Ceftazidime: Difference between revisions

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(Replaced content with "{{Ceftazidime}} __NOTOC__ {{CMG}}")
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{{drugbox |
{{Ceftazidime}}
|width=300
__NOTOC__
|IUPAC_name = (6''R'',7''R'',''Z'')-7-(2-(2-aminothiazol-4-yl)-<br />2-(2-carboxypropan-2-yloxyimino)acetamido)-8-oxo-<br />3-(pyridinium-1-ylmethyl)-5-thia-1-aza-bicyclo[4.2.0]<br />oct-2-ene-2-carboxylate
{{CMG}}
|CAS_number = 72558-82-8
| ATC_prefix=J01
| ATC_suffix=DD02
| PubChem=91713
| DrugBank=APRD00857
|C = 22 |H = 22 |N = 6 |O = 7 |S = 2
|molecular_weight = 546.58 [[Gram|g]]/[[Mole (unit)|mol]]
|bioavailability = 91% ([[intramuscular injection|IM]])
|metabolism = negligible
|elimination_half-life = 1.6–2 hours
|excretion = 90–96% [[Kidney|renal]]
|pregnancy_AU = B1
|pregnancy_US = B
|legal_AU = S4
|routes_of_administration = [[Intravenous therapy|Intravenous]], intramuscular
}}
{{SI}}
 
 
==Overview==
'''Ceftazidime''' ([[International Nonproprietary Name|INN]]) ([[International Phonetic Alphabet|IPA]]: {{IPA|[kɛfˈtæzədim, sɛf-]}}) is a third-generation [[cephalosporin]] [[antibiotic]]. Like other third-generation cephalosporins, it has broad spectrum activity against [[Gram-positive]] and [[Gram-negative]] [[bacteria]]. Unlike most third-generation agents, it is active against ''[[Pseudomonas aeruginosa]]'', however it has weaker activity against Gram-positive microorganisms and is not used for such infections. '''Ceftazidime pentahydrate''' is marketed under various trade names including '''Fortum''' ([[GlaxoSmithKline|GSK]]).
 
==Clinical use==
{{main|Cephalosporin}}
 
Ceftazidime is usually reserved for the treatment of infections caused by ''Pseudomonas aeruginosa''. It is also used in the [[empirical]] therapy of [[febrile]] [[neutropenia]], in combination with other antibiotics. The usual dose is 1–2 g [[intravenous|IV]]/[[intramuscular|IM]] every 8–12 hours(2 - 3times), though this can vary by the indication, infection severity, and/or renal function of the recipient.
 
==Chemistry==
In addition to the ''syn''-configuration of the imino [[side chain]], compared to other third-generation cephalosporins, the more complex moiety (containing two [[methyl]] and a [[carboxylic acid]] group) confers extra stability to [[beta-lactamase|β-lactamase]] enzymes produced by many [[Gram-negative]] bacteria. The extra stability to β-lactamases increases the activity of ceftazidime against otherwise resistant Gram-negative organisms including ''Pseudomonas aeruginosa''. The charged [[pyridine|pyridinum]] moiety increases water-solubility.
 
==See also==
*[[Cephalosporin]]
 
{{CephalosporinAntiBiotics}}
 
[[Category:Cephalosporin antibiotics]]
 
[[fr:Ceftazidime]]
[[pl:Ceftazydym]]
[[pt:Ceftazidima]]
[[th:เซฟตาซิดิม]]
[[zh:頭孢他啶]]
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Revision as of 19:43, 26 December 2013