Effect of clarithromycin on chronic respiratory infection caused by Pseudomonas aeruginosa with biofilm formation in an experimental murine model

被引:48
作者
Yanagihara, K [1 ]
Tomono, K [1 ]
Imamura, Y [1 ]
Kaneko, Y [1 ]
Kuroki, M [1 ]
Sawai, T [1 ]
Miyazaki, Y [1 ]
Hirakata, Y [1 ]
Mukae, H [1 ]
Kadota, JI [1 ]
Kohno, S [1 ]
机构
[1] Nagasaki Univ, Sch Med, Dept Internal Med 2, Nagasaki 852, Japan
关键词
macrolide antibiotics; chronic respiratory infection; Pseudomonas aeruginosa; biofilm formation; murine model;
D O I
10.1093/jac/dkf013
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Fourteen-membered macrolides (e.g. clarithromycin and erythromycin), but not 16-membered macrolides (e.g. josamycin), are effective in diffuse panbronchiolitis. However, there are no studies that have compared the effects of 14- and 16-membered macrolide antibiotics on biofilm formation. Treatment with high-dose clarithromycin (100 mg/kg) resulted in a significant decrease in the number of viable bacteria in an experimental murine model. Josamycin at a dose of up to 100 mg/kg had no effect on the number of viable bacteria in the lung. Our results may explain, at least in part, the clinical efficacy of 14-membered macrolide antibiotics in patients with chronic pneumonia caused by Pseudomonas aeruginosa.
引用
收藏
页码:867 / 870
页数:4
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