Clindamycin
General Spectrum of Activity

General Spectrum of Activity

Increased resistance to gram positives and anaerobes, avoid empirically first line

Gram positive

  • Arcanobacter sp.
  • C. diphtheriae
  • coag-negative Staphylococcus
  • MSSA
  • Susceptible MRSA (CA-MRSA usually covered)
  • Staph. epidermidis, lugdunensis, saprophyticus & anginosus group
  • Group A,B,C, F,G Streptococci (but increasing resistance)
  • Strep. pneumoniae

Gram negatives

  • Essentially no aerobic gram negative coverage
  • Capnocytophaga

Anaerobes

  • Actinomyces sp.
  • Increasing resistance in Bacteroides fragilis
  • Clostridium sp. (non-difficile)
  • F. necrophorum
  • P. melaninogenica
  • Peptostreptococci
  • Covers many oral anaerobes

Other

  • Pneumocyctis jiroveci
  • Malaria
  • Toxoplasma

Does not cover

  • Almost all aerobic gram negatives
  • Enterococci