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Treatment of Tuberculosis (TB): Viomycin sulfate is an important second-line antibiotic used in the treatment of drug-resistant tuberculosis (DR-TB), particularly when first-line drugs such as isoniazid and rifampicin are ineffective due to resistance. It is often used in combination with other antibiotics to form a regimen tailored to the specific strain of TB causing the infection.
Bactericidal Activity: Viomycin sulfate exhibits bactericidal activity against Mycobacterium tuberculosis, the bacterium responsible for TB. It works by inhibiting protein synthesis in the bacteria, leading to their death.
Second-Line Treatment: Viomycin sulfate is considered a second-line treatment for TB because it is reserved for cases where first-line drugs have failed or when resistance to these drugs is suspected or confirmed. It is typically used in combination with other second-line drugs such as kanamycin, capreomycin, and fluoroquinolones.
Adverse Effects: Viomycin sulfate can cause various adverse effects, including nephrotoxicity (kidney damage), ototoxicity (hearing loss or ringing in the ears), and neuromuscular blockade (muscle weakness or paralysis). These side effects can be dose-dependent and may necessitate close monitoring of kidney function and hearing during treatment. Adjustments to the dosage may be required to minimize the risk of adverse effects while maintaining therapeutic efficacy.
Resistance Development: Prolonged or inappropriate use of viomycin sulfate, particularly as monotherapy, can contribute to the development of resistance in Mycobacterium tuberculosis strains, reducing the effectiveness of the drug in future treatments.
Dosage and Administration: Viomycin sulfate is typically administered intramuscularly or intravenously due to poor oral absorption. The dosage and duration of treatment depend on factors such as the severity of the infection, the patient's weight, kidney function, and the presence of other medical conditions. Treatment regimens are often individualized based on drug susceptibility testing and the patient's response to therapy.
Contraindications: Viomycin sulfate is contraindicated in individuals with a known hypersensitivity to viomycin or any of its components. It should be used with caution in patients with pre-existing kidney impairment or hearing loss.
Monitoring: Close monitoring of kidney function, hearing, and neuromuscular function is essential during viomycin sulfate therapy to detect and manage potential adverse effects promptly. Regular follow-up visits with healthcare providers are necessary to assess treatment response and adjust the regimen as needed.
We extend modifiers to include items that changes the parent and child taxa. I.e. for a species, that would be the genus that is belongs to and the strains in the species.
A higher number indicates impact on more bacteria associated with the condition and confidence on the impact.
We have X bacteria high and Y low reported. We find that the modifier reduces some and increases other of these two groups. We just tally: X|reduces + Y|Increase = Positive β X|increases + Y|decrease = Negative.
Benefit Ratio:
Numbers above 0 have increasing positive effect.
Numbers below 0 have increasing negative effect.