ClassDrugAntimicrobial spectrum
Natural penicillinPenicillin VStreptococcus species and oral cavity anaerobes
Penicillinase-resistant penicillinCloxacillin (Tegopen)Methicillin-sensitive Staphylococcus aureus and Streptococcus species
Dicloxacillin (Dynapen)
Nafcillin (Unipen)*
Oxacillin (Prostaphlin)*
AminopenicillinAmoxicillinSame coverage as penicillin V, plus Listeria monocytogenes, Enterococcus species, Proteus mirabilis and some strains of Escherichia coli
Ampicillin
Bacampicillin (Spectrobid)
Beta-lactam–beta-lactamase inhibitor combinationAmoxicillin-clavulanate (Augmentin)Same coverage as aminopenicillins, plus betalactamase–producing strains of methicillin-sensitive S. aureus, Haemophilus influenzae and Moraxella (formerly Branhamella) catarrhalis
Antipseudomonal penicillinCarbenicillin (Geocillin)Limited activity against Pseudomonas and Klebsiella species
First-generation cephalosporinCefadroxil (Duricef)Improved coverage of methicillin-sensitive S. aureus, E. coli, P. mirabilis and Klebsiella species
Cephalexin (Keflex)
Cephradine (Velosef)
Second-generation cephalosporinCefaclor (Ceclor, Ceclor CD)Compared with first-generation agents, better coverage of beta-lactamase–producing organisms
Cefprozil (Cefzil)such as methicillin-sensitive S. aureus, H. influenzae,
Cefuroxime axetil (Ceftin)M. catarrhalis, E. coli, P. mirabilis and Klebsiella species
CarbacephemLoracarbef (Lorabid)Same coverage as second-generation cephalosporins
Third-generation cephalosporinCefdinir (Omnicef)Variable loss of Staphylococcus and Pneumococcus coverage; compared with second-generation cephalosporins, somewhat expanded coverage of gram-negative organisms; enhanced coverage of Proteus vulgaris and Providencia species
Cefixime (Suprax)
Cefpodoxime (Vantin)
Ceftibuten (Cedax)