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ANTIBIOTIC CLASS BY COVERAGE 2.

Clindamycin
3. Broad spectrum penicillins
Gram positive coverage: 4. Quinolones (Gatifloxacin, Moxifloxacin)
1. Penicillins (ampicillin, amoxicillin) penicillinase 5. Carbapenems
resistant (Dicloxacillin, Oxacillin) 6. Chloramphenicol
2. Cephalosporins (1st and 2nd generation)
3. Macrolides (Erythromycin, Clarithromycin, Atypical coverage:
Azithromycin) 1. Macrolides (Legionella, Mycoplasma,
4. Quinolones (Gatifloxacin, Moxifloxacin, and less Chlamydia)
so Levofloxacin) 2. Tetracyclines (Rickettsia, Chlamydia)
5. Vancomycin (MRSA) 3. Quinolones (Legionella, Mycoplasma,
6. Sulfonamide/Trimethoprim (increasing resistance Chlamydia)
limits use, very expensive) 4. Chloramphenicol (Rickettsia, Chlamydia,
7. Clindamycin Mycoplasma)
8. Tetracyclines 5. Ampicillin (Listeria)
9. Chloramphenicol (causes aplastic anemia so Deciphering Cephalosporins:
rarely used) 4 generations based on coverage with improving
10. Other: Linezolid, Synercid (VRE) gram negative coverage as generation number
increases. (Learn only one oral and one IV drug
Gram negative coverage: per generation; 4th generation only IV)
1. Broad spectrum penicillins (Ticarcillin-
clavulanate, piperacillin-tazobactam) 1st generation (Cefazolin and Cephalexin):
2. Cephalosporins (2nd, 3rd, and 4th generation) good gram positive coverage, inexpensive,
3. Aminoglycosides (renal and ototoxicity) and used primarily to treat skin and soft
4. Macrolides (Azithromycin) tissue infections.
5. Quinolones (Ciprofloxacin)
6. Monobactams (Azetreonam) 2nd generation (Cefuroxime): some gram
7. Sulfonamide/Trimethoprim positive and gram negative coverage,
8. Carbapenems (Imipenem) expensive, and rarely used as 1st line
9. Chloramphenicol therapy except sometimes for PID.

Pseudomonas coverage: 3rd generation (Ceftriaxone): good gram


1. Ciprofloxacin negative coverage except pseudomonas,
2. Aminoglycosides long half-life (q24 hr dosing), crosses blood-
3. Some 3rd generation cephalosporins brain barrier, biliary and renal clearance.
4. 4th generation cephalosporins
5. Broad spectrum penicillins 4th generation (Cefipime): good gram
6. Carbapenems positive (except MRSA) and gram negative
coverage, including pseudomonas, crosses
Anaerobic coverage: blood-brain barrier, good for nosocomial
1. Metronidazole infections.

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