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Monobactam
• Monobactams are β-lactam
compounds wherein the β-lactam
ring is alone and not fused to
another ring, in contrast to most
other β-lactams.
• They are effective only against
aerobic Gram-negative bacteria.
• (e.g., Neisseria, Pseudomonas).
Other examples of monobactams are
•aztreonam.
•tigemonam,
•nocardicin A,
•and tabtoxin.
Aztreonam. (The four-membered ring at the bottom
is the β-lactam. There is a second thiazole ring, but it
is not fused to the β-lactam ring.)
Tigemonam
Adverse effects to monobactams
can include
• skin rash
• and occasional abnormal liver
functions.
• They have no cross-hypersensitivity
reactions with penicillin but like
penicillins can trigger seizures in
patients with history of seizures.

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Monobactams: Gram-Negative Antibiotics With Unique β-Lactam Ring Structure

  • 1. Monobactam • Monobactams are β-lactam compounds wherein the β-lactam ring is alone and not fused to another ring, in contrast to most other β-lactams. • They are effective only against aerobic Gram-negative bacteria. • (e.g., Neisseria, Pseudomonas).
  • 2. Other examples of monobactams are •aztreonam. •tigemonam, •nocardicin A, •and tabtoxin.
  • 3. Aztreonam. (The four-membered ring at the bottom is the β-lactam. There is a second thiazole ring, but it is not fused to the β-lactam ring.)
  • 5. Adverse effects to monobactams can include • skin rash • and occasional abnormal liver functions. • They have no cross-hypersensitivity reactions with penicillin but like penicillins can trigger seizures in patients with history of seizures.