Which antibiotic is a nitroimidazole used to treat anaerobic infections?

Prepare efficiently for the USMLE Step 2 with our Antibiotics and Treatments Exam. Explore detailed questions, gain insights with comprehensive explanations, and boost your confidence for success! Ace your exam!

Metronidazole is a nitroimidazole antibiotic that is particularly effective against anaerobic bacteria and certain protozoa. It works by interfering with the DNA synthesis and function of these microorganisms, ultimately leading to cell death. This makes it a preferred treatment choice for a variety of anaerobic infections, including those caused by Clostridium species and Bacteroides fragilis.

The drug is often utilized for cases such as bacterial vaginosis, certain intra-abdominal infections, and antibiotic-associated colitis caused by Clostridium difficile. In these contexts, its ability to target anaerobic organisms is crucial since many of these infections are polymicrobial and involve anaerobic flora.

In contrast to metronidazole, other antibiotics listed have different mechanisms and spectrums of activity. For instance, clindamycin also targets anaerobic bacteria but is not a nitroimidazole, and its resistance patterns can differ. Benzathine penicillin G predominantly targets aerobic gram-positive cocci and does not effectively treat anaerobic infections. Aminoglycosides, on the other hand, are mainly effective against aerobic gram-negative bacteria and would not be suitable for treating anaerobic infections. Therefore, metronidazole is the most appropriate antibiotic choice for effectively

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