Most urgent
Meningitis
Osteomyelitis
Skin infection
Typhoide,biliary
Uses
Carbapenams : last resort ATB Cephalosporins
UTI
Resp
Highly resistant to betalactamase Gonorrhö
ENT
G(-),G(+),anaerobes iNtestinal
Topical :eye,ear
Interaction Comparision
Imipenem : Meropenem
Dihydropeptidase metabolise imipenem to Not nephrotoxic, bought alone doesn’t need cilastatin
nephorotoxic metabolites, cilastarin mixed with imi to
Meningitis
Osteomyelitis
Skin infection
Typhoide,biliary
Uses
Carbapenams : last resort ATB Cephalosporins
UTI
Resp
Highly resistant to betalactamase Gonorrhö
ENT
G(-),G(+),anaerobes iNtestinal
Topical :eye,ear
Interaction Comparision
Imipenem : Meropenem
Dihydropeptidase metabolise imipenem to Not nephrotoxic, bought alone doesn’t need cilastatin
nephorotoxic metabolites, cilastarin mixed with imi to