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Dicloxacillin is a narrow-spectrum β-lactam antibiotic of the penicillin class. [1] It is used to treat infections caused by susceptible (non-resistant) Gram-positive bacteria . [ 1 ] It is active against beta-lactamase -producing organisms such as Staphylococcus aureus , which would otherwise be resistant to most penicillins .
The β-lactam core structures. (A) A penam.(B) A carbapenam.(C) An oxapenam.(D) A penem.(E) A carbapenem.(F) A monobactam.(G) A cephem.(H) A carbacephem.(I) An oxacephem. This is a list of common β-lactam antibiotics—both administered drugs and those not in clinical use—organized by structural class.
β-Lactam antibiotics are indicated for the prevention and treatment of bacterial infections caused by susceptible organisms. At first, β-lactam antibiotics were mainly active only against gram-positive bacteria, yet the recent development of broad-spectrum β-lactam antibiotics active against various gram-negative organisms has increased their usefulness.
Its role in therapy has been largely replaced by oxacillin (used for clinical antimicrobial susceptibility testing), flucloxacillin and dicloxacillin, but the term methicillin-resistant Staphylococcus aureus (MRSA) continues to be used to describe S. aureus strains resistant to all penicillins.
Oxacillin is a penicillinase-resistant β-lactam.It is similar to methicillin, and has replaced methicillin in clinical use.Other related compounds are nafcillin, cloxacillin, dicloxacillin, and flucloxacillin.
Dicloxacillin: Dynapen (discontinued) Flucloxacillin: Floxapen (Sold to European generics Actavis Group) Mezlocillin: Mezlin (discontinued) Methicillin: Staphcillin (discontinued) Nafcillin: Unipen (discontinued) Oxacillin: Prostaphlin (discontinued) Penicillin G: Pentids (discontinued) Penicillin V: Veetids (Pen-Vee-K) (discontinued) Piperacillin
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Flucloxacillin has similar pharmacokinetics, antibacterial activity, and indications to dicloxacillin, and the two agents are considered interchangeable. It is reported to have higher, though rare, incidence of severe hepatic adverse effects than dicloxacillin, [ 28 ] but a lower incidence of renal adverse effects.