cephalosporins V2 Flashcards
1st gen ceph
(cefazolin and cephalexin) and activity against MSSA and strep so it can be used for MSSA or streptococci infections
2nd gen true ceph
are cefuroxime
- this have activity against MSSA and strep and increased gram negative activity like H flu and morexella. this is mainly to treat upper respiratory tract infections (CA)
2nd gen cephamycins
cefotetan and cefoxitin
- improved activity against gram negative and anaerobes, but less gram positive activity and used as prophylaxis for intra-abdominal infections
3rd gen ceph
(ceftriaxone and cefdinir) better gram negative and can treat gram positives of streptococci and common respiratory/enteric gram negative pathogens
- no enterococci, pseudomonas, and MSSA varies
- used for CA and HA infections liked CNS, PNA, UTIs, SSTI
4th gen ceph
(cefepime) this can treat gram negatives including pseudomonas and enterobactericiae
gram positives including MSSA and strep and AmpC producing strains
used for HA infections like PNA, UTI, wound infections
anti-MRSA cephalosporin
ceftaroline- good against gram positive (MRSA and MSSA not so much enterococci) and enteric/resp gram negative but not including pseudomonas
other cephalosporins
ceftazidime/avibactam can treat carbapanemase producing strains and ceftolozane/tazobactam can treat MDR pseudomonas(but not carbapanemase producing strains)
cefiderocol
active against MDR gram negative bacteria including carbapenemase producing strains