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BIMM118<br />

Antibiotics - Cell wall synthesis inhibitors<br />

Cephalosporines<br />

Derived from Cephalosporium sp. (same antibiotic mechanism as penicillins)<br />

Cross-allergies with penicillins are common<br />

Some CSs antagonize Vitamin K => bleeding<br />

Some CSs block alcohol oxidation => disulfiram effect<br />

Classified into generations:<br />

• 1-4<br />

• Increasing activity against gram-negative bacterial and anaerobes<br />

• Increasing resistance to destruction by beta-lactamases<br />

• Increasing ability to reach cerebrospinal fluid

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