Beta Lactams: Cephalosporins Flashcards
cephalosporins general
bactericidal, resist beta lactamases, less allergies
which cephalosporins work against enterococci?
NONE
first generation drugs
cefazolin/ cephalexin
first gen bugs
gram +: MSSA Gram - (E/K/P)
“oxacillin twin”
first get clinical uses
MSSA bacteremia, skin/soft tissue
second gen drugs
cefuroxime and cefoxitin
cefuroxime bugs
Gram +, hflu with betalactamase, gram -: E,K,P
Cefoxitin bugs
less gram -, bacterodis fragilis
cefuroxime clinical
above diaphragm
cefoxitin clinical
below diaphragm
Third gen drugs
Ceftrioxone, Ceftazimide
Ceftrioxone bugs
strep, gram -, some anaerobes
Ceftrioxone clinical
community pneumonia meningitis
Ceftrioxone adverse
biliary obstruction
Ceftazimide bugs
ONLY GRAM NEG- PSEUDOMONAS
Ceftazimide clinical
nonsocomial CNS/meningitis
fourth gen drug
cefepime
ceftaroline resistance
bind PB2a
cefepime drugs
Broad +/-, no anaerobic, PSEUDOMONAS
cefepime clinical
nosocomial infections
cefepime adverse
renal neurotoxin
fifth gen drug
ceftaroline
ceftaroline bus
gram +, MRSA!!, oral anaerobes
ceftaroline adverse
hemolytic anemia
which cephalosporins work on MRSA?
CEFTAROLINE
which cephalosporins work on pseudomonas?
Cefepime/ceftaroline (4/5th gen)