MedPath

Ceftazidime

Generic Name
Ceftazidime
Brand Names
Avycaz, Fortaz, Tazicef, Zavicefta
Drug Type
Small Molecule
Chemical Formula
C22H22N6O7S2
CAS Number
72558-82-8
Unique Ingredient Identifier
DZR1ENT301

Overview

Bacteria possess a cell wall comprising a glycopeptide polymer commonly known as peptidoglycan, which is synthesized and remodelled through the action of a family of enzymes known as "penicillin-binding proteins" (PBPs). β-lactam antibiotics, including cephalosporins, are PBP inhibitors that, through inhibition of essential PBPs, result in impaired cell wall homeostasis, loss of cell integrity, and ultimately bacterial cell death. Ceftazidime is a third-generation cephalosporin with broad-spectrum antibacterial activity, including against some treatment-resistant bacteria such as Pseudomonas aeruginosa. Ceftazidime was approved by the FDA on July 19, 1985, and is currently available either alone or in combination with the non-β-lactam β-lactamase inhibitor avibactam to treat a variety of bacterial infections.

Background

Bacteria possess a cell wall comprising a glycopeptide polymer commonly known as peptidoglycan, which is synthesized and remodelled through the action of a family of enzymes known as "penicillin-binding proteins" (PBPs). β-lactam antibiotics, including cephalosporins, are PBP inhibitors that, through inhibition of essential PBPs, result in impaired cell wall homeostasis, loss of cell integrity, and ultimately bacterial cell death. Ceftazidime is a third-generation cephalosporin with broad-spectrum antibacterial activity, including against some treatment-resistant bacteria such as Pseudomonas aeruginosa. Ceftazidime was approved by the FDA on July 19, 1985, and is currently available either alone or in combination with the non-β-lactam β-lactamase inhibitor avibactam to treat a variety of bacterial infections.

Indication

Ceftazidime is indicated for the treatment of lower respiratory tract infections, skin and skin structure infections, urinary tract infections, bacterial septicemia, bone and joint infections, gynecologic infections, intra-abdominal infections (including peritonitis), and central nervous system infections (including meningitis) caused by susceptible bacteria. Ceftazidime is indicated in combination with avibactam to treat infections caused by susceptible Gram-negative organisms, including complicated intra-abdominal infections (cIAI), in conjunction with metronidazole, and complicated urinary tract infections (cUTI), including pyelonephritis, in patients aged three months and older. This combination is also indicated to treat hospital-acquired and ventilator-associated bacterial pneumonia (HABP/VABP) in patients aged 18 years and older. In all cases, to mitigate the risk of bacterial resistance and preserve clinical efficacy, ceftazidime should only be used for infections that are confirmed or strongly suspected to be caused by susceptible bacterial strains.

Associated Conditions

  • Bacteremia
  • Bacterial Infections
  • Bacterial Septicemia
  • Bone and Joint Infections
  • Bronchopulmonary Infection
  • Central Nervous System Infections
  • Complicated Intra-Abdominal Infections (cIAIs)
  • Complicated Skin and Soft Tissue Infection
  • Complicated Urinary Tract Infection
  • Complicated Urinary Tract Infections caused by susceptible Gram-negative microorganisms
  • Fever caused by susceptible bacteria
  • Gynecological Infection
  • Intraabdominal Infections
  • Lower Respiratory Tract Infection (LRTI)
  • Meningitis, Bacterial
  • Nosocomial Pneumonia
  • Peritoneal Dialysis Associated Peritonitis
  • Skin and skin structure infections
  • Urinary Tract Infection
  • Ventilator-associated Bacterial Pneumonia caused by susceptible Gram-negative microorganisms
  • Chronic suppurative Otitis media
  • Hospital-acquired bacterial pneumonia caused by susceptible Gram-negative microorganisms
  • Malignant Otitis Externa
  • Susceptible Intra-Abdominal Infection caused by susceptible Gram-negative microorganism

Clinical Trials

Title
Posted
Study ID
Phase
Status
Sponsor
2025/06/11
Phase 4
Not yet recruiting
Gadjah Mada University
2024/01/18
N/A
Not yet recruiting
Sichuan Provincial People's Hospital
2022/12/19
N/A
Completed
2022/08/04
N/A
Recruiting
2021/11/03
Phase 2
Completed
2021/07/14
N/A
Recruiting
2021/07/02
Phase 4
Recruiting
2020/05/26
N/A
Completed
King Abdul Aziz Specialist Hospital
2020/03/24
N/A
Completed
2019/12/05
Phase 4
Completed

FDA Drug Approvals

Approved Product
Manufacturer
NDC Code
Route
Strength
Effective Date
Hospira, Inc.
0409-5086
INTRAVENOUS
6 g in 1 1
3/10/2023
Hospira, Inc.
0409-5084
INTRAVENOUS
2 g in 1 1
3/10/2023
Teligent Pharma, Inc.
52565-107
INTRAMUSCULAR, INTRAVENOUS
170 mg in 1 mL
5/8/2019
Sagent Pharmaceuticals
25021-127
INTRAVENOUS, INTRAMUSCULAR
1 g in 1 1
6/6/2018
Teligent Pharma, Inc.
52565-109
INTRAMUSCULAR, INTRAVENOUS
200 mg in 1 mL
9/12/2019
Allergan, Inc.
0456-2700
INTRAVENOUS
2 g in 1 1
2/1/2024
Teligent Pharma, Inc.
52565-105
INTRAMUSCULAR, INTRAVENOUS
100 mg in 1 mL
5/8/2019
Teligent Pharma, Inc.
52565-106
INTRAMUSCULAR, INTRAVENOUS
100 mg in 1 mL
5/8/2019
WG Critical Care, LLC
44567-237
INTRAVENOUS
6 g in 100 mL
9/1/2021
Sagent Pharmaceuticals
25021-129
INTRAVENOUS
6 g in 30 mL
1/3/2024

EMA Drug Approvals

NMPA Drug Approvals

Approved Product
Company
Approval Number
Drug Type
Dosage Form
Approval Date
Ceftazidime for Injection and 5% Glucose Injection
国药准字H20213747
化学药品
注射剂
9/24/2021
Ceftazidime for Injection and Sodium Chloride Injection
国药准字H20193106
化学药品
注射剂
4/23/2024
Ceftazidime for Injection and Sodium Chloride Injection
国药准字H20205047
化学药品
注射剂
4/23/2024
Ceftazidime for Injection and Sodium Chloride Injection
国药准字H20254122
化学药品
注射剂
5/13/2025
Ceftazidime for Injection
国药准字H20033817
化学药品
注射剂
5/25/2020
Ceftazidime for Injection
国药准字H20058584
化学药品
注射剂
4/7/2021
Ceftazidime for Injection
国药准字H20053593
化学药品
注射剂(无菌分装)
4/3/2020
Ceftazidime for Injection
国药准字H20054860
化学药品
注射剂
6/5/2020
Ceftazidime for Injection
国药准字H20034027
化学药品
注射剂
1/8/2020
Ceftazidime for Injection
国药准字H20033804
化学药品
注射剂
6/19/2020

PPB Drug Approvals

Approved Product
Registration No.
Company
Licence No.
Strength
Registration Date
ZAVICEFTA POWDER FOR CONCENTRATE FOR SOLUTION FOR INFUSION 2G/0.5G
N/A
N/A
N/A
1/14/2019
CEFTAZIDIME FOR INJ 1G
N/A
N/A
N/A
1/11/2011
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