Anti-gonococcal activity of gemifloxacin against fluoroquinolone-resistant strains and a comparison of agar dilution and Etest methods

被引:12
作者
Jones, RN [1 ]
Deshpande, LM [1 ]
Erwin, ME [1 ]
Barrett, MS [1 ]
Beach, ML [1 ]
机构
[1] Univ Iowa, Coll Med, Dept Pathol, Div Med Microbiol, Iowa City, IA 52242 USA
关键词
D O I
10.1093/jac/45.suppl_3.67
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Gemifloxacin is a novel quinolone with excellent activity against Gram-positive and some Gram-negative pathogens. Its activity was tested against 150 Neisseria gonorrhoeae strains, including 50 ciprofloxacin-resistant isolates, using reference agar dilution and Etest methods. Gemifloxacin was found to be highly potent against ciprofloxacin-susceptible strains (MIC90 0.008 mg/L), but was 16-fold less potent against ciprofloxacin-resistant gonococci. The order of quinolone potency against these fluoroquinolone-resistant mutants was: gemifloxacin (MIC90 0.12 mg/L)> trovafloxacin (0.25 mg/L)> moxifloxacin = grepafloxacin (0.5 mg/L)> ciprofloxacin (1 mg/L). Etest and reference agar dilution MIC results showed excellent correlation (r = 0.96) and >98% of MICs were within +/-1 log(2) dilution step (essential agreement). The excellent potency of gemifloxacin indicates its potential for the treatment of infections with quinolone-resistant N. gonorrhoeae.
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页码:67 / 70
页数:4
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