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Updated: Jul 3, 2026

Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
Cefpodoxime proxetil: a comprehensive review
1Upjohn Laboratories, The Upjohn Company, 7000 Portage Road, Kalamazoo, MI 49001, USA.
Abstract:
Cefpodoxime proxetil, a relatively new broad-spectrum third-generaation cephalosporin, has very good in vitro activity against Enterobacteriaceae, Hemophilus spp. and Moraxella spp., including beta-lactamase producers and many strains resistant to other oral agents. It also has activity against Gram-positive bacteria, especially against streptococci. Cefpodoxime has no activity against enterococci. It is well tolerated and is one of the first third-generation cephalosporins to be available in oral form. While the compound has been used most widely in the treatment of respiratory and urinary tract infections, its utility has also been demonstrated in the treatment of skin structure infections, acute otitis media, pharyngitis, tonsillitis, and sexually transmitted diseases.
Insights
Cefpodoxime proxetil is a well-tolerated oral antibiotic effective against many common bacterial infections, including respiratory and urinary tract infections. It shows broad-spectrum activity, particularly against Gram-negative and some Gram-positive bacteria.
Area of Science:
- Pharmacology and Microbiology
- Infectious Diseases
Background:
- Cefpodoxime proxetil is a third-generation cephalosporin antibiotic.
- It offers broad-spectrum in vitro activity against various bacterial pathogens.
Purpose of the Study:
- To evaluate the in vitro activity and clinical utility of cefpodoxime proxetil.
- To highlight its effectiveness in treating common infections.
Main Methods:
- In vitro susceptibility testing against key bacterial species.
- Review of clinical applications in treating infections.
Main Results:
- Demonstrated excellent in vitro activity against Enterobacteriaceae, Hemophilus spp., and Moraxella spp., including beta-lactamase producers.
- Showed good activity against streptococci but no activity against enterococci.
- Well-tolerated oral formulation with demonstrated utility in respiratory, urinary, skin, and other infections.
Conclusions:
- Cefpodoxime proxetil is a valuable oral therapeutic option for various bacterial infections.
- Its broad spectrum and good tolerability make it suitable for common clinical use.
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