Comparative Study of the Mutant Prevention Concentrations of Moxifloxacin, Levofloxacin, and Gemifloxacin against Pneumococci

被引:9
作者
Credito, Kim [1 ]
Kosowska-Shick, Klaudia [1 ]
McGhee, Pamela [1 ]
Pankuch, Glenn A. [1 ]
Appelbaum, Peter C. [1 ]
机构
[1] Penn State Univ, Milton S Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USA
关键词
STREPTOCOCCUS-PNEUMONIAE MUTANTS; SELECTION WINDOW HYPOTHESIS; RESISTANT MUTANTS; FLUOROQUINOLONES; SUSCEPTIBILITY; CIPROFLOXACIN; PHARMACODYNAMICS; PHARMACOKINETICS; GARENOXACIN; QUINOLONE;
D O I
10.1128/AAC.01353-09
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
We tested the propensity of three quinolones to select for resistant Streptococcus pneumoniae mutants by determining the mutant prevention concentration (MPC) against 100 clinical strains, some of which harbored mutations in type II topoisomerases. Compared with levofloxacin and gemifloxacin, moxifloxacin had the lowest number of strains with MPCs above the susceptibility breakpoint (P < 0.001), thus representing a lower selective pressure for proliferation of resistant mutants. Only moxifloxacin gave a 50% MPC (MPC50) value (1 mu g/ml) within the susceptible range.
引用
收藏
页码:673 / 677
页数:5
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