Paper II
2013 September (Supplementary) (2010 Scheme) · 40 marks · 120 min

Question

Second generation cephalosporins and its uses.

Q43 marksShort Notes

Answer

Second-generation cephalosporins: Cefuroxime, Cefaclor, Cefoxitin

Properties

  • Increased activity against Gram-negative organisms compared to first-generation agents, with retained (though somewhat reduced) Gram-positive activity
  • Some (e.g., cefoxitin) have useful anaerobic cover

Uses

  • Respiratory tract infections (sinusitis, otitis media, community-acquired pneumonia)
  • Urinary tract infections
  • Surgical prophylaxis, particularly for abdominal/gynaecological surgery (cefoxitin, given anaerobic cover)
  • Mixed aerobic-anaerobic infections (cefoxitin)

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