Professional Documents
Culture Documents
5-Carbapenems and Monobactams - 090ct2012
5-Carbapenems and Monobactams - 090ct2012
5-Carbapenems and Monobactams - 090ct2012
Pharmacology L3 PHCL-L3-AntiMicro-
Carbapenems
Imipenem, Meropenem, and Ertapenem
Most broad spectrum of activity of all antimicrobials Have activity against gram-positive and gram-negative aerobes and anaerobes Bacteria not covered by carbapenems include MRSA, coagulase-negative staph, C. difficile, Nocardia
Monobactams
Spectrum of Activity
Aztreonam bind preferentially to PBP 3 of gram-negative aerobes; has little to no activity against gram-positives or anaerobes Gram-negative
E. coli, K. pneumoniae, P. mirabilis, H. influenzae, M. catarrhalis, Enterobacter, Citrobacter, Providencia, Salmonella, Shigella and Pseudomonas aeruginosa
3
Carbapenems
Clinical Uses
respiratory tract infections, septicemia, intraabdominal infections, skin and soft tissue infections, bone and joint infections (not ertapenem if Pseudo)
Monobactams
Clinical Uses
Urinary tract infections, respiratory tract infections, meningitis, bacteremia, skin and soft tissue infections, and intraabdominal infections caused by susceptible gram-negatives Penicillin-allergic patients who require antibiotic with gram-negative coverage