Broad spectrum, third generation cephalosporin; active metabolite of orally absorbed pivaloyloxymethyl ester prodrug. Prepn: K. Atsumi et al., EP 175610; eidem, US 4839350 (1986, 1989 both to Meiji); K. Sakagami et al., J. Antibiot. 43, 1047 (1990); idem et al., Chem. Pharm. Bull. 39, 2433 (1991). In vitro and in vivo activities: A. Tamura et al., Antimicrob. Agents Chemother. 32, 1421 (1988). Extensive in vitro activity study: D. Felmingham et al., Drugs Exp. Clin. Res. 20, 127 (1994). Clinical pharmacokinetics and efficacy in pediatrics: N. Iwai et al., Jpn. J. Antibiot. 47, 181 (1994), C.A. 120, 260636e (1994).
Antibacterial.
Antibacterial (Antibiotics); β-Lactams; Cephalosporins