Antibiotic
Antibiotic
Antibiotic
(Part II)
Cephalosporin is obtained from
filamentous fungus, Cephalosporium
acremonium.
They are beta lactum antibiotics,
Cephalosporin structurally closed to penicillin.
MoA is same as pencillin
Cephalopsporin is classified as 1st, 2nd,
3rd, 4th and 5th generation
Classification of
cephalosporin
Hypersensitivity: skin rashes, urticarial
and rarely anaphylaxis
Gastrointestinal distrubances; diarrhoea,
vomting and anorexia
Adverse effects
Nephrotoxicity
Disulphiram like reaction
Pain after i.m. injection
RTI,UTI and soft tissue infection by gram
negative organism (cefuroxime,
ceftriaxone, cefotaxime)
Penicillinase producing staph. Infection
Surgical prophylaxis (1st generation)
Meningitis (cefotaxime, ceftriaxome)
Uses
Gonorrhoea (ceftriaxone, drugs of
choice)
Typhoid (ceftriaxone, cefperazone)
Hospital acquired infections (cefotaxime
or 4th generation)
Orally effective 1st generation
cephalosporin
One of the most commonly used
cephalosporin
Uses
cephalexin
RTI, UTI, skin and soft tissue infection,
ENT infection
Dose
250 mg 6-8 hourly
2nd generation cephalosporin
Orally active drug, almost identical to
cephalexin but less active against some
organisms.
Cefaclor Uses
RTI, UTI, soft tissue infection, otitis media
Dose
250mg, 6-12 hourly
3rd generation cephalosporin
Potent against gram negative as well as
Cefotaxime some gram positive organism.
Promient action for meningitis.
1. Sensitive gram positive and gram
negative bacterial infection
2. Meningitis
Uses 3. UTI
and 4. Surgical prophylaxis
dose
2gm i.m/i.v, 8-12 hourly
Child dose: 50 -100mg/kg/day
2nd generation
Highly active against ampicillin resistant
H. influenza, gram positive cocci and
certain anaerobes.
Cefuroxime
Uses
Meningitis
Bone and joint infection
RTI, UTI
0.75 – 1.5gm i.m. or i.v 8 hourly
Dose Child dose: 30 – 100 mg/kg/day