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. 2021 Dec 8;10(12):1506. doi: 10.3390/antibiotics10121506

Table 2.

Other features of novel fluoroquinolones.

Novel Fluoroquinolones Delafloxacin Finafloxacin Zabofloxacin Reference
Further possible clinical applications P. aeruginosa-mediated lung infections in patients with cystic fibrosis.
Infection by multidrug-resistant H.pylori.
Complicated and non-complicated urinary-tract infections.
Zoonoses, e.g., Y.pestis and B.anthracis.
Prophylaxis and treatment of B. pseudomallei infections.
Community-acquired bacterial pneumonia. [18,42,46,50]
Contraindication and
side effects
Well-tolerated; lack of teratogenic effect, photosensitivity and cardiotoxicity.
Diarrhoea, vomiting and other fluoroquinolone-specific adverse affects may occur.
Ophthalmic use is contraindicated.
In animal studies, showed teratogenic ability and fluoroquinolone-specific adverse effects (per os).
Hypersensitivity and pruritus.
Well-tolerated; lack of long QT-syndrome; in animal studies, subacute toxicity (atrophy of endocrine organs with vomitus by dogs) was found.
Mainly gastrointestinal adverse effects were reported.
[16,18,24,30,34,35,36,37,51]
Resistance mechanisms Multiple mutations by bacterial topoisomerase IV enzymes.
Single mutations with efflux pumps.
Generally fluoroquinolone-resistant strains are susceptible to to Delafloxacin (cross-resistance is also known).
Multiple mutations in bacterial topoisomerase IV enzymes.
Cross-resistance with other fluoroquinolones was reported.
Multiple mutations in bacterial Topoisomerase IV enzymes.
Generally fluoroquinolone-resistant strains are susceptible to Zabofloxacin.
[18,26,28,30,39,47,48,51]