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Related Experiment Video

Updated: Jun 18, 2026

Visualization of Bacterial Resistance using Fluorescent Antibiotic Probes
08:23

Visualization of Bacterial Resistance using Fluorescent Antibiotic Probes

Published on: March 2, 2020

The newer fluoroquinolones.

Maureen K Bolon1

  • 1Department of Medicine, Division of Infectious Diseases, Northwestern University Feinberg School of Medicine, 645 N. Michigan Avenue, Suite 900, Chicago, IL 60611, USA. m-bolon@northwestern.edu

Infectious Disease Clinics of North America
|November 14, 2009
PubMed
Summary

This review covers fluoroquinolone antibiotics, detailing their pharmacology, resistance, and safety. It highlights current trends in resistance among key bacteria like gram-negative organisms and Streptococcus pneumoniae.

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Area of Science:

  • Pharmacology and Microbiology
  • Infectious Diseases

Background:

  • Fluoroquinolones are widely prescribed antibiotics due to their broad spectrum and perceived safety.
  • Emerging resistance poses a significant challenge to their continued efficacy.

Purpose of the Study:

  • To provide a comprehensive review of fluoroquinolone pharmacology and resistance.
  • To highlight current trends in fluoroquinolone resistance epidemiology.
  • To discuss safety concerns and indications for common fluoroquinolones.

Main Methods:

  • Literature review of fluoroquinolone pharmacology, pharmacodynamics, and resistance.
  • Analysis of recent epidemiological trends in fluoroquinolone resistance.
  • Discussion of safety profiles and clinical indications.

Main Results:

  • Fluoroquinolone resistance is increasing in gram-negative organisms and Streptococcus pneumoniae.
  • Key resistance mechanisms include target modification and altered drug permeability.
  • Common fluoroquinolones like ciprofloxacin, levofloxacin, and moxifloxacin have specific safety considerations.

Conclusions:

  • Understanding fluoroquinolone pharmacology and resistance is crucial for effective antimicrobial stewardship.
  • Continued monitoring of resistance patterns is necessary to guide clinical practice.
  • Balancing fluoroquinolone efficacy with safety concerns is essential for optimal patient outcomes.