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Cefepime

頭孢吡肟
Mechanism of action:
Cefepime 是一種第四代頭孢菌素抗生素(fourth-generation cephalosporin antibiotic)。Cefepime 的 β-內醯胺(β-lactam)環可與細菌的青黴素結合蛋白(penicillin-binding proteins,PBPs)結合,抑制其轉肽酶(transpeptidase)活性,使肽聚醣(peptidoglycan)鏈無法交聯,最後細胞壁結構脆弱,因滲透壓而讓細菌裂解死亡。
Reference(s):
1. Chapman TM et al. (2003). Cefepime: a review of its use in the management of hospitalized patients with pneumonia. Am J Respir Med.
2. Barbhaiya RH et al. (1991). Disposition of the cephalosporin cefepime in normal and renally impaired subjects. Drug Metab Dispos.
3. Ortega AJ et al. (2021). Cefepime-induced encephalopathy in a high-risk patient with renal insufficiency and cirrhosis. Cureus.
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