Dhalla Irfan A, Mamdani Muhammad M, Simor Andrew E, Kopp Alex, Rochon Paula A, Juurlink David N
Department of Medicine, Unversity of Toronto, Ontario M4E 3E9, Canada.
Antimicrob Agents Chemother. 2006 Sep;50(9):3216-9. doi: 10.1128/AAC.00592-06.
Limited evidence suggests that broad-spectrum fluoroquinolones such as gatifloxacin and moxifloxacin are more likely to cause Clostridium difficile-associated disease than levofloxacin. In a population-based case-control study of outpatients prescribed fluoroquinolones, we found no increased risk of C. difficile-associated disease requiring hospitalization among patients prescribed gatifloxacin or moxifloxacin compared to levofloxacin.
有限的证据表明,加替沙星和莫西沙星等广谱氟喹诺酮类药物比左氧氟沙星更易引发艰难梭菌相关性疾病。在一项针对开具氟喹诺酮类药物门诊患者的基于人群的病例对照研究中,我们发现,与开具左氧氟沙星的患者相比,开具加替沙星或莫西沙星的患者中,因艰难梭菌相关性疾病而需住院治疗的风险并未增加。