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What do 1st generation cephalosporins cover? Indications?

User Neatnick
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Final answer:

1st generation cephalosporins are antibiotics with low toxicity that inhibit bacterial cell wall synthesis. They cover a range of Gram-positive bacteria and some Gram-negative bacteria, being used for skin and soft tissue infections, urinary tract infections, and surgical prophylaxis. Although broader spectrum cephalosporins are available, first-generation agents remain an important part of antibiotic therapy.

Step-by-step explanation:

1st generation cephalosporins are a class of antibiotics that share a similar structure and mode of action with penicillin, targeting the bacterial cell wall synthesis, and thus have a bactericidal effect. First-generation cephalosporins are known for their efficacy against Gram-positive bacteria and a limited range of Gram-negative bacteria. They contain a ß-lactam ring, which is more resistant to ß-lactamase enzymes than the ß-lactam ring found in penicillins. This increased resistance makes them a valuable option for treating infections caused by organisms that produce ß-lactamase.

These antibiotics are commonly indicated for treating infections such as skin and soft tissue infections, urinary tract infections, and are also used as prophylaxis in surgical procedures to prevent bacterial infections. Their spectrum includes activity against pathogens like Staphylococcus aureus, Streptococcus pneumoniae, and Escherichia coli. However, they are not effective against methicillin-resistant Staphylococcus aureus (MRSA) or enterococci.

Some well-known first-generation cephalosporins include cephalexin and cefazolin. First-generation cephalosporins have historically been important for their low toxicity and broad-spectrum activity, although their spectrum is narrower than later generations of cephalosporins.

User Roxy
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