DUFFY LB, CRABB D, WALL W, HERRINGTON JA; Interscience Conference on Antimicrobial Agents and Chemotherapy.
Abstr Intersci Conf Antimicrob Agents Chemother Intersci Conf Antimicrob Agents Chemother. 1999 Sep 26-29; 39: 252 (abstract no. 367).
Univ. of Alabama at Birmingham, Birmingham, AL
Mycoplasma pneumoniae is the leading cause of tracheobronchitis in school-aged children. In the general population, it accounts for 20% of all pneumonia and up to 50% in closed populations. Most mycoplasma infections are acute and self-limiting, however, M. pneumoniae can produce life threatening disease in all age groups. No strains of M. pneumoniae have been found to be resistant to erythromycin; its effectiveness is limited due to erratic absorption and gastrointestinal discomfort. This study compared the activity of a new 8-methoxyfluoroquinolone, moxifloxacin (MXF), against the newer macrolides and quinolones. A microbroth dilution method was used to test low-passaged clinical respiratory isolates from patients with radiographically proven cases of pneumonia. These isolates were identified by polymerase chain reaction (PCR) as M. pneumoniae and were not cross-reactive with other mycoplasma species found in the human respiratory or genital tract. The minimum inhibitory concentrations (MICs) are reported in microg/ml. MXF was extremely active against all 32 isolates. MIC[50]s were as follows: 0.031 for MXF, 0.125 for trovafloxacin (TVA) and grepafloxacin (GRX), 0.5 for levofloxacin (LVX), and =0.008 for azithromycin (AZM) and clarithromycin (CLR). The MIC[90]s were: 0.063 for MXF, 0.125 for TVA and GRX, 0.5 for LVX, and =0.008 for AZM and CLR. Moxifloxacin's MIC was the closest to the new macrolides and was 2 to 8 times more active than the other quinolones tested. Based on moxifloxacin's ability to achieve high concentrations in alveolar macrophage[ ]and these analyses, moxifloxacin is an excellent therapeutic agent for the treatment of M. pneumoniae in tracheobronchitis.
Publication Types:
Keywords:
- Anti-Bacterial Agents
- Anti-Infective Agents
- Aza Compounds
- Child
- Erythromycin
- Fluoroquinolones
- Humans
- In Vitro
- Macrolides
- Microbial Sensitivity Tests
- Mycoplasma
- Mycoplasma Infections
- Mycoplasma pneumoniae
- Naphthyridines
- Ofloxacin
- Pneumonia, Mycoplasma
- Quinolines
- Respiratory Tract Infections
- grepafloxacin
- moxifloxacin
- trovafloxacin
Other ID:
UI: 102245367
From Meeting Abstracts