Bacterial resistance and failure of clinical cure could be produced by oxidative stress in patients, with diabetes or cardiovascular diseases during fluoroquinolone therapy

被引：10

作者：

Aragon-Martinez, Othoniel H. ^{[1
]}

Martinez-Morales, Flavio ^{[1
]}

Isiordia-Espinoza, Mario A. ^{[2
]}

Luque Contreras, Diana ^{[3
]}

Zapata Morales, Juan R. ^{[4
]}

Gonzalez-Rivera, Maria L. ^{[1
]}

机构：

[1] Univ Autonoma San Luis Potosi, Fac Med, Dept Farmacol, Ave Carranza 2405, San Luis Potosi 78210, Slp, Mexico

[2] Univ Cuauhtemoc, Escuela Odontol, Dept Invest, San Luis Potosi, Slp, Mexico

[3] Univ Autonoma Coahuila, Fac Ciencias Quim, Dept Farmacol & Ciencias Farmaceut, Saltillo, Coahuila, Mexico

[4] Univ Guanajuato, Div Ciencias Nat & Exactas, Dept Farm, Guanajuato, Mexico

来源：

MEDICAL HYPOTHESES | 2017年 / 103卷

关键词：

COMMUNITY-ACQUIRED PNEUMONIA; PHARMACOKINETICS; LEVOFLOXACIN; DYSFUNCTION; MANAGEMENT; FOCUS;

D O I：

10.1016/j.mehy.2017.04.004

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Fluoroquinolone agents are used widely for the treatment of infectious diseases which are a common cause of deaths around the world. The level of oxidative stress in patients taking fluoroquinolone antibiotics has not been considered a factor to reduce the clinical efficacy of this kind of drugs. Patients with diabetes and/or cardiovascular diseases present abnormal levels of oxidative stress in the blood stream. In this regards, our hypothesis supposes that patients with diabetes and/or cardiovascular disease suffering a bacterial disease could experience a therapeutic failure and bacterial resistance when treated with fluoroquinolones. The crucial mechanism could be an inefficient blood distribution of the drug via red blood cell dysfunction induced by oxidative stress that might reduce the pharmacokinetic-pharmacodi namic ratios. In this way, we review the scientific information to support our hypothesis alongside possible implications. Additionally, this work exhibits the urgent need of studies considering these conditions for quinolone agents. (C) 2017 Elsevier Ltd. All rights reserved.

引用

页码：32 / 34

页数：3

共 24 条

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