Cephalosporins Flashcards
MOA
inhibits bacteria cell wall synthesis
Spectrum
Staph, Strep, pneumococcus, E. coli, K. pneumo, P. mirabilis
1st generation
cephalexin, cefazoline, cefadroxil
1st generation indications
GAS pharyngitis, impetigo, SSTI, UTI
1st generation contraindications
PCN allergy
1st generations ADR
NVD, pancytopenia, hepatitis, CDAD
2nd generation
cefaclor, cefprozil, cefuroxime, ceftetan, cefoxitin, ceforoxime
2 Spectrum
extended gram -
2 indications
GAS pharyngitis, AOM, acute sinusitis, bronchitis, SSTI, UTI, early lyme, preop prophylaxis, bone/joint
3rd generation
cefixime, ceftibuten, cefpodoxime, cefditoren, ceftazidime, ceftriaxone, cefotaxime
3 spectrum
better gram -, some cross BBB, some active against pseudomonas
3 ADR
can be seizures
4th generation
cefepime
4 spectrum
broad-pseudomonas, strep, enterobacter
4th indications
pneumonia, febrile neutropenia, UTI, SSTI, peritonitis