Cephalosporins Flashcards
MoA
Interferes with bacterial cell wall synthesis
Similar spectrum of activity to penicillin’s
Broad spectrum
Bactericidal
Use
UTI (pregnancy or second line)
Sinusitis
Otitis media
1st generation - CEFA
Cefalexin
Cefradine
2nd generation
Cefuroxime
Cefaclor (protractd skin reactions, especially in children)
3rd generation (parenteral)
Cefixime (orally active)
Ceftriaxone (OD, meningitis)
Cefotaxime (meningitis)
5th generation (parenteral)
Ceftaroline
- CAP
- Complicated skin and soft tissue reactions
SE
Hypersensitivity
- Do not give in history of immediate penicillin hypersensitivity
- If no alternative and essential, give 3rd gen or cefuroxime
Abx associated colitis
- More common in 2nd and 3rd gen cephalosporins