Cephalosporins: Difference between revisions

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*'''1st Gen [[Cephalosporins]]'''
==1st Generation==
** Cefazolin, [[Cephalexin]]
*Skin and soft tissue infections (why is agent of choice before generalized symptoms)
*** Skin and soft tissue infections (why is agent of choice before gen sx)
*[[EBQ:Cephalosporin Cross-reactivity|Cross-reactivity of PCN]] allergy <10%
** [[Ceftriaxone_Cross-reactivity|Cross-reactivity of PCN]] allergy <10%
*'''2nd Gen Cephalosporins'''
** Cefuroxime
*** Intestinal anaerobes (why is agent of chioce for colorectal sx)
*** Largely displaced by 3rd gen agents
*'''3rd Gen Cephalosporins'''
** Ceftriaxone, Ceftazidime, Cefixime
*** Drug of choice for serious infections due to:
**** Klebsiella
**** Enterobacter
**** Proteus
**** Haemophilus
*** Gonorrhea
*** Lyme disease
*** Meningitis (+ vanc and ampicillin)
*** Pseudomonas meningitis (+ AG)
*'''4th Gen Cephalosporins'''
** Cefepime
*** Resistant, nosocomial infections
* Carbapenems
** Imipenem (+ cilastatin), meropenem
*** Cephalosporin-resistant nosocomial bacteria
*** Empirical treatment of serious infections in patients who recently received other b-lactams
* Aztreonam
** Antimicrobial activity more closely resembles AG's (only active against gram -)
*** Enterobacter, pseudomonas, H. influenzae, gonococci
*** Little allergic cross-reactivity with B-lactam antibiotics


{{Template:Clinically Utilized Antibiotics}}
==2nd Generation==
*Intestinal [[anaerobes]] (why is agent of choice for colorectal sx)
*Largely displaced by 3rd gen agents
 
==3rd Generation==
*Drug of choice for serious infections due to:
**[[Klebsiella]]
**[[Enterobacter]]
**Proteus
**[[Haemophilus]]
*[[Gonorrhea]]
*[[Lyme Disease]]
*[[Meningitis]] (+ [[vanc]] and [[ampicillin]])
*[[Pseudomonas]] meningitis (+ AG)
 
==4th Generation==
*Resistant, nosocomial infections
 
{{Clinically Utilized Antibiotics}}


==See Also==
==See Also==
*[[Antibiotics (Main)]]
*[[Antibiotics (Main)]]
*[[Cephalosporin Cross-reactivity]]


==Source==
==References==
<references/>
Goodman & Gilman's Pharmacology
Goodman & Gilman's Pharmacology


[[Category:Drugs]]
[[Category:Pharmacology]]
[[Category:ID]]
[[Category:ID]]

Latest revision as of 01:29, 21 February 2021

1st Generation

  • Skin and soft tissue infections (why is agent of choice before generalized symptoms)
  • Cross-reactivity of PCN allergy <10%

2nd Generation

  • Intestinal anaerobes (why is agent of choice for colorectal sx)
  • Largely displaced by 3rd gen agents

3rd Generation

4th Generation

  • Resistant, nosocomial infections

See Also

References

Goodman & Gilman's Pharmacology