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Namespace Prefixes

PrefixIRI
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Statements

Subject Item
n2:DB01413
rdf:type
n3:Drug
n3:description
Cefepime is a fourth-generation cephalosporin antibiotic developed in 1994. Cefepime has an extended spectrum of activity against Gram-positive and Gram-negative bacteria, with greater activity against both Gram-negative and Gram-positive organisms than third-generation agents. Cefepime is usually reserved to treat severe nosocomial pneumonia, infections caused by multi-resistant microorganisms (e.g. Pseudomonas aeruginosa) and empirical treatment of febrile neutropenia.
n3:dosage
n28:271B47E9-363D-11E5-9242-09173F13E4C5 n28:271B47EA-363D-11E5-9242-09173F13E4C5 n28:271B47E5-363D-11E5-9242-09173F13E4C5 n28:271B47E6-363D-11E5-9242-09173F13E4C5 n28:271B47E7-363D-11E5-9242-09173F13E4C5 n28:271B47E8-363D-11E5-9242-09173F13E4C5 n28:271B47E1-363D-11E5-9242-09173F13E4C5 n28:271B47E2-363D-11E5-9242-09173F13E4C5 n28:271B47E3-363D-11E5-9242-09173F13E4C5 n28:271B47E4-363D-11E5-9242-09173F13E4C5
n3:generalReferences
# Chapman TM, Perry CM: Cefepime: a review of its use in the management of hospitalized patients with pneumonia. Am J Respir Med. 2003;2(1):75-107. "Pubmed":http://www.ncbi.nlm.nih.gov/pubmed/14720024
n3:group
approved
n3:halfLife
2.0 (± 0.3) hours in normal patients. The average half-life in patients requiring hemodialysis was 13.5 (± 2.7) hours and in patients requiring continuous peritoneal dialysis was 19.0 (± 2.0) hours.
n3:indication
For the treatment of pneumonia (moderate to severe) caused by <i>Streptococcus pneumoniae</i>, including cases associated with concurrent bacteremia, <i>Pseudomonas aeruginosa</i>, <i>Klebsiella pneumoniae</i>, or <i>Enterobacter</i> species. Also for empiric treatment of febrile neutropenic patients and uncomplicated and complicated urinary tract infections (including pyelonephritis) caused by <i>Escherichia coli</i> or <i>Klebsiella pneumoniae</i>, when the infection is severe, or caused by <i>Escherichia coli</i>, <i>Klebsiella pneumoniae</i>, or <i>Proteus mirabilis</i>, when the infection is mild to moderate, including cases associated with concurrent bacteremia with these microorganisms. Also for the treatment of uncomplicated skin and skin structure infections caused by <i>Staphylococcus aureus</i> (methicillin-susceptible strains only) or <i>Streptococcus pyogenes</i> and complicated intra-abdominal infections (used in combination with metronidazole) caused by <i>Escherichia coli</i>, viridans group streptococci, <i>Pseudomonas aeruginosa</i>, <i>Klebsiella pneumoniae</i>, <i>Enterobacter</i> species, or <i>Bacteroides fragilis</i>.
owl:sameAs
n18:DB01413 n29:DB01413
dcterms:title
Cefepime
adms:identifier
n8:C08111 n9:4586395 n10:DB01413 n11:5479537 n12:D02376 n13:0338-1301-41 n14:478164 n15:PA164754876 n16:Cefepime n30:46507919
n3:mechanismOfAction
Cephalosporins are bactericidal and have the same mode of action as other beta-lactam antibiotics (such as penicillins). Cephalosporins disrupt the synthesis of the peptidoglycan layer of bacterial cell walls. The peptidoglycan layer is important for cell wall structural integrity, especially in Gram-positive organisms. The final transpeptidation step in the synthesis of the peptidoglycan is facilitated by transpeptidases known as penicillin binding proteins (PBPs).
n3:packager
n4:271B47CE-363D-11E5-9242-09173F13E4C5 n4:271B47D4-363D-11E5-9242-09173F13E4C5 n4:271B47D5-363D-11E5-9242-09173F13E4C5 n4:271B47D2-363D-11E5-9242-09173F13E4C5 n4:271B47D3-363D-11E5-9242-09173F13E4C5 n4:271B47D0-363D-11E5-9242-09173F13E4C5 n4:271B47D1-363D-11E5-9242-09173F13E4C5 n4:271B47DA-363D-11E5-9242-09173F13E4C5 n4:271B47D8-363D-11E5-9242-09173F13E4C5 n4:271B47D9-363D-11E5-9242-09173F13E4C5 n4:271B47D6-363D-11E5-9242-09173F13E4C5 n4:271B47D7-363D-11E5-9242-09173F13E4C5 n4:271B47CF-363D-11E5-9242-09173F13E4C5
n3:routeOfElimination
Elimination of cefepime is principally via renal excretion with an average (±SD) half-life of 2 (±0.3) hours and total body clearance of 120 (±8) mL/min in healthy volunteers. Cefepime is excreted in human milk.
