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cephalosporin Gens
Quick cephalosporin classification quiz
Question | Answer |
---|---|
What generation Cephalosporin is Cefepime? | 4th Generation |
What generation Cephalosporin is Cefazolin? | 1st generation |
What generation Cephalosporin is Cefotaxime? | 3rd generation |
What generation is Cephalosporin Cefuroxime? | 2nd generation |
What generation is Cephalosporin Cefotetan? | 2nd generation |
What generation Cephalosporin is Ceftriaxone? | 3rd generation |
What generation Cephalosporin is Cephalexin? | 1st Generation |
What generation Cephalosporin is Cefoxitin? | 2nd Generation |
What generation Cephalosporin is Ceftazidime? | 3rd Generation |
What generation Cephalosporin is Cefoperazone? | 3rd Generation |
What organisms are not covered by cephalosporin tx | Listeria, Atypical bacteria, MRSA, enterococci (mnemonic = LAME) |
DOC for surgical prophylaxis? | Cefazolin |
What bacteria are indicated for tx with 1st generation cephalosporins? | Highly active against gram +, weak againt gram - except for Proteus mirabilis, E. coli, Klebsiella. (PEcK) |
Indications for 2nd generations cephalosporins? | Same as 1st generation plus hemophilus inluenzae and N. meningitidus. MIXED ANAEROBIC INFXON SUCH AS PERITONITIS |
What Cephalosporin is RX for peritonitus? | Cefoxitin and Cefotetan |
Indications for 3rd generation cephalosporins? | Wide variety of serious infxons caused by organisms resistant to other drugs. Ceftazidime for pseudomonas and ceftriaxone for gonorrhea. Crosses BBB And resistant to most Beta lactimases |
Spectrum / indications for 4th generation cephalosporines? | Combines G(+) activity of first generation with wider G(-) spectrum of 3rd generation. Increased resistance to beta-lactimases |
Cephalosporine of choice for pseudomonal infxon? | Ceftazadime or Cefepime |
Cephalosporine of choice for Gonorrhea? | Ceftriaxone (IM) or Cefixime |
Cephalosporine of choice for bacterial meningitis (pneumococci, meningococci, H influenzae and susceptible G(-) rods? | Ceftriaxone or Cefotaxime |
Cephalosporine of choice for typhoid fever? | Ceftriaxone |
Cephalosporine of choice for acute otitis media? | Ceftriaxone |
Cephalosporine of choice for Anaerobic infxons (GI, PID, etc)? | Cefoxitin, Cefotetan (against B. fragilis) |
What cephalosporins cause a disulfiram-like rxn? | Cfoperazone, cefamandole, and cefotetan... inhibits aldehyde dehydrogenase due to MTT ring. |
What cephalosporin causes neutropenia? | Ceftazidime |