Monobactam

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Aztreonam. (The square is the β-lactam. There is a second thiazole ring, but it is not fused to the β-lactam ring.)

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, which have at least two rings). They work only against Gram-negative bacteria.[citation needed]

The only commercially available monobactam antibiotic is aztreonam.

Other examples of monobactams are tigemonam,[1] nocardicin A, and tabtoxin.

Adverse effects to monobactams can include skin rash and occasional abnormal liver functions.

They have no cross-hypersensitivity reactions with penicillin.

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