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fluoroquinolones
fluromothafuckinquinolines
65
Pathology
4th Grade
07/13/2012

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Term
second generation
Definition
ciprofloxacin, ofloxacin, norfloxacin
Term
third geneartion
Definition
levofloxacin, gemifloxacin
Term
fourth generatoin
Definition
moxifloxacin, gatifloxacin
Term
urinary tract antibiotics
Definition
methenamine mandelate, methenamine hippurate, nitrofurantoin
Term
the initial fluroquinoline to be marketed in this country
Definition
norfloxacin
Term
fluoroquinolones are similar in structure to
Definition
nalidixic acid
Term
most widely employed fluroquinolones
Definition
levofloxacin, ciprofloxacin
Term
mainly used for treatment of urinary tract and respiratory tract infections
Definition
fluoroquinolones
Term
mechanism of fq
Definition
interfere with bacterial dna replication, transcription, and repair through inhibition of dna gyrase (topoisomerase II) and topoisomerase IV
Term
mechanism of fq on G+
Definition
inhibition of topoisemerase IV
Term
mechanism of fq on G-
Definition
inhibition of dna gyrase
Term
fluroquinolones induce bacterial cell death by
Definition
evoking cleavage of bacterial dna
Term
most commonly prescribed second generation fluoroquinolone
Definition
ciprofloxacin
Term
ciprofloxacin common indications
Definition
UTIs, prostatitis, RTI, bacterial conjunctivitis, corneal ulcers, otitis externa
Term
ciprofloxacin first line agent
Definition
Ecoli, enterobacter, pseudomonas UTI, pseudomonas with CF, shigella, salmonella, campylobacter, vibrio cholera
Term
Ofloxacin indications
Definition
UTI, prostatitis, chlamydia trachomatis, skin infections, RTI, bacterial conjunctivitis, corneal ulcers
Term
least active fluoroquinolone
Definition
norfloxacin
Term
most commonly prescribed fluoroquinolone
Definition
levofloxacin
Term
levofloxacin indications
Definition
sinusitis, pneumonia, bronchitis, UTI, prostatitis, skin
Term
levofloxacin first line agent
Definition
Ecoli
Term
gemifloxacin indications
Definition
pneumonia, bronchitis
Term
generation with increased activity against anaerobes
Definition
fourth
Term
moxifloxacin/gatifloxacin indications
Definition
pneumonia, bronchitis, sinusitis, skin, bacterial conjunctivits
Term
% of norfloxacin absorbed orally
Definition
35-70
Term
greatest oral bioavailability
Definition
ofloxacin
Term
can be given i.v.
Definition
ciprofloxacin, ofloxacin, levofloxacin, noxifloxacin
Term
fq accumulate in
Definition
macrophages and PMNs
Term
minimally absorbed fq
Definition
norfloxacin
Term
primary route of elimination in urine
Definition
oxfloxacin
Term
excreted primarily in bile
Definition
moxifloxacin
Term
adverse fx
Definition
GI intolerance, CNS, tendinitis, nephrotoxicity, cardiac fx, phototoxicity
Term
fq fx on heart
Definition
prolonging the QT interval
Term
fq contraindications
Definition
pregnancy, nursing mothers, children under 18 due to the potential for artiular cartilage erosion
Term
ciprofloxacin and ofloxacin may enhance serum concentrations of
Definition
theophylline, warfarin, cyclosporine
Term
decomposes at acidic pH to formaldehyde
Definition
methenamine mandelate/hippurate
Term
methenamine mandelate/hippurate given
Definition
orally
Term
methenamine mandelate/hippurate eliminated by
Definition
urine
Term
methenamine mandelate/hippurate adverse fx
Definition
GI disturbances, hematuria and skin rash
Term
methenamine mandelate/hippurate contraindications
Definition
hepatic and renal insufficiency and with sulfonamindes
Term
most commonly prescribed urinary tract antiseptic
Definition
nitrofurantoin
Term
prodrug that inhibits bacterial enzymes and damages bacterial dna
Definition
nitrofurantoin
Term
excellent oral bioavailability
Definition
nitrofurantoin
Term
nitrofurantoin eliminated by glomerular filtration (turns urine brown)
Definition
nitrofurantoin
Term
nitrofurantoin contra
Definition
renal insufficiency, neonates, and pregnancy at term
Term
the first member of a new class of synthetic antibiotics known as oxazolidinones
Definition
linezolid
Term
presently employed in treatment of infections of the blood, lungs, and skin
Definition
linezolid
Term
primarily used for serious infections for which other antibiotics are ineffective
Definition
linezolid
Term
linezolid is used to treat
Definition
MRSA, VISA, VRSA, VRE, and MDRSP
Term
inhibitis bacterial protein synthesis by disrupting the initiation process necessary for protein synthesis
Definition
linezolid
Term
interacts with the 23S ribosomal RNA on the 50s ribosome thereby inhibiting formation of the initiation complex and translation in gram positive bacteria
Definition
linezolid
Term
treats gram positive coccal infections
Definition
linezolid
Term
resistance due to mutation of binding site, no cross resistance
Definition
linezolid
Term
administered orally and i.v., 100% oral bioavailability, well distributed, oxidized in liver, excreted in urine
Definition
linezolid
Term
excreted in urine
Definition
linezolid
Term
linezolid adverse fx
Definition
GI, headache, myelosuppression, reversible anemia, and thrombocytopenia
Term
first agents in a new class of antibiotics called streptogramins
Definition
quinupristin-dalfopristin
Term
first antibiotic approved for treatment of life threatening VRE infections
Definition
quinupristin-dalfopristin
Term
approved for VRA, MRSA, VISA and VRSA
Definition
quinupristin-dalfopristin
Term
synergistically inhibit bacterial protein synthesis through interaction with the bacterial ribosome
Definition
quinupristin-dalfopristin
Term
inhibits formation of initiation complexes
Definition
dalfopristin
Term
inhibits aminoacyl translocations rxns
Definition
quinupristin
Term
treats gram positive coccal infections
Definition
quinupristin-dalfopristin
Term
quinupristin-dalfopristin resistance
Definition
alteration of quinupristin target site and enzymatic inactivation of dalfopristin
Term
administered i.v., rapidly metabolized by nonenzymatic process, doses reduced in hepatic insufficiency, excreted in feces, extended post-antibiotic effect
Definition
quinupristin-dalfopristin
Term
quinupristin-dalfopristin adverse fx
Definition
infusion phlebitis, nausea, vomiting, diarrhea, headache, rash, muscle/joint pain, inhibits metabolism of cyclosporine, warfarm, diazepam, and cisapride
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