Fluoroquinolones muaj cov tshuaj tua kab mob dav dav, muaj zog tiv thaiv kab mob, tsis tshua muaj tshwm sim, cov ntaub so ntswg zoo permeability, siab bioavailability ntawm qhov ncauj, lub sijhawm ua haujlwm ntev thiab kev tswj xyuas yooj yim.Lawv feem ntau siv los kho cov kab mob sib kis xws li kab mob ua pa thiab kab mob urinary.Cov qauv ntawm cov tshuaj tua kab mob fluoroquinolone yog tus cwj pwm los ntawm qhov muaj fluorine nyob rau hauv thib rau txoj hauj lwm ntawm quinolone niam txiv nucleus.
Txawm li cas los xij, nyob rau hauv 10 xyoo tsis ntev los no, vim kev xaiv lub siab tsim los ntawm kev siv dav ntawm cov tshuaj no, cov tshuaj tiv thaiv kab mob nce ntxiv, tshwj xeeb tshaj yog nyob rau xyoo tas los no, quinolone-resistant Streptococcus pneumoniae muaj kev sib tw, uas tiv taus penicillin, macrolide tshuaj tua kab mob thiab quinolone tshuaj tua kab mob.Nyob rau tib lub sijhawm, nws tau pom tias qee cov fluoroquinolones tuaj yeem ua rau QTc ncua sijhawm ntawm electrocardiogram, hepatotoxicity thiab phototoxicity, uas txwv lawv daim ntawv thov.
Yuav kom kov yeej cov kev tsis txaus siab saum toj no ntawm fluoroquinolones, nws yog qhov tsim nyog los tsim cov txheej txheem tshiab nrog kev ua haujlwm zoo ntawm cov kab mob, cov kab mob dav dav thiab me me raws li qhov ua tau tsis zoo tiv thaiv kab mob ntau yam tshuaj tiv thaiv kab mob.Cov tshuaj tsis ntev los no tau tsim tawm tshiab fluoroquinolone-free (NFQ) cov tshuaj uas muaj 8-methoxyl txawv ntawm fluoroquinolone tshuaj tua kab mob uas lawv tsis muaj fluorine ntawm txoj hauj lwm 6 ntawm quinolone niam txiv nucleus, tab sis tseem muaj zog hauv vitro tshuaj tua kab mob.nemonoxacin yog ib qho tshiab NFQ xaiv kab mob topoisomerase inhibitor.
Piv nrog rau fluoroquinolones tam sim no nyob rau hauv kev ua lag luam, Nenofloxacin sawv cev rau cov chav kawm tshiab ntawm cov qauv tshuaj.nemonocacin (TG-873870), ib qho tshuaj quinolone tshiab tsim los ntawm Procter & Gamble (P&G), tau pom cov tshuaj tua kab mob tseem ceeb tiv thaiv ntau yam kab mob, suav nrog Staphylococcus aureus thiab multidrug-resistant Streptococcus pneumoniae.Cov txiaj ntsig ntawm kev sim hauv cov nas kis tau pom tias cov tshuaj tua kab mob ntawm cov khoom no muaj zog dua li feem ntau ntawm cov quinolones tam sim no.Tsis tas li ntawd, cov khoom lag luam muaj cov tshuaj pharmacokinetic zoo heev thiab tau txais txiaj ntsig zoo.