Table 1.
Active Ingredient | Origin | Target Organism | Class | Mechanism of Action | Indication | Dosage | Route of Administration | Ref |
---|---|---|---|---|---|---|---|---|
Bacitracin | Bacteria (Bacillus subtilis) |
Gram-positive bacteria | Cyclic peptide | Inhibits cell wall synthesis | Skin infections | 500 units/g 500 units/g 5000 units/vial |
Topical Ophthalmic Intramuscular |
[74] |
Dalbavancin | Teicoplanin derivative | Gram-positive bacteria | Lipoglycopeptide | Inhibits cell wall synthesis | Skin infections | 1000 mg/vial | Intravenous | [75,76] |
Daptomycin | Bacteria (Streptomyces roseosporus) |
Gram-positive bacteria | Lipopeptide | Membrane lysis | Skin infections | 500 mg/vial | Intravenous | [77] |
Colistin | Bacteria (Bacillus polymyxa) |
Gram-negative bacteria | Cyclic peptide | Membrane lysis | Multi drug-resistant gram-negative infections | 150 mg/vial | Intravenous | [78,79] |
Gramicidin D | Bacteria (Bacillus brevis) |
Gram-positive bacteria, some gram-negative bacteria |
Mix of three polypeptides | Membrane poration/lysis | Skin and eye infection | 0.25 mg/mL 0.025 mg/mL |
Topical Ophthalmic |
[80] |
Oritavancin | Vancomycin derivative | Gram-positive bacteria | Lipoglycopeptide | Membrane lysis and inhibits cell wall synthesis | Skin infections | 800 mg/vial | Intravenous | [81] |
Polymyxin B | Bacteria (Bacillus polymyxa) |
Gram-negative bacteria | Polypeptide | Membrane lysis | Urinary tract and bloodstream infections | 10,000 units/g 10,000 units/g 500,000 units/vial |
Ophthalmic Topical Intravenous |
[82] |
Teicoplanin | Bacteria (Actinoplanes teichomyceticus) | Gram-positive bacteria | Glycopeptide | Inhibits cell wall synthesis | Serious gram-positive infections | 400 mg/vial 400 mg/vial |
Intramuscular Intravenous |
[83] |
Telavancin | Vancomycin derivative | Gram-positive bacteria | Lipoglycopeptide | Membrane lysis and inhibits cell wall synthesis | Skin infections | 750 mg/vial | Intravenous | [84] |
Vancomycin | Bacteria (Amycolatopsis orientalis) | Gram-positive bacteria | Glycopeptide | Inhibits cell wall synthesis | Serious gram-positive infections | 250 mg 10 g/vial |
Oral Intravenous |
[85] |