Cephlaspoins Flashcards
Contraindications
Enterococci
Listeria
Some resistance to Klebsiella and E. Coli
Name the 1st gen. Cephalosporins.
Cephalexin
Cefadroxil
Cefazolin
1st gen. Specificity
Gram+
(Staph, strep, pneumonia, P. Mirabillis)
Gram-
(E. Coli, Klebsiella pneumo, P. Mirabillis)
Some anaerobes
1st gen. indcations
GAS strep in PNC allergic
SSTI
UTI
Cephalexin
(AOM, prostatitis, bone infections)
Cefazolin
(Pre-open prophylaxis, endocarditis in PNC allergic, Septicemia)
1st gen. contraindications
Anaphylactic rxn to PNC or cephalosporins
Does not cover enterococcus
Orals don’t cover H. Flu
Cephalosporins AE’s
N/V/D DI hepatitis Pancytopenia Candidiasis C-diff.
Cephalosporins PK
Eliminated in urine (dose for renal insufficiency)
2nd gen. Cephalosporins
Cefuroxime (oral)
Cefotetan (IV)
2nd gen. Specificity
Extended gram - coverage
E. Coli and Klebsiella that don’t produce betalactamase.
Cefuroxime indications
Gonorrhea
Early Lime disease
UTI
Cefotetan Indications
UTI SSTI Gyn (no Chlamydia) Peritonitis Bone/joint Pre-op prophylaxis
2nd gen. contraindications
Enterococci
Pseudomonas
2nd gen. AE’s
Same as 1st gen.
3rd gen.
Cefdnir (Oral)
Cefixime (oral)
Ceftazidime (IV/IM)
Ceftriaxone (IV/IM)
Cefotaxime (IV/IM)
3rd gen. Specificity
Better gram- coverage than 2nd gen.
Some cross the BBB