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Gram-negative: Third-generation cephalosporins have a broad spectrum of activity and further increased activity against gram-negative organisms. They may be particularly useful in treating hospital-acquired infections , although increasing levels of extended-spectrum beta-lactamases are reducing the clinical utility of this class of antibiotics.
Cefadroxil is a first-generation cephalosporin antibacterial drug that is the para-hydroxy derivative of cephalexin, and is used similarly in the treatment of mild to moderate susceptible infections such as the bacterium Streptococcus pyogenes, causing the disease popularly called strep throat or streptococcal tonsillitis, urinary tract infection, reproductive tract infection, and skin infections.
Keflex: Cephalosporins (Second generation) Cefaclor: Distaclor, Ceclor, Raniclor: Less Gram-positive cover, improved Gram-negative cover. Gastrointestinal upset and diarrhea; Nausea (if alcohol taken concurrently) - if contains methylthiotetrazole side group; Hypoprothrombinemia - if contains methylthiotetrazole side group; Allergic reactions
The basic structure of first generation cephalosporins. First generation cephalosporins were the first cephalosporins on the market. They have good antimicrobial activity against gram-positive bacteria but limited activity against gram-negative species. [25] The chemical structures of the first generation cephalosporins are fairly simple.
Cephalosporins are a subclass of beta-lactam family with broad-spectrum activity against gram-positive and gram-negative bacteria. [12] They are categorized into five generations. [ 16 ] First and third-generation cephalosporins, like cefalexin and ceftriaxone, are more commonly used in clinical practice. [ 17 ]
The β-lactam core structures. (A) A penam.(B) A carbapenam.(C) An oxapenam.(D) A penem.(E) A carbapenem.(F) A monobactam.(G) A cephem.(H) A carbacephem.(I) An oxacephem. This is a list of common β-lactam antibiotics—both administered drugs and those not in clinical use—organized by structural class.
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Cefpodoxime is an oral, third-generation cephalosporin antibiotic available in various generic preparations. It is active against both Gram-positive and Gram-negative organisms with notable exceptions including Pseudomonas aeruginosa, Enterococcus, and Bacteroides fragilis.