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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Pharmacotherapy The ...arrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
Pharmacotherapy The Journal of Human Pharmacology and Drug Therapy
Article . 2017 . Peer-reviewed
License: Wiley Online Library User Agreement
Data sources: Crossref
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What Is Old Is New Again: Delafloxacin, a Modern Fluoroquinolone

Authors: Cho, Jonathan C; Crotty, Matthew P; White, Bryan P; Worley, Marylee V.;

What Is Old Is New Again: Delafloxacin, a Modern Fluoroquinolone

Abstract

Delafloxacin is a new fluoroquinolone antimicrobial approved for the treatment of acute bacterial skin and skin structure infections (ABSSSIs) in adults using dosage regimens of 300 mg intravenously every 12 hours, 450 mg orally every 12 hours, or switching from intravenous to oral regimens for a 5‐ to 14‐day treatment duration. Dosage adjustments in patients with severe renal dysfunction (estimated glomerular filtration rate [eGFR] = 15–29 ml/min/1.73 m2) are not required for oral doses but should be decreased to 200 mg intravenously every 12 hours in patients requiring parenteral therapy. Due to insufficient data, use of delafloxacin is not recommended for patients on hemodialysis or with end‐stage renal disease (eGFR < 15 ml/min/1.73 m2). Delafloxacin works through inhibition of DNA gyrase (topoisomerase II) and topoisomerase IV, which are essential enzymes for bacterial DNA transcription, replication, repair, and recombination and exhibits bactericidal activity against gram‐positive and gram‐negative organisms through a concentration‐dependent matter. Delafloxacin has a very broad spectrum of activity against atypical, anaerobic, and resistant gram‐negative and gram‐positive bacteria, including methicillin‐resistant Staphylococcus aureus and Pseudomonas aeruginosa. During phase 3 trials, the most common side effects associated with delafloxacin were gastrointestinal (nausea, diarrhea). Unlike other fluoroquinolones, there does not seem to be a risk of QTc prolongation or phototoxicity with delafloxacin. The availability of both parenteral and oral formulations for delafloxacin distinguishes it from many of the currently available agents approved for ABSSSIs. Phase 3 studies for the treatment of respiratory infections are currently under way, and future results of these studies will further help delineate the role of delafloxacin.

Country
United States
Keywords

Adult, 610, Administration, Oral, Gram-Positive Bacteria, administration, oral, anti-bacterial agents, 616, Gram-Negative Bacteria, Medicine and Health Sciences, Humans, bacterial, fluoroquinolones, humans, gram-negative bacterial infections, Gram-Positive Bacterial Infections, adult, Skin Diseases, Bacterial, Pharmacy and Pharmaceutical Sciences, gram-negative bacteria, Anti-Bacterial Agents, skin diseases, gram-positive bacteria, intravenous, gram-positive bacterial infections, Administration, Intravenous, Gram-Negative Bacterial Infections, Fluoroquinolones

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    popularity
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    influence
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
35
Top 10%
Top 10%
Top 10%
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