Ceftibuten is a new, third-generation oral cephalosporin currently bei
ng reviewed for approval by the FDA. The drug, which will likely be av
ailable in both suspension and tablet formulations, has proven clinica
l efficacy in treating adults and children with respiratory or urogeni
tal infections. Ceftibuten has increased stability to beta lactamase h
ydrolysis, which enhances its antimicrobial activity to gram-negative
community-acquired pathogens. Its oral bioavailability is superior to
other currently available expanded-spectrum oral cephalosporins. Cefti
buten's absorption characteristics and relatively low incidence of adv
erse effects in clinical trials make it a useful alternative to other
drugs used to treat a variety of community-acquired infections.