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替马沙星对革兰氏阴性菌的体外活性:综述

In vitro activity of temafloxacin against gram-negative bacteria: an overview.

作者信息

Hardy D J

机构信息

Department of Microbiology and Immunology, University of Rochester Medical Center, New York 14642-8710.

出版信息

Am J Med. 1991 Dec 30;91(6A):19S-23S. doi: 10.1016/0002-9343(91)90304-g.

Abstract

The in vitro activities of temafloxacin, ciprofloxacin, and ofloxacin against gram-negative bacteria are compared. The 90% minimal inhibitory concentrations (MIC90s) of temafloxacin for respiratory pathogens such as Haemophilus influenzae, Moraxella catarrhalis, Neisseria meningitidis, Bordetella pertussis, and Legionella pneumophila are less than or equal to 0.06 micrograms/mL. Temafloxacin is also active against bacterial agents of sexually transmitted diseases, including Neisseria gonorrhoeae (MIC90 less than or equal to 0.015 micrograms/mL) and Chlamydia trachomatis (MIC90 0.25 micrograms/mL). For strains of Enterobacteriaceae, Campylobacter, Vibrio, Aeromonas, and Acinetobacter, temafloxacin is generally inhibitory at less than or equal to 0.5 micrograms/mL. The MIC90 of temafloxacin for Pseudomonas aeruginosa is higher than that of ciprofloxacin, approximately 4 micrograms/mL versus 0.5 micrograms/mL. This activity, combined with its pharmacokinetic characteristics, should make temafloxacin an effective antimicrobial agent against infections caused by gram-negative bacteria.

摘要

比较了替马沙星、环丙沙星和氧氟沙星对革兰氏阴性菌的体外活性。替马沙星对流感嗜血杆菌、卡他莫拉菌、脑膜炎奈瑟菌、百日咳博德特氏菌和嗜肺军团菌等呼吸道病原体的90%最低抑菌浓度(MIC90s)小于或等于0.06微克/毫升。替马沙星对包括淋病奈瑟菌(MIC90小于或等于0.015微克/毫升)和沙眼衣原体(MIC90 0.25微克/毫升)在内的性传播疾病病原体也有活性。对于肠杆菌科、弯曲菌属、弧菌属、气单胞菌属和不动杆菌属的菌株,替马沙星通常在小于或等于0.5微克/毫升时具有抑制作用。替马沙星对铜绿假单胞菌的MIC90高于环丙沙星,分别约为4微克/毫升和0.5微克/毫升。这种活性及其药代动力学特性,应使替马沙星成为对抗革兰氏阴性菌感染的有效抗菌剂。

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