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   English Wikipedia
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  lüll Quinolone generations: natural history or natural selection?Ball PJ Antimicrob Chemother  2000[Jul]; 46 Suppl T1 (ä): 17-24The quinolones have evolved from antibacterial agents with a limited spectrum of  predominantly anti-gram-negative antimicrobial activity and a restricted number  of indications to a class of widely used oral (and, in some cases, intravenous)  antibiotics with extensive indications for infections caused by many bacterial  pathogens in most body tissues and fluids. This evolutionary pattern has arisen  through the development of new core and side-chain structures, with associated  improvements in activity, pharmacokinetics and tolerability, and through the  selection of molecules that remain useful and well tolerated. This review  describes the progress of the quinolones from the first to the third (IIIa and  IIIb) generations. Special attention is given to gemifloxacin, currently the most  developmentally advanced third-generation quinolone, which has enhanced in vitro  gram-positive antimicrobial activity and no troublesome adverse drug reactions.  Preliminary data indicate that gemifloxacin should prove to be an important  addition to the fluoroquinolone class. Further clinical trial data are awaited  with interest.|*Fluoroquinolones[MESH]|4-Quinolones[MESH]|Anti-Infective Agents/chemistry/classification/*therapeutic use[MESH]|Bacterial Infections/*drug therapy/microbiology[MESH]|Gemifloxacin[MESH]|Humans[MESH]|Naphthyridines/therapeutic use[MESH]|Respiratory Tract Infections/drug therapy/microbiology[MESH]|Urinary Tract Infections/drug therapy/microbiology[MESH] |