Latamoxef
Latamoxef
Latamoxef, also known as moxalactam, is a beta-lactam antibiotic belonging to the oxacephem class. It is used in the treatment of various bacterial infections and is known for its broad-spectrum activity against both Gram-positive and Gram-negative bacteria.
Mechanism of Action
Latamoxef works by inhibiting bacterial cell wall synthesis. It binds to penicillin-binding proteins (PBPs) located inside the bacterial cell wall, which are essential for the cross-linking of the peptidoglycan layer. This inhibition leads to the weakening of the cell wall and ultimately causes bacterial cell lysis and death.
Clinical Uses
Latamoxef is used to treat a variety of infections, including:
- Urinary tract infections
- Respiratory tract infections
- Intra-abdominal infections
- Skin and soft tissue infections
It is particularly useful in treating infections caused by Enterobacteriaceae and other resistant organisms.
Side Effects
Common side effects of latamoxef include:
- Gastrointestinal disturbances such as nausea and diarrhea
- Allergic reactions, including rash and anaphylaxis
- Hematological effects such as thrombocytopenia and neutropenia
Synthesis
The synthesis of moxalactam involves the chemical modification of the beta-lactam core to include an oxacephem ring structure. This modification enhances its stability against beta-lactamases and broadens its antibacterial spectrum.
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