Cephalosporins: Difference between revisions

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{{Navbox
==1st Generation==
| name  = Cell wall disruptive antibiotics
*Skin and soft tissue infections (why is agent of choice before generalized symptoms)
| title = [[Antibiotic|Antibacterials]]: [[cell envelope antibiotic]]s ([[ATC code J01#J01C|J01C]]-[[ATC code J01#J01D|J01D]])
*[[EBQ:Cephalosporin Cross-reactivity|Cross-reactivity of PCN]] allergy <10%
| state = {{{state|autocollapse}}}
|listclass = hlist
| groupstyle = background:PowderBlue;


|group1  = Intracellular
==2nd Generation==
|list1  =
*Intestinal [[anaerobes]] (why is agent of choice for colorectal sx)
* ''inhibit [[peptidoglycan]] subunit synthesis and transport: [[N-Acetylmuramic acid|NAM]] synthesis inhibition'' ([[Fosfomycin]])
*Largely displaced by 3rd gen agents
* ''[[D-alanine-D-alanine ligase|DADAL]]/[[alanine racemase|AR]] inhibitors'' ([[Cycloserine]])
* ''[[bactoprenol]] inhibitors'' ([[Bacitracin]])


| group2 = [[Glycopeptide antibiotic|Glycopeptide]]
==3rd Generation==
|  list2 =
*Drug of choice for serious infections due to:
* ''inhibit [[Peptidoglycan glycosyltransferase|PG]] chain elongation:'' [[Vancomycin]]<sup>#</sup> ([[Oritavancin]]
**[[Klebsiella]]
* [[Telavancin]])
**[[Enterobacter]]
* [[Teicoplanin]] ([[Dalbavancin]])
**Proteus
* [[Ramoplanin]]
**[[Haemophilus]]
*[[Gonorrhea]]
*[[Lyme Disease]]
*[[Meningitis]] (+ [[vanc]] and [[ampicillin]])
*[[Pseudomonas]] meningitis (+ AG)


==4th Generation==
*Resistant, nosocomial infections


|group3  = [[beta-lactam antibiotic|β-lactam]]s/<BR>(inhibit [[Penicillin binding proteins|PBP]]<BR>cross-links)
{{Clinically Utilized Antibiotics}}
|list3  = {{Navbox subgroup
| groupstyle = background:PowderBlue;


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


| group1 = [[Penicillin]]s<BR>([[penam]]s)
==References==
|  list1 = {{Navbox subgroup
<references/>
| groupstyle = background:PowderBlue;
Goodman & Gilman's Pharmacology


| group1 = [[Extended-spectrum penicillin|Extended sp.]]
[[Category:Pharmacology]]
| list1  =
[[Category:ID]]
* ''[[aminopenicillin]]s:'' [[Amoxicillin]]<sup>#</sup>
* [[Ampicillin]]<sup>#</sup> ([[Pivampicillin]]
* [[Hetacillin]]
* [[Bacampicillin]]
* [[Metampicillin]]
* [[Talampicillin]])
* [[Epicillin]]
 
*''[[carboxypenicillin]]s:'' [[Carbenicillin]] ([[Carindacillin]])
* [[Ticarcillin]]
* [[Temocillin]]
 
*''[[ureidopenicillin]]s:'' [[Azlocillin]]
* [[Piperacillin]]
* [[Mezlocillin]]
 
*''other:'' [[Mecillinam]] ([[Pivmecillinam]])
* [[Sulbenicillin]]
 
| group2 = [[List of β-lactam antibiotics#Narrow-spectrum|Narrow sp.]]
| list2  = {{Navbox subgroup
| groupstyle = background-color: PowderBlue
 
| group1 = [[List of β-lactam antibiotics#Narrow-spectrum|β-lactamase sensitive]]
| list1  =
* [[Benzylpenicillin|Benzylpenicillin (G)]]<sup>#</sup>: [[Clometocillin]]
* [[Benzathine benzylpenicillin]]<sup>#</sup>
* [[Procaine benzylpenicillin]]<sup>#</sup>
* [[Azidocillin]]
* [[Penamecillin]] <BR>
 
* [[Phenoxymethylpenicillin|Phenoxymethylpenicillin (V)]]<sup>#</sup>: [[Propicillin]]
* [[Benzathine phenoxymethylpenicillin]]
* [[Pheneticillin]]
 
|group2  = [[List_of_β-lactam_antibiotics#.CE.B2-Lactamase-resistant|β-lactamase resistant]]
|list2  =
* [[Cloxacillin]]<sup>#</sup> ([[Dicloxacillin]]
* [[Flucloxacillin]])
* [[Oxacillin]]
* [[Meticillin]]
* [[Nafcillin]]
 
