3. Fluoroquinolones Flashcards
MOA of FQs
Inhibits bacterial DNA topoisomerase IV and DNA gyrase (topoisomerase II) preventing supercoiling of DNA and promotes breakage of double-stranded DNA
FQs exhibit [concentration/time]-dependent killing with [bactericidal/bacteriostatic] activity
concentration
bactericidal
FQ coverate: ______, _______, and _______ are referred to as the respiratory FQs due to enhanced coverage of ___________ and atypicals
–gemifloxacin, levofloxacin, moxifloxacin
–S. pneumoniae
FQ coverage: ________ and _______ have enhanced Gm(–) activity but are typically used in combination with another agent (e.g., a beta-lactam) when treating ________ infections
–ciprofloxacin, levofloxacin
–Pseudomonas
FQ coverage: _______ has enhanced Gm(+) and anaerobic activity and can be used alone for mixed infections (intra-______ infections)
–moxofloxacin
–abdominal
___________ species have high rates of resistance against FQs and should generally be avoided for treatment of _____
–Staphlococcus
–MRSA
ofloxacin (brand, dsoing)
available as tablet, ophthalmic, otic
generic only
200-400 mg