Quinolone class characteristics: Which descriptor best fits the quinolone and fluoroquinolone antibiotics as a group?

Difficulty: Easy

Correct Answer: Broad-spectrum antibacterial agents

Explanation:


Introduction / Context:
Quinolones (and fluoroquinolones) are widely used systemic antibiotics. Recognizing their class features aids in predicting activity, indications, and resistance mechanisms.



Given Data / Assumptions:

  • Class includes ciprofloxacin, levofloxacin, norfloxacin, etc.
  • Looking for the correct general descriptor.



Concept / Approach:
Quinolones inhibit bacterial DNA gyrase and/or topoisomerase IV, producing bactericidal effects. They have broad-spectrum activity against many Gram-negatives and, for newer agents, improved Gram-positive and atypical coverage. They are not antimetabolites or beta-lactams, and they are chiefly bactericidal rather than purely bacteriostatic.



Step-by-Step Solution:
Match mechanism (DNA gyrase/topo IV) with clinical effect: broad coverage. Exclude unrelated classes: antimetabolites and penicillins. Exclude “bacteriostatic only” since fluoroquinolones are bactericidal. Select broad-spectrum.



Verification / Alternative check:
Package inserts and guidelines list extensive spectra for fluoroquinolones, including Enterobacterales and certain respiratory pathogens.



Why Other Options Are Wrong:

  • Antimetabolites: describes sulfonamides/trimethoprim.
  • Penicillin derivatives: beta-lactams, different mechanism.
  • Bacteriostatic: incorrect for this class, which is primarily bactericidal.



Common Pitfalls:
Confusing “broad-spectrum” with “covers everything”; resistance and gaps (e.g., some anaerobes) remain.



Final Answer:
Broad-spectrum antibacterial agents

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