemer 4655:Olsalazine 4650:Mesalazine 4607:Budesonide 4602:Tixocortol 4592:Prednisone 4553:Loperamide 4427:adsorbents 4382:Miconazole 4355:Nitrofuran 4319:Vancomycin 4215:intestinal 4037:2016-06-06 3167:: e84395. 2926:2016-05-27 2866:2017-01-12 2364:(6): 428. 2065:2014-02-10 1726:6 November 1516:13 January 1490:References 1436:colistinus 1389:lipophilic 1369:salbutamol 1316:Prevotella 1061:Resistance 1035:rifampicin 982:carbapenem 974:meningitis 873:Klebsiella 753:including 743:antibiotic 648:3D model ( 632:Molar mass 484:XW0E5YS77G 476:Z67X93HJG1 447:ChemSpider 374:CAS Number 350:IUPAC name 16:Antibiotic 5105:Tedizolid 5075:Linezolid 5070:Lefamulin 5050:Clofoctol 5019:Nifurzide 4970:Lefamulin 4928:Imidazole 4841:Avoparcin 4764:Phase III 4752:Withdrawn 4713:Ceratonia 4538:Difenoxin 4532:+atropine 4398:Acetarsol 4392:Arsenical 4376:Imidazole 4366:Nifurzide 4309:Rifaximin 4284:Natamycin 4279:Kanamycin 3093:246826086 2886:Phenomena 2850:Zhang S. 2181:: 10750. 1912:Drugs.com 1721:Drugs.com 1456:threonine 1302:Aeromonas 1146:positive 827:polymyxin 823:pregnancy 755:pneumonia 391:8068-28-8 383:1066-17-7 331:half-life 123:Routes of 71:Monograph 65:Drugs.com 5137:Medicine 5110:Xibornol 4980:Tiamulin 4965:Azamulin 4894:Colistin 4521:crosses 4508:Morphine 4497:laudanum 4435:Charcoal 4294:Nystatin 4289:Neomycin 4269:Colistin 4224:agents ( 4108:2 August 4104:. Nature 4087:21679015 4079:15825037 4031:Archived 4027:UpToDate 3989:12709357 3940:15044428 3899:16931410 3864:17323867 3837:16678502 3755:30097635 3698:12228836 3657:10926333 3616:42625124 3608:11098334 3572:38084953 3564:11706322 3529:15620821 3418:14008070 3383:12974973 3332:29511071 3276:25567227 3219:Archived 3193:37094804 3184:10129329 3142:23695834 3085:35164512 3036:Archived 3014:33476061 3006:25697677 2965:Archived 2920:Archived 2860:Archived 2837:26603172 2801:29042767 2750:Archived 2728:11856210 2687:16008625 2605:12205902 2597:12686786 2504:16931410 2469:25679033 2461:17067336 2426:16442632 2390:17214907 2339:15190037 2262:12971377 2213:26892159 2156:44556845 2148:18312276 2107:20942647 2056:Archived 2027:Archived 1963:(2019). 1935:(2019). 1894:26676364 1853:16723551 1774:13158593 1766:18847400 1690:28238870 1613:DailyMed 1432:polymyxa 1429:Bacillus 1392:moieties 1279:Serratia 1184:Brucella 1155:in vitro 1128:lysozyme 1043:in vitro 1039:in vitro 937:cationic 741:, is an 735:Colistin 725:(verify) 427:DrugBank 218:QJ51XB01 208:QJ01XB01 198:QG51AG07 188:QA07AA98 178:QA07AA10 150:ATC code 134:by mouth 107:DailyMed 21:Colistin 4909:Steroid 4503:Codeine 4484:opioids 4440:Bismuth 3796:8146414 3746:6086859 3725:Bibcode 3494:9762785 3453:5448745 3323:5844991 3267:4284305 3215:wsj.com 3133:3663567 3032:cdc.gov 2792:5634377 2646:9598783 2381:1794456 2253:3020604 2204:4762895 2183:Bibcode 1844:1479097 1460:leucine 1423:History 1265:Proteus 1148:E. coli 1105:E. coli 1085:plasmid 995:colonic 941:anionic 907:biofilm 793:prodrug 779:can be 599:Formula 456:4470591 436:DB00803 416:5311054 402:PubChem 336:5 hours 265:: 220: ( 210: ( 200: ( 190: ( 180: ( 170: ( 168:J01XB01 166:) 160: ( 158:A07AA10 130:Topical 109::  85:a682860 5123:Portal 4747:WHO-EM 4455:Kaolin 4450:Pectin 4148:Nature 4085:  4077:  3987:  3980:153303 3977:  3938:  3897:  3862:  3835:  3794:  3753:  3743:  3696:  3655:  3614:  3606:  3570:  3562:  3527:  3492:  3451:  3416:  3381:  3374:270720 3371:  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