Matsuzaki Kaoru, Watabe Emiko, Yoshimori Kanae, Shikano Mina, Sato Yumie, Hasegawa Miyuki, Kobayashi Intetsu
Chemotherapy Division, Mitsubishi Kagaku Bio-Clinical Laboratories, Inc., Tokyo, Japan.
Jpn J Antibiot. 2002 Dec;55(6):800-7.
Antibacterial activities of gatifloxacin (GFLX) and other antibacterial drugs against various fresh clinical strains (800 isolates) isolated from specimens of patients in 2002 were compared. GFLX was more active than levofloxacin and ciprofloxacin against Gram-positive bacteria such as methicillin susceptible Staphylococcus aureus and Streptococcus pneumoniae. For these isolates, clarithromycin and azithromycin were less active (MIC90; > 16- > 64 micrograms/mL), GFLX was more active than cefdinir. For Escherichia coli, Klebsiella pneumoniae, Acinetobacter species, Haemophilus influenzae and Moraxella (Branhamella) catarrhalis, three quinolones including GFLX were potently active (MIC90; < or = 0.06-0.5 microgram/mL). Pseudomonas aeruginosa isolated from urinary tract infections were resistant to three quinolones including GFLX (MIC90; 32-64 micrograms/mL), however P. aeruginosa isolated from respiratory and otolaryngological infections were more susceptible (MIC90; 0.5-2 micrograms/mL). Quinolones were less active against Neisseria gonorrhoeae as compared with the cephem antibiotics tested, but GFLX was the most active against N. gonorrhoeae among the quinolones tested. In this study, we investigated activity of GFLX against fresh clinical strains isolated early in 2002, GFLX is widely and potently active against S. aureus, S. pneumoniae and various Gram-negative bacteria.
比较了加替沙星(GFLX)和其他抗菌药物对2002年从患者标本中分离出的各种新鲜临床菌株(800株分离菌)的抗菌活性。GFLX对革兰氏阳性菌如甲氧西林敏感金黄色葡萄球菌和肺炎链球菌的活性比左氧氟沙星和环丙沙星更强。对于这些分离菌,克拉霉素和阿奇霉素活性较低(MIC90;>16->64微克/毫升),GFLX比头孢地尼活性更强。对于大肠埃希菌、肺炎克雷伯菌、不动杆菌属、流感嗜血杆菌和卡他莫拉菌(布兰汉菌属),包括GFLX在内的三种喹诺酮类药物活性很强(MIC90;≤0.06-0.5微克/毫升)。从尿路感染分离出的铜绿假单胞菌对包括GFLX在内的三种喹诺酮类药物耐药(MIC90;32-64微克/毫升),然而从呼吸道和耳鼻喉感染分离出的铜绿假单胞菌更敏感(MIC90;0.5-2微克/毫升)。与所测试的头孢菌素类抗生素相比,喹诺酮类药物对淋病奈瑟菌的活性较低,但在测试的喹诺酮类药物中,GFLX对淋病奈瑟菌的活性最强。在本研究中,我们调查了GFLX对2002年初分离出的新鲜临床菌株的活性,GFLX对金黄色葡萄球菌、肺炎链球菌和各种革兰氏阴性菌具有广泛且强效的活性。