Dosing
CrCl Formula
CrCl > 80: 500 mg - 2 gm iv q 8 - 12 h.
CrCl 80-50: 500 mg - 2 gm iv q 8 - 12 h.
CrCl 50-10: 500 mg - 2 gm iv q 12 -24 h.
CrCl < 10: 500 mg - 2 gm iv q 24 h.
Hemodialysis: 500 mg - 2 gm after dialysis.
Peritoneal dialysis:
Important side effects
Important drug interactions
Rants and Screeds
Pearls
Although considered equal to ceftriaxone, resistance may be worse for this antibiotic (PubMed).
Treatment of choice
Use for
Anything you would use a third-generation cephalosporin for. Most streptococci and the Enterobacteriaceae.
Abdominal hysterectomy, Arthritis, Brain abscess, Cellulitis, Endocarditis, Endometritis, Flavobacterium infections, Gonorrhea, Intraabdominal infections, Lyme Disease, Meningitis, Osteomyelitis, PID, Peritonitis, Pneumonia, Salmonella infections, Sepsis, surgical prophylaxis, UTI, ventriculitis.
Don't use for
Pseudomonas and its ilk. S. aureus. Enterococcus.
Class
Third-generation cephalosporin.
Last Update: 08/05/19.