n3:synonym
(6R,7R)-7-{[(2Z)-2-(2-amino-1,3-thiazol-4-yl)-2-(methoxyimino)acetyl]amino}-3-[(1-methylpyrrolidinium-1-yl)methyl]-8-oxo-5-thia-1-azabicyclo[4.2.0]oct-2-ene-2-carboxylate Cefepime Cefepima Cefepimum
n3:toxicity
Symptoms of overdose include seizures, encephalopathy, and neuromuscular excitability.
n3:volumeOfDistribution
* 18.0 ±2.0 L * 0.3 ±0.1 L/kg [Pediatric]
n20:hasAHFSCode
n25:08-12-06-16
n3:proteinBinding
The serum protein binding of cefepime is approximately 20% and is independent of its concentration in serum.
n3:salt
n3:synthesisReference
Vijay Handa, Anand Kamat, Meenakshisunderam Sivakumaran, "Process for preparing cefepime." U.S. Patent US20050043531, issued February 24, 2005.
n26:hasConcept
n27:M0127410
foaf:page
n23:cefepime.html n24:cefep.htm
n3:IUPAC-Name
n5:271B47EF-363D-11E5-9242-09173F13E4C5
n3:InChI
n5:271B47F5-363D-11E5-9242-09173F13E4C5
n3:Molecular-Formula
n5:271B47F4-363D-11E5-9242-09173F13E4C5
n3:Molecular-Weight
n5:271B47F1-363D-11E5-9242-09173F13E4C5
n3:Monoisotopic-Weight
n5:271B47F2-363D-11E5-9242-09173F13E4C5
n3:SMILES
n5:271B47F3-363D-11E5-9242-09173F13E4C5
n3:Water-Solubility
n5:271B47ED-363D-11E5-9242-09173F13E4C5
n3:logP
n5:271B47EE-363D-11E5-9242-09173F13E4C5 n5:271B47EB-363D-11E5-9242-09173F13E4C5
n3:logS
n5:271B47EC-363D-11E5-9242-09173F13E4C5
n20:hasATCCode
n21:J01DE01
n3:H-Bond-Acceptor-Count
n5:271B47FB-363D-11E5-9242-09173F13E4C5
n3:H-Bond-Donor-Count
n5:271B47FC-363D-11E5-9242-09173F13E4C5
n3:InChIKey
n5:271B47F6-363D-11E5-9242-09173F13E4C5
n3:Polar-Surface-Area--PSA-
n5:271B47F7-363D-11E5-9242-09173F13E4C5
n3:Polarizability
n5:271B47F9-363D-11E5-9242-09173F13E4C5
n3:Refractivity
n5:271B47F8-363D-11E5-9242-09173F13E4C5
n3:Rotatable-Bond-Count
n5:271B47FA-363D-11E5-9242-09173F13E4C5
n3:absorption
The absolute bioavailability of cefepime after an IM dose of 50 mg/kg was 82.3 (&plusmn;15)% in eight patients.
n3:affectedOrganism
Enteric bacteria and other eubacteria
n3:casRegistryNumber
88040-23-7
n3:category
n3:clearance
* 120 mL/min [Healthy adult male receiving a single 30-minute IV infusions of cefepime] * 3.3 +/-1.0 mL/min/kg [Petriatic patients (2 months – 11 years of age) receiving a single IV dose]
n3:containedIn
n19:271B47DD-363D-11E5-9242-09173F13E4C5 n19:271B47DE-363D-11E5-9242-09173F13E4C5 n19:271B47DB-363D-11E5-9242-09173F13E4C5 n19:271B47DC-363D-11E5-9242-09173F13E4C5 n19:271B47DF-363D-11E5-9242-09173F13E4C5 n19:271B47E0-363D-11E5-9242-09173F13E4C5
n3:Bioavailability
n5:271B4801-363D-11E5-9242-09173F13E4C5
n3:Ghose-Filter
n5:271B4803-363D-11E5-9242-09173F13E4C5
n3:MDDR-Like-Rule
n5:271B4804-363D-11E5-9242-09173F13E4C5
n3:Number-of-Rings
n5:271B4800-363D-11E5-9242-09173F13E4C5
n3:Physiological-Charge
n5:271B47FF-363D-11E5-9242-09173F13E4C5
n3:Rule-of-Five
n5:271B4802-363D-11E5-9242-09173F13E4C5
n3:Traditional-IUPAC-Name
n5:271B47F0-363D-11E5-9242-09173F13E4C5
n3:pKa--strongest-acidic-
n5:271B47FD-363D-11E5-9242-09173F13E4C5
n3:pKa--strongest-basic-
n5:271B47FE-363D-11E5-9242-09173F13E4C5