Page 103 - MNU-PM502- Pharmaeutical Microbiology Theoritical Book
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Pharm D- Clinical Pharmacy Program        Third Level          Pharmaceutical Microbiology& Antimicrobials (PM 502)


                   Fifth generation

                   Extended spectrum
                   Have Anti-MRSA, enterococci activity
                                                                                           (Teflaro)
                                                       Ceftobiprole, Ceftaroline


                        Active against Pseudomonas                       No antipseudomonal activity
                                  aeruginosa.

                       •  active against anaerobic Gram-positive bacteria



                  Adverse effects of Cephalosporins


                      •  Rarely, cause immediate hypersensitivity reactions consisting of rash,
                         urticaria, or anaphylaxis.

                      •   approximately 5% to 10% of individuals allergic to penicillin will also
                         have a reaction to cephalosporins



                                                      3- Carbapenems



                   Imipenem, Meropenem, Doripenem, Ertapenem


                       ➢ Resistant to beta-lactamases
                       ➢ The last line of defense against many organisms that are resistant to other
                           antimicrobial agents.

                       ➢ Broad-spectrum: excellent activity against
                                                      ✓   aerobic Gram-positive
                                                      ✓  aerobic Gram-negative,

                                                      ✓   anaerobic bacteria.
                       ➢ NO ACTIVITY against MRSA





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