Grimprel E, Cohen R
Comité de Lutte contre les Infections Nosocomiales, Centre Intercommunal de Créteil, 40, avenue de Verdun, 94010 Créteil.
Arch Pediatr. 2010 Sep;17 Suppl 4:S129-32. doi: 10.1016/S0929-693X(10)70913-1.
Levofloxacin (levogyre form of ofloxacin) has been approved for the treatment of acute and chronic sinusitis, pneumonia, and exacerbation of bronchopulmonary diseases, urinary, digestive and biliary infections in adults. Its pharmacokinetic properties and microbiological spectrum, including penicillin non-susceptible Streptococcus pneumoniae, methicillin-resistant Staphylococcus aureus, and Mycoplasma pneumoniae, suggest a potential interest in drug-resistant acute otitis media and community-acquired pneumonia. Only few studies have been performed in the paediatric population but they provided encouraging efficacy and safety data. Complementary data are needed before considering its use in Europe in the setting of a paediatric investigation plan.
左氧氟沙星(氧氟沙星的左旋体形式)已被批准用于治疗成人的急慢性鼻窦炎、肺炎、支气管肺部疾病急性加重、泌尿系统、消化系统和胆道感染。其药代动力学特性和微生物谱,包括对青霉素不敏感的肺炎链球菌、耐甲氧西林金黄色葡萄球菌和肺炎支原体,提示其在耐药性急性中耳炎和社区获得性肺炎方面可能具有应用价值。针对儿科人群仅开展了少量研究,但这些研究提供了令人鼓舞的疗效和安全性数据。在考虑在欧洲按照儿科研究计划使用该药物之前,还需要补充数据。