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Monobactams

Example of this monobactam is


Aztreonam

The beta lactam ring of monobactams are not fused to another ring

Act against gram negative organisms like


Enterobacteriacea


P. aeruginosa




It lacks activity against gram positive and anaerobes.

Is resistant to beta lactamasesExcept ESBLs.

Pk of monobactams


...aztreonam

Administration :IV or IM


Can accumulate in patients with renal failure



Relatively non toxic tho it may cause phlebitis, skin rash

Aztreonam may be safer alternate for treating patients who are allergic to other penicillin, cephalosporins or carbapenems.

Best choice of all beta lactams in case of severity of allergic reactions