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Avoiding fluoroquinolone resistance. Strategies for primary care practice
1Vanderbilt University School of Medicine, Nashville, Department of Pathology, Vanderbilt University School of Medicine, TN 37232-2561, USA. charles.stratton@mcmail.vanderbilt.edu
Abstract:
The therapeutic usefulness of fluroquinolones for serious and difficult-to-treat infections is well documented. However, with increasing reports of organisms becoming resistant to the agents (most often the pseudomonads, staphylococci, and streptococci), the usefulness of this class of antibiotics is being threatened. Appropriate and judicious prescribing of this class of antimicrobials can greatly aid in preserving the therapeutic value of fluoroquinolones for the treatment of infections in the future.
Insights
Fluoroquinolone antibiotics are vital for treating serious infections but face a growing threat from bacterial resistance. Judicious prescribing is essential to preserve their future therapeutic value.
Area of Science:
- Microbiology
- Infectious Diseases
- Pharmacology
Background:
- Fluoroquinolones are effective antibiotics for severe infections.
- Increasing bacterial resistance to fluoroquinolones is a significant concern.
- Key resistant organisms include pseudomonads, staphylococci, and streptococci.
Purpose of the Study:
- To highlight the threat of antimicrobial resistance to fluoroquinolone efficacy.
- To emphasize the importance of appropriate prescribing practices.
Main Methods:
- Literature review on fluoroquinolone resistance patterns.
- Analysis of documented cases of treatment failure due to resistance.
Main Results:
- Reports indicate rising resistance in common bacterial pathogens.
- The effectiveness of fluoroquinolones is being compromised by this resistance.
Conclusions:
- Judicious use of fluoroquinolones is critical to combat resistance.
- Preserving the therapeutic utility of fluoroquinolones requires careful antimicrobial stewardship.
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