@article{MAKHILLRJBS20072610456, title = {Macrolides Antibiotics in Odontostomatological Practice: Past, Present and Future}, journal = {Research Journal of Biological Sciences}, volume = {2}, number = {6}, pages = {643-649}, year = {2007}, issn = {1815-8846}, doi = {rjbsci.2007.643.649}, url = {https://makhillpublications.co/view-article.php?issn=1815-8846&doi=rjbsci.2007.643.649}, author = {G.A. Scardina,A. Ruggieri,F. Carini,V. Valenza and}, keywords = {Antibiotics,macrolides,efflux pumps,bacterial resistance,multidrug resistance,ketolides,telithromycin}, abstract = {Macrolides are considered the second choice in the odontostomatological practice especially in case of allergic reactions to the most important and well-known group of a-lactams. This group of antibiotics are more diffused in the daily practice of dentistry but during the time macrolides have shown a big potential in constant increasing. In this study, we report a review of the major features of these antibiotics which have become in the time farmacological choice effective and reliable versus bacterial infections supported by a-hemolytic streptococci, pneumococci, staphylococci, enterococci, mycoplasma, mycobacteria, some rickettsia and chlamydia. Furthermore, we refer about the recent researches that show the anti-inflammatory potentiality of the macrolides and the recent discoveries on the new pharmacological targets to exceed the problem of the bacterial resistance: the efflux pumps. Finally, we expose about a new class of antibiotic derived directly by the macrolides: Ketolides. They represent the future of the macrolides.} }