Polymyxin B was discovered in the 1940s. They are basic polypeptides of about eight amino acids and have cationic detergent action on cell membranes. Polymyxin B is used for infections with gram-negative organisms, but may be neurotoxic and nephrotoxic. All gram-positive bacteria, fungi, and the gram-negative cocci, are resistant. It is appropriate for treatment of infections of the urinary tract, meninges, and blood stream, caused by susceptible strains of Pseudomonas aeruginosa. Polymyxin B has a narrow therapeutic index and so its use is limited and unlikely to be used first line.
Polymyxin B is indicated for the treatment of infections of the urinary tract, meninges, and blood stream, caused by susceptible strains of Pseudomonas aeruginosa.
The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China
Ningbo Medical Center Lihuili Hospital, Ningbo, Zhejiang, China
The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China
Shin Kong Memorial Wu Ho-Su Hospital, Taipei, Taiwan
Shanghai 10th people's hospital, Shanghai, Shanghai, China
Trauma Hospital, San Juan, Puerto Rico
Siriraj hospital, Bangkok, Thailand
National University Hospital, Singapore, Singapore
Singapore General Hospital, Singapore, Singapore
Wake Forest University Health Sciences Dermatology, Winston-Salem, North Carolina, United States
University Health Network, Toronto, Ontario, Canada
Scarborough General Hospital, Toronto, Ontario, Canada
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