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7 Cards in this Set

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What are the pharmacokinetics of fluoroquinolones?
Bactericidal antibiotics
Concentration-dependent killing effect
The higher peak concentration results in more rapid and complete killing of susceptible organisms
Mechanism of action of fluoroquinolones?
Strong inhibitors of DNA gyrase and topoisomerase IV.

These enzymes are critical to the process of supercoiling DNA.

DNA can't replicate
Mechanism of resistance to fluoroquinolones?
1. Chromosomal mutations

2. alterations in their ability to permeate the bacterial cell wall.
Clinical Uses of Fluoroquinolones?
UTI
STD
Skin and soft tissue infections
GI infections
Osteomyelitis
Resp tract infections
Which Fluoroquinolone do you use for hospital acquired infection and why?
ciprofloxacin (Cipro) because it has the best activity against Proteus aeruginosa
Which Fluoroquinolone would you use for community-acquired infection and why?
Newer FQ
Levofloxacin (Levaquin)
Moxifloxacin
Greatest activity against S. pneumoniae
Which Fluoroquinolone is recommended for meningococcal prophylaxis?
Ciprofloxacin (Cipro)
Single 500 mg PO dose