Cephalosporins: Difference between revisions

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*'''1st Gen [[Cephalosporins]]'''
==1st Generation==
** Cefazolin, [[Cephalexin]]
* Cefazolin, [[Cephalexin]]
*** Skin and soft tissue infections (why is agent of choice before gen sx)
** Skin and soft tissue infections (why is agent of choice before gen sx)
** [[Ceftriaxone_Cross-reactivity|Cross-reactivity of PCN]] allergy <10%
* [[Ceftriaxone_Cross-reactivity|Cross-reactivity of PCN]] allergy <10%
*'''2nd Gen Cephalosporins'''
==2nd Generation==
** Cefuroxime
* Cefuroxime
*** Intestinal anaerobes (why is agent of chioce for colorectal sx)
** Intestinal anaerobes (why is agent of choice for colorectal sx)
*** Largely displaced by 3rd gen agents
** Largely displaced by 3rd gen agents
*'''3rd Gen Cephalosporins'''
==3rd Generation==
** Ceftriaxone, Ceftazidime, Cefixime
*[[Ceftriaxone]], Ceftazidime, Cefixime
*** Drug of choice for serious infections due to:
** Drug of choice for serious infections due to:
**** Klebsiella
*** Klebsiella
**** Enterobacter
*** Enterobacter
**** Proteus
*** Proteus
**** Haemophilus
*** Haemophilus
*** Gonorrhea
** [[Gonorrhea]]
*** Lyme disease
** [[Lyme Disease]]
*** Meningitis (+ vanc and ampicillin)
** [[Meningitis]] (+ vanc and ampicillin)
*** Pseudomonas meningitis (+ AG)
** Pseudomonas meningitis (+ AG)
*'''4th Gen Cephalosporins'''
==4th Generation==
** Cefepime
* Cefepime
*** Resistant, nosocomial infections
** Resistant, nosocomial infections
 
* 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}}
{{Template:Clinically Utilized Antibiotics}}

Revision as of 04:06, 20 February 2014

1st Generation

2nd Generation

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

3rd Generation

  • 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 Generation

  • Cefepime
    • Resistant, nosocomial infections

See Also

Source

Goodman & Gilman's Pharmacology