Fosfomycin

Author: Prof. Dr. med. Peter Altmeyer

All authors of this article

Last updated on: 29.10.2020

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Synonym(s)

Fosfomycin trometamol

Definition
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Broad spectrum antibiotic with epoxy structure.

Half-life
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1,5–2,5 h

Pharmacodynamics (Effect)
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Irreversible inhibition of N-acetylglucosamine-3-0 enolpyruvyl transferase.

Spectrum of action
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Citrobacter spp., E. coli, H. influenzae, Klebsiella spp., Morganella morganii, Neisseria gonorrhoeae, Proteus mirabilis and vulgaris, Pseudomonas aeruginosa, Salmonella spp., Serratia spp., Shigella spp., Staphylococcus spp.

Indication
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Bone and soft tissue infections, urinary tract infections, burns, meningitis, cholecystitis, respiratory tract infections.

Pregnancy/nursing period
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Contraindicated in pregnancy and lactation.

Dosage and method of use
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  • 2-3 times/day 3-5 g i.v. or p.o.
  • Children: 100-300 mg/kg bw divided over 3 ED.
  • newborns: 100 mg/kg bw/day.

Undesirable effects
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Rare gastrointestinal disorders, exanthema, venous irritation, passagere transaminase elevation, headache, severe anaphylactic reactions.

Contraindication
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Children < 12 LJ, restriction of kidney function (creatinine clearance < 80 ml/min).

Preparations
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Infectofos, Monuril

Incoming links (2)

Aminoglycosides; Enterococci;

Outgoing links (1)

Antibiotics;

Authors

Last updated on: 29.10.2020