The teichomycin antibiotics have been discovered and chemically purifi
ed in the late 1970s. Teicoplanin, one of the major derivatives of thi
s group, has been introduced into clinical use in 1984. In Germany tei
coplanin was licensed in 1988 and now ranks among the antimicrobial ag
ents most frequently used in intensive care units. Due to its reduced
rate of side effects compared to vancomycin, its longer serum half-lif
e and a simplified mode of application, teicoplanin has become the gly
copeptide of choice in many hospitals. The present review summarizes i
n vitro activity data, pharmacokinetics, and clinical experience with
teicoplanin, with special consideration of currently recommended doses
and serum levels.