The difference between enrofloxacin and ciprofloxacin
1. Drug Overview
- enrofloxacin (Azithromycin)
- mechanism of action: Enrofloxacin is a selective coomassie rearrangement inhibitor, which can inhibit the coomassie rearrangement enzyme of many bacteria, thereby reducing the resistance of bacteria to β-glucosidase.
- application syndrome commonly used in the treatment of Escherichia coli (Escherichia coli) caused by urinary tract infections, gastrointestinal infections, etc.
- Curative effect: It has broad-spectrum antibacterial properties, but it still has certain sensitivity to some drug-resistant bacteria.
- Advantages: Significant curative effect, easy to use, wide range of indications.
- Ciprofloxacin (Metronidazole)
- mechanism of action: Ciprofloxacin is a β-γ-δ ternary ring compound, which coordinates with the β-glucosidase of Escherichia coli to prevent its enzymatic reaction.
- application syndrome mainly used for the treatment and prevention of tuberculous peritonitis, bacterial nephritis, etc.
- Curative effect: It has good antibacterial effect on extensive bacterial infection.
- Advantages: It has a stronger inhibitory effect on drug-resistant bacteria, and the indications are relatively fixed.
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differences in 2. mechanisms of action
- different types of inhibited enzymes:
- enrofloxacin it mainly inhibits the coomassie rearrangement enzyme and has a good effect on the drug resistance of Escherichia coli.
- Ciprofloxacin inhibition of β-glucosidase by coordination is more lethal to drug-resistant bacteria.
- Different scope of action:
- enrofloxacin it performs well in E. coli, but has some antibacterial effect against other types of bacteria.
- Ciprofloxacin it is mainly aimed at tuberculosis bacteria and has limited antibacterial effect on other bacteria.
The difference between 3. clinical applications
- different indications:
- enrofloxacin it is widely used to treat various E. coli infections, including urinary tract infections, gastrointestinal infections, etc.
- Ciprofloxacin mainly used for the treatment and prevention of tuberculous peritonitis, bacterial nephritis.
- Use concentration and course of different:
- enrofloxacin usually in the intravenous injection, the use of low concentration, short course of treatment.
- Ciprofloxacin higher concentrations are required for intravenous injection and the course of treatment is longer.
Comparison of 4. advantages and disadvantages
- advantages of enrofloxacin:
- broad-spectrum antibacterial.
- Easy to use, wide range of indications.
- The cost is lower.
- Advantages of ciprofloxacin:
- it has a stronger inhibitory effect on drug-resistant bacteria.
- It is prominent in tuberculous infections.
5. selection recommendations
in clinical application, the use of the two drugs should be determined according to the specific type of pathogenic bacteria and drug resistance. For urinary tract infections caused by Escherichia coli, enrofloxacin is an effective choice; for tuberculous peritonitis, ciprofloxacin is the drug of choice. Patients should choose the right drug according to the doctor's advice to get the best therapeutic effect.
Summary
enrofloxacin and ciprofloxacin have significant differences in antibacterial mechanisms and indications, but they both provide important means for the treatment of bacterial infections. Choosing the right drug, combined with the patient's medical history and bacterial characteristics, can significantly improve the therapeutic effect. In the future, as awareness of the prevention and control of drug-resistant bacteria increases, the use of such drugs will become more important.
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