ํด๋ฆฌ๋ฏน์ B
**ํด๋ฆฌ๋ฏน์ B(Polymyxin B)**๋ ์ฃผ๋ก **๊ทธ๋ ์์ฑ๊ท **(ํนํ ๋ น๋๊ท )์ ํจ๊ณผ์ ์ธ ํด๋ฆฌํฉํ์ด๋๊ณ ํญ์์ ์ ๋๋ค. ๊ทธ๋ ์์ฑ๊ท ์ ์ผ๋ฐ์ ์ผ๋ก ๋ด์ฑ์ด ์์ต๋๋ค. > **์์ ๊ฒฝ๊ณ :** ์ ๋ ์ฑ์ด ๊ฐํด ์ ์ ํฌ์ฌ์ฉ์ผ๋ก๋ ๋๋ฌด ๋ ์ฑ์ด ๊ฐํ๋ฉฐ, ๊ตญ์, ์๊ณผ ๋ฐ ์ด๊ณผ์ฉ์ผ๋ก๋ง ์ ํ์ ์ผ๋ก ์ฌ์ฉ๋ฉ๋๋ค. ๊ฐ์ผ๊ธฐ์ฑ ํน์ฑ์ผ๋ก ์ธํด ์์ฅ๊ด์์ ํก์๋์ง ์์ต๋๋ค.
์์ฉ ๊ธฐ์ : Acts as a **cationic surface-acting agent** โ binds to the bacterial cell membrane โ causes concentration-dependent disruption of the outer membrane of Gram-negative bacteria โ leakage of intracellular contents and cell death.
๋๋ฌผ ์ข ๋ณ ์ฉ๋
- External pseudomonal infections (e.g., keratoconjunctivitis, otitis externa) ยท Apply topically as directed by specific product formulation ยท topical ยท As directed ยท Until clinical resolution ยท Do not use if tympanum is ruptured.
- External pseudomonal infections (e.g., keratoconjunctivitis, otitis externa) ยท Apply topically as directed by specific product formulation ยท topical ยท As directed ยท Until clinical resolution ยท Do not use if tympanum is ruptured.
์ฉ๋์ ๋ฉดํ ์์ ์ ๋ฌธ๊ฐ๋ฅผ ์ํ ์์ ์ฐธ๊ณ ์๋ฃ์ ๋๋ค. ํญ์ ์ต์ ๋ผ๋ฒจ๊ณผ ๊ฐ๋ณ ํ์์ ๋ํด ํ์ธํ์ญ์์ค.
ํฌ์ฌ ๊ฒฝ๋ก
๊ธ๊ธฐ
- Ruptured tympanic membrane (tympanum)
- Systemic administration
์ด์๋ฐ์
- Nephrotoxicity (if absorbed systemically)
- Ototoxicity (potential, especially if tympanic membrane is ruptured)
- Local irritation
์ฝ๋ฌผ ์ํธ์์ฉ
- Other antibacterial agents ยท Acts synergistically by disrupting the outer and cytoplasmic membranes, improving penetration of other agents into bacterial cells. ยท moderate
- Chlorhexidine ยท Cationic detergents potentiate the antibacterial effects of polymyxin B against Pseudomonas aeruginosa. ยท moderate
- EDTA ยท Chelating agents potentiate the antibacterial effects of polymyxin B against Pseudomonas aeruginosa. ยท moderate
๋ชจ๋ํฐ๋ง
- Resolution of clinical signs (ear, eye, or skin infection)
- Tympanic membrane integrity (must be verified before otic use)
๊ณผ์ฉ๋
Systemic absorption (e.g., from ingestion of large amounts or application to extensive deep wounds) can lead to severe **nephrotoxicity** and **neurotoxicity/ototoxicity**. Treatment is supportive.
VetSheet ์ฝ๋ฌผ ๋ ํผ๋ฐ์ค๋ ๋ฉดํ ์์ ์ ๋ฌธ๊ฐ๋ฅผ ์ํ ์์ ์์ฌ๊ฒฐ์ ๋ณด์กฐ ๋๊ตฌ์ด๋ฉฐ, ์ ๋ฌธ์ ํ๋จ์ด๋ ์ ์กฐ์ฌ์ ์ต์ ๋ผ๋ฒจ์ ๋์ ํ์ง ์์ต๋๋ค.