Pharmacology · single question

Clindamycin is effective against all of the following EXCEPT one. Which is the EXCEPTION?

  1. Staphylococcus aureus (MSSA)
  2. Streptococcus species
  3. Anaerobic bacteria (e.g., Bacteroides fragilis)
  4. Pseudomonas aeruginosa
Show answer and explanation

Correct answer: D. Pseudomonas aeruginosa

  • A. Clindamycin covers methicillin-sensitive Staphylococcus aureus (MSSA) and is used for skin/soft tissue infections.
  • B. Clindamycin is effective against Streptococcus species including Streptococcus pyogenes and Streptococcus viridans — key pathogens in dental infections.
  • C. Clindamycin is particularly useful for ANAEROBIC infections (periodontal abscesses, orofacial odontogenic infections) and is an alternative to amoxicillin for dental prophylaxis.
  • D. CORRECT. Clindamycin has NO activity against Pseudomonas aeruginosa (a gram-negative, aerobic organism with intrinsic resistance to clindamycin). Clindamycin's spectrum covers gram-positive organisms and anaerobes — not aerobic gram-negative bacilli like Pseudomonas.

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