Gohara Y, Arai S, Kuwano K, Kawashima T, Matsu-Ura I
Department of Microbiology, Kurume University School of Medicine, Japan.
Nihon Saikingaku Zasshi. 1992 Mar;47(2):387-93. doi: 10.3412/jsb.47.387.
The antimicrobial activities against Mycoplasma pneumoniae of new quinolones (temafloxacin, ofloxacin, ciprofloxacin, enoxacin, and norfloxacin) and of tetracyclines and macrolides as controls were compared. Among new quinolones, temafloxacin, ofloxacin, and ciprofloxacin were more active than enoxacin and norfloxacin against fifty strains of Mycoplasma pneumoniae, giving MIC50 and MIC90 significantly lower than those of the latter two, by the agar-dilution method. The three more active antibiotics in the above assay were then determined for MICs and MBCs by the broth-dilution method. The MICs of every antibiotic except erythromycin determined by both the methods were very similar each other. The MICs of erythromycin determined by the broth-dilution method were ten-times higher than those determined by the agar-dilution method. Temafloxacin and ofloxacin gave MBCs only about four-times higher than MICs, whereas ciprofloxacin, minocycline, erythromycin and josamycin gave MBCs as much as 15 to 1,000-times higher than MICs. From the MICs and MBCs determined by the two assay methods, it is apparent that temafloxacin and ofloxacin, and to a less extent ciprofloxacin, have more potent mycoplasmacidal activities than do macrolides and tetracyclines.
比较了新型喹诺酮类药物(替马沙星、氧氟沙星、环丙沙星、依诺沙星和诺氟沙星)以及作为对照的四环素类和大环内酯类药物对肺炎支原体的抗菌活性。在新型喹诺酮类药物中,通过琼脂稀释法测定,替马沙星、氧氟沙星和环丙沙星对50株肺炎支原体的活性比依诺沙星和诺氟沙星更强,其MIC50和MIC90显著低于后两者。然后通过肉汤稀释法测定上述活性较高的三种抗生素的MIC和MBC。除红霉素外,两种方法测定的每种抗生素的MIC彼此非常相似。通过肉汤稀释法测定的红霉素的MIC比通过琼脂稀释法测定的高10倍。替马沙星和氧氟沙星的MBC仅比MIC高约4倍,而环丙沙星、米诺环素、红霉素和交沙霉素的MBC比MIC高15至1000倍。从两种测定方法测定的MIC和MBC来看,很明显,替马沙星和氧氟沙星,以及在较小程度上的环丙沙星,比大环内酯类和四环素类药物具有更强的杀支原体活性。