Cefpodoxime proxetil, a relatively new broad-spectrum third-generaatio
n cephalosporin, has very good in vitro activity against Enterobacteri
aceae, Hemophilus spp. and Moraxella spp., including beta-lactamase pr
oducers and many strains resistant to other oral agents. It also has a
ctivity against Gram-positive bacteria, especially against streptococc
i. Cefpodoxime has no activity against enterococci. It is well tolerat
ed and is one of the first third-generaation cephalosporins to be avai
lable in oral form. While the compound has been used most widely in th
e treatment of respiratory and urinary tract infections, its utility h
as also been demonstrated in the treatment of skin structure infection
s, acute otitis media, pharyngitis, tonsillitis, and sexually transmit
ted diseases.