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Ceftibuten Indications & Clinical Uses

Evidence-based guide for pediatric prescribing

Ceftibuten is an oral cephalosporin with enhanced activity against beta-lactamase–producing respiratory pathogens. Use it intentionally after first-line therapy fails or cannot be tolerated.

Primary FDA-Approved Indications

Ideal for otitis media, sinusitis, and gram-negative infections requiring once-daily dosing when adherence is a concern.

Acute otitis media

FDA Approved
Children β‰₯6 monthsModerate

Reserve for children who cannot tolerate amoxicillin-based therapy or have beta-lactamase risk.

Acute bacterial sinusitis

FDA Approved
Children and adolescentsModerate

Ensure criteria for bacterial sinusitis met before prescribing.

Prophylaxis/treatment of gram-negative infections in penicillin-allergic patients

FDA Approved
Specialist-directed

Use only under infectious disease guidance (e.g., complicated UTIs).

β€’Evidence quality: 75/10
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