Fluoroquinolones and Respiratory Infections

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Questions and Answers

What type of organisms is Moxifloxacin active against?

  • Anaerobic and gram-positive organisms (correct)
  • Viral and parasitic organisms
  • Gram-negative and aerobic organisms
  • Fungi and protozoa

How do fluoroquinolones enter bacteria?

  • Through porin channels (correct)
  • Through facilitated diffusion
  • Through passive transport
  • Through active transport

What is the primary target of fluoroquinolones in bacteria?

  • RNA polymerase
  • Peptidoglycan synthesis
  • DNA gyrase and topoisomerase IV (correct)
  • DNA polymerase

What is another name for DNA gyrase?

<p>Bacterial topoisomerase II (C)</p> Signup and view all the answers

Which enzyme is not inhibited by fluoroquinolones?

<p>RNA polymerase (A)</p> Signup and view all the answers

What is a common cause of community-acquired pneumonia?

<p>CAP (Community-Acquired Pneumonia) (C)</p> Signup and view all the answers

What is the typical indication for using fluoroquinolones?

<p>Documented allergy to beta-lactam (B)</p> Signup and view all the answers

What is the characteristic of moxifloxacin?

<p>Broad-spectrum antibacterial activity (B)</p> Signup and view all the answers

What is the mechanism of action of fluoroquinolones?

<p>Antagonism of bacterial DNA gyrase (C)</p> Signup and view all the answers

What is the advantage of fluoroquinolones over beta-lactam antibiotics?

<p>Alternative for patients with beta-lactam allergy (B)</p> Signup and view all the answers

What type of diarrhea is mentioned in the passage?

<p>Traveler's diarrhea (D)</p> Signup and view all the answers

What is Ciprofloxacin primarily used for?

<p>Treating Pseudomonas aeruginosa (C)</p> Signup and view all the answers

Why is Ciprofloxacin used as an alternative?

<p>Because it is less toxic than other options (D)</p> Signup and view all the answers

What is the characteristic of fluoroquinolones distribution?

<p>Wide distribution (A)</p> Signup and view all the answers

What type of drugs is Ciprofloxacin compared to?

<p>Aminoglycosides (A)</p> Signup and view all the answers

In which tissues are fluoroquinolones levels high?

<p>Bone, urine, kidney, and prostatic tissue (D)</p> Signup and view all the answers

Which of the following is an exception in terms of fluoroquinolones levels?

<p>Prostatic fluid (A)</p> Signup and view all the answers

What type of quinolone is Ciprofloxacin?

<p>Fluoroquinolone (C)</p> Signup and view all the answers

Where do fluoroquinolones concentrations exceed those in serum?

<p>Lungs (D)</p> Signup and view all the answers

What is true about fluoroquinolones levels in prostatic tissue?

<p>Levels are high in prostatic tissue but not in prostatic fluid (C)</p> Signup and view all the answers

What type of organisms are Legionellaceae and Chlamydiaceae?

<p>Atypical organisms (C)</p> Signup and view all the answers

Which of the following is not typically treated with fluoroquinolones?

<p>Staphylococcus aureus or enterococcal infections (D)</p> Signup and view all the answers

What is the limitation of fluoroquinolones against Neisseria gonorrhoeae?

<p>They have limited utility due to disseminated resistance worldwide (B)</p> Signup and view all the answers

What type of bacteria is Mycobacterium tuberculosis?

<p>Some mycobacteria (B)</p> Signup and view all the answers

What is the reason fluoroquinolones are not effective against syphilis?

<p>They are not effective against syphilis (D)</p> Signup and view all the answers

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Study Notes

Fluoroquinolones

  • Fluoroquinolones are a common cause of CAP (community-acquired pneumonia) and are often used against many types of bacteria.
  • Moxifloxacin is a 4th-generation fluoroquinolone, active against anaerobic and gram-positive organisms.

Mechanism of Action

  • Fluoroquinolones enter bacteria through porin channels and inhibit DNA gyrase (bacterial topoisomerase II) and bacterial topoisomerase IV.

Antimicrobial Spectrum

  • Effective against:
    • Atypical organisms: Legionellaceae, Chlamydiaceae
    • Gram-positive organisms: Streptococci
    • Some mycobacteria: Mycobacterium tuberculosis
  • Not effective against:
    • Staphylococcus aureus or enterococcal infections
    • Syphilis
    • Neisseria gonorrhoeae due to widespread resistance

Pharmacokinetics

  • Fluoroquinolones have a wide distribution in the body, with high levels in:
    • Bone
    • Urine (except moxifloxacin)
    • Kidney
    • Prostatic tissue (but not prostatic fluid)
    • Lungs (concentrations exceed those in serum)

Specific Fluoroquinolones

  • Ciprofloxacin:
    • Most potent against Pseudomonas aeruginosa
    • Used as an alternative to more toxic drugs, such as aminoglycosides
    • Used to treat traveler's diarrhea

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