}}
 
}}
  | groupstyle = background-color: PowderBlue
| group2 = [[Penem]]s
|  list2 =
* [[Faropenem]]
 
| group3 = [[Carbapenem]]s
|  list3 =
* [[Biapenem]]
* [[Ertapenem]]
* ''[[antipseudomonal]]'' ([[Doripenem]]
* [[Imipenem]]
* [[Meropenem]])
* [[Panipenem]]
  | groupstyle = background-color: PowderBlue
 
| group4= [[Cephalosporin]]s/[[Cephamycin]]s<BR>([[cephem]]s)
| list4= {{Navbox subgroup
  | groupstyle = background-color: PowderBlue
 
  | group1 = [[Cephalosporin#First_generation|1st]] ([[Proteus mirabilis|P]][[Escherichia coli|Ec]][[Klebsiella pneumoniae|K]])
  |  list1 =
* [[Cefazolin]]<sup>#</sup>
* [[Cefacetrile]]
* [[Cefadroxil]]
* [[Cephalexin]]
* [[Cefaloglycin]]
* [[Cefalonium]]
* [[Cefaloridine]]
* [[Cefalotin]]
* [[Cefapirin]]
* [[Cefatrizine]]
* [[Cefazedone]]
* [[Cefazaflur]]
* [[Cefradine]]
* [[Cefroxadine]]
* [[Ceftezole]]
 
  | group2= [[Cephalosporin#Second_generation|2nd]] ([[Haemophilus influenzae|H]][[Enterobacter aerogenes|E]][[Neisseria|N]])
  | list2=
* [[Cefaclor]]
* [[Cefamandole]]
* [[Cefminox]]
* [[Cefonicid]]
* [[Ceforanide]]
* [[Cefotiam]]
* [[Cefprozil]]
* [[Cefbuperazone]]
* [[Cefuroxime]]
* [[Cefuzonam]]
* ''[[cephamycin]]'' ([[Cefoxitin]]
* [[Cefotetan]]
* [[Cefmetazole]])
* ''[[carbacephem]]'' ([[Loracarbef]])
 
  | group3= [[Cephalosporin#Third_generation|3rd]]
  | list3=
* [[Cefixime]]<sup>#</sup>
* [[Ceftriaxone]]<sup>#</sup>
* ''[[antipseudomonal]]'' ([[Ceftazidime]]<sup>#</sup>
* [[Cefoperazone]])
* [[Cefcapene]]
* [[Cefdaloxime]]
* [[Cefdinir]]
* [[Cefditoren]]
* [[Cefetamet]]
* [[Cefmenoxime]]
* [[Cefodizime]]
* [[Cefotaxime]]
* [[Cefpimizole]]
* [[Cefpiramide]]
* [[Cefpodoxime]]
* [[Cefsulodin]]
* [[Cefteram]]
* [[Ceftibuten]]
* [[Ceftiolene]]
* [[Ceftizoxime]]
* ''[[oxacephem]]'' ([[Flomoxef]]
* [[Latamoxef]]&nbsp;<sup>‡</sup>)
 
  | group4= [[Cephalosporin#Fourth_generation|4th]] ([[antipseudomonal|antips-]])
  | list4=
* [[Cefepime]]
* [[Cefozopran]]
* [[Cefpirome]]
* [[Cefquinome]]
 
  | group5= [[Cephalosporin#Fifth_generation|5th]]
  | list5=
* [[Ceftobiprole]]
* [[Ceftaroline fosamil]]
 
}}
 
| group5 = [[Monobactams]]
|  list5 =
* [[Aztreonam]]
* [[Tigemonam]]
* [[Carumonam]]
* [[Nocardicin A]]
 
| group6 = [[Beta-lactamase inhibitor|β-lactamase inh.]]
|  list6 =
* ''[[penam]]'' ([[Sulbactam]]
* [[Tazobactam]])
* ''[[clavam]]'' ([[Clavulanic acid]])
 
| group7 = Combinations
|  list7 =
* [[Amoxicillin/clavulanic acid]]<sup>#</sup>
* [[Imipenem/cilastatin]]<sup>#</sup>
* [[Ampicillin/flucloxacillin]]
* [[Ampicillin/sulbactam]] ([[Sultamicillin]])
* [[Piperacillin/tazobactam]]
 
 
}}
 
| group8 = Other
|  list8 =
* ''[[polymyxin]]s/[[detergent]]'' ([[Colistin]]
* [[Polymyxin B]])
* ''[[depolarizing]]'' ([[Daptomycin]])
* ''hydrolyze NAM-NAG'' ([[Lysozyme]])
* [[Gramicidin]]
* [[Isoniazid]]
 
| belowstyle = background: transparent; padding: 0px;
| below = {{PharmNavFootnote}}{{Bacteria navs}}
 
}}<noinclude>
{{collapsible option}}
 
 
</noinclude>

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