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Fluoroquinolones: Mechanisms, Resistance, Pharmacokinetics, and Uses, Quizzes of Pharmacology

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.

Typology: Quizzes

2012/2013

Uploaded on 08/14/2013

cantwell77515
cantwell77515 🇺🇸

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TERM 1
Mechanism of Action
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
Activity
DEFINITION 2
good for gram pos and gram neg MRSA often resistant Most
active agent against gram neg, Pseudomonas aeruginosa is
cipro
TERM 3
Resistance
DEFINITION 3
occurs through point mutations in the binding site on the
target enzyme resistance can occur through altered
permeability
TERM 4
Pharmacokinetics
DEFINITION 4
cations block absorption (antacids) dose adjustment required
for CC less than 50 mL/min except for moxifloxacin
TERM 5
Clinical Uses
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
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TERM 1

Mechanism of Action

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

Activity

DEFINITION 2 good for gram pos and gram neg MRSA often resistant Most active agent against gram neg, Pseudomonas aeruginosa is cipro TERM 3

Resistance

DEFINITION 3 occurs through point mutations in the binding site on the target enzyme resistance can occur through altered permeability TERM 4

Pharmacokinetics

DEFINITION 4 cations block absorption (antacids) dose adjustment required for CC less than 50 mL/min except for moxifloxacin TERM 5

Clinical Uses

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

ADRs

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