Maxipime (MAXI-peem, cefepime), the first "fourth-generation" injectable cephalosporin

Bristol-Myers Squibb is launching Maxipime (MAXI-peem, cefepime), the first "fourth-generation" injectable cephalosporin.

In general, the first-generation agents are primarily active against gram-positive bacteria. Second and third generations have increasing gram-negative coverage...sometimes at the expense of reduced gram-positive activity.

Fourth-generation cephalosporins are considered "broad spectrum" with both gram-negative and gram-positive coverage.

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