Antimicrobial agents for the dermatologist. I. β-Lactam antibiotics and related compounds

We review the newer antimicrobial agents that are being employed by dermatologists with increased frequency as well as some of the more commonly used older agents. Particular emphasis is based on selection factors such as causative pathogens and their resistance profiles, routes of administration, toxicity, drug interactions, and dosing requirements. Emphasis in this review is on the newer classes of antimicrobials such as third- and fourth-generation cephalosporins; β-lactam, β-lactamase inhibitor combination agents; monobactams; carbapenems; macrolides; and fluoroquinolones. Dermatologic indications and treatment alternatives are highlighted; this will expand the practicing clinician’s therapeutic armamentarium and enable him/her to make rational decisions concerning treatment approaches to infectious disease problems encountered in daily practice. (J Am Acad Dermatol 1997;37:149-65.) Learning objective: At the conclusion of this learning activity, the participant should understand the new classes of antimicrobial agents being employed in dermatology practice. He/she also should understand clinical indications for these agents, as well as their appropriate dosing schedules, routes of administration, major metabolic pathways, toxicity profiles, and important drug interactions.