Vancomycin is a branched tricyclic glycosylated nonribosomal peptide produced by the Actinobacteria species Amycolatopsis orientalis (formerly designated Nocardia orientalis).

Vancomycin exhibits atropisomerism - it has multiple chemically distinct rotamers owing to the rotational restriction of some of the bonds. The form present in the drug is the thermodynamically more stable conformer, so has more potent activity.      

Treatment of serious infections caused by susceptible organisms resistant to penicillins (Methicillin-resistant Staphylococcus aureus(MRSA) and multiresistant Staphylococcus epidermidis (MRSE)) or in individuals with serious allergy to penicillins.

Treatment of pseudomembranous colitis caused by Clostridium difficile; in particular, in cases of relapse or where the infection is unresponsive to metronidazole treatment (for this indication, vancomycin is given orally, rather than by its typical intravenous (IV) route).

For treatment of infections caused by gram-positive microorganisms in patients with serious allergies to beta-lactam antimicrobials.

Vancomycin is an antibiotic used to treat a number of bacterial infections.It is recommended intravenously as a first-line treatment for complicated skin infections,bloodstream infections, endocarditis, bone and joint infections, and meningitis caused bymethicillin-resistants. aureus. Blood levels may be measured to determine the correct dose.Vancomycin is also recommended by mouth as a treatment for severe Clostridium difficilecolitis. When taken by mouth it is very poorly absorbed.

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