Cephalosporins Flashcards
Cephalosporins
- Main mechanism same as PCNs
* Resistant to many PCNases (β-lactamases)
1st Gen Cephalosporins (3)
• Resist Staph PCNase • Good against G+ and G- (PEcK) 1. Cefazolin 2. Cephalexin 3. Cefadroxil
2nd Gen Cephalosporins
• Less G+ and more G- (HNPEcK)
PEcK
Proteus mirabilis, E. Coli, Klebsiella pneumoniae
HNPEcK
H. influenza, Neisseria, Proteus mirabilis, E. Coli, Klebsiella pneumoniae
Cefaclor
- 2nd Gen Cephalosporin
* Associated w/sx of serum sickness (arthralgias, urticaria, glomerulonephritis)
Cefuroxime
- 2nd Gen Cephalosporin
* Ever 12 hours - good for compliance
Cefoxitin
- 2nd Gen Cephalosporin
* Active vs Bacteriodes fragilis
Cefotetan
- 2nd Gen Cephalosporin
* Caution: side chain antagonizes vitamin K → hypoprothrombinemia; must supplement w/Vitamin K
3rd Gen Cephalosporins
• Much less G+ but much more G-
Ceftriaxone
- 3rd Gen Cephalosporin
- Good activity vs meningitis
- DO NOT USE < 3 months (→kernicterus) unless as a single dose for gonorrhoeae conjunctivitis
- DO NOT USE w/Ca containing products < 28 days old (→ppt in lungs & kidney)
- Can cause sludge (nausea, anorexia, epigastric distress, colic)
Cefdinir
- 3rd Gen Cephalosporin
* Can bind iron (decreases absorption and reddens feces in infants on high Fe formula)
Other 3rd Gen Cephalosporins (2)
- Cefotaxime
2. Cefpodoxime
Ceftazidime
- 3rd Gen Cephalosporin
* Neurologic side effects
Cefepime
- 4th Gen Cephalosporin
- For G- rods resistant to 3rd gen
- Neurological side effects
- Mostly renal excretion