tobramycin

Brand: Nebcin, TOBI

⚠ BBW TDM Required Prototype: gentamicin
Drug Class: aminoglycoside antibiotic
Drug Family: antibiotic
Subclass: anti-pseudomonal aminoglycoside
Organ Systems: infectious-diseaserespiratory

Mechanism of Action

Binds irreversibly to the 30S ribosomal subunit, causing misreading of mRNA and inhibiting translocation; bactericidal with concentration-dependent killing; particularly active against Pseudomonas aeruginosa.

30S ribosomal subunit

Indications

  • Pseudomonas aeruginosa infections (systemic)
  • gram-negative septicemia
  • urinary tract infections (serious)
  • cystic fibrosis — inhaled tobramycin for chronic Pseudomonas suppression

Contraindications

  • aminoglycoside hypersensitivity
  • pregnancy (teratogenic — auditory toxicity in fetus)

Adverse Effects

Common

  • nephrotoxicity (dose-related)
  • ototoxicity (cochlear > vestibular)
  • elevated BUN/creatinine

Serious

  • irreversible sensorineural hearing loss
  • acute tubular necrosis
  • neuromuscular blockade (especially with anesthetics)
  • auditory toxicity in fetus

Pharmacokinetics (ADME)

Absorption IV/IM systemic; inhaled for pulmonary delivery in CF (minimal systemic absorption from inhalation)
Distribution poor CNS penetration; distributes into extracellular fluids
Metabolism not metabolized
Excretion renal (unchanged); accumulates in renal cortex and inner ear
Half-life 2–3 hours (normal renal function); prolonged in CKD
Onset immediate (IV)
Peak 30 min post-infusion
Duration 8–24 hours depending on dosing strategy
Protein Binding <10%
Vd low (0.2–0.3 L/kg)

Drug Interactions

Drug / Agent Mechanism Severity
loop diuretics (furosemide) additive ototoxicity major
vancomycin additive nephrotoxicity major
neuromuscular blocking agents enhanced neuromuscular blockade major

Nursing Considerations

  1. Monitor serum tobramycin peaks (goal 5–10 mcg/mL traditional; 20–30 mcg/mL extended-interval) and troughs (<2 mcg/mL traditional; undetectable with extended-interval) before and after scheduled doses.
  2. Assess baseline and serial audiometric and renal function; hold dose and notify prescriber if SCr rises >25% from baseline.
  3. Extended-interval dosing (high-dose once-daily) is preferred in most patients to maximize peak-dependent killing and reduce nephrotoxicity.
  4. Inhaled tobramycin for CF: use the TOBI Podhaler or TOBI nebulizer on alternate months; teach proper inhalation technique and airway clearance before inhalation.

Clinical Pearls

  • Tobramycin has superior anti-pseudomonal activity compared to gentamicin, making it the preferred aminoglycoside for Pseudomonas aeruginosa infections, including in cystic fibrosis patients.
  • The outer hair cells of the cochlea accumulate aminoglycosides to concentrations far exceeding plasma; toxicity is irreversible once inner ear damage occurs, underscoring the need for monitoring.

Safety Profile

Pregnancy use-with-caution
Lactation use-with-caution
Renal Adjustment Required
Hepatic Adjustment Not required
TDM Required