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Essential information about the mechanisms of action, activity, resistance, pharmacokinetics, and clinical uses of the fluoroquinolone antibiotic, ciprofloxacin. It covers how ciprofloxacin inhibits bacterial topoisomerases, its activity against various bacterial strains, resistance mechanisms, pharmacokinetic considerations, and clinical applications. Additionally, it mentions the adverse reactions associated with fluoroquinolones.
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TERM 1
DEFINITION 1 Block DNA synthesis by inhibiting bacterial topoisomerase II (DNA gyrase) and topoisomerase IV. Inhibition results in,topoisomerase II prevents relaxation of supercoiled DNAtopoisomerase IV prevents separation of replicated DNA TERM 2
DEFINITION 2 good for gram pos and gram neg MRSA often resistant Most active agent against gram neg, Pseudomonas aeruginosa is cipro TERM 3
DEFINITION 3 occurs through point mutations in the binding site on the target enzyme resistance can occur through altered permeability TERM 4
DEFINITION 4 cations block absorption (antacids) dose adjustment required for CC less than 50 mL/min except for moxifloxacin TERM 5
DEFINITION 5 urinary tract infections bacterial diarrhea (shigella, salmonella, toxigenic E coli, campylobacter) bone and joint infections (except norfloxacin) cipro is drug of choice for anthrax levo, gati and gemifloxacin used for respiratory infections
TERM 6
DEFINITION 6 fluoroquinolones may damage growing cartilage can cause arthropathy do not use in those < 18 years old in adults tendonitis up to tendon rupture