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. 2021 Apr 7;10(4):401. doi: 10.3390/antibiotics10040401

Table 3.

The effects of different antibiotics on gut microbiota.

Antibiotic Representative Effects on Intestinal Microbiota Ref.
Clindamycin ↓ Bacteroides diversity [184]
↓ Gram-positive aerobic and anaerobic bacteria [185]
Clarithromycin Actinobacteria [186,187]
Firmicutes
Proteobacteria
Bacteroidetes
[187]
Erythromycin Actinobacteria
Firmicutes
Proteobacteria
[188]
Penicillin
Ampicillin
Actinobacteria
Firmicutes
Proteobacteria
[188,189]
Bacteroidetes [189]
Cephalosporins Firmicutes
Bacteroidetes
Proteobacteria
[189]
Fluoroquinolones
Ciprofloxacin, Levofloxacin
Proteobacteria
Bacteroidetes
[189]
↓Gram-negative
facultative anaerobes
↓Gram-positive anaerobes
Bifidobacteria
[190]
Vancomycin ↓Total bacterial diversity
Firmicutes
Bacteroidetes
[191,192]
Proteobacteria [192]
Bacitracin Firmicutes
Bacteroidetes
↓Total bacterial diversity
[191]
Nitrofurantoin Actinobacteria
Bifidobacteria
Fecalibacterium genus
[193,194]
Rifaximin ↑ Bacterial diversity
Firmicutes/Bacteroidetes ratio
[195]
↑ abundance of Lactobacilli [196]

Note: The meaning of the symbols: ↑—stimulation of bacterial culture; —inhibition of bacterial culture.