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[新型氟喹诺酮类药物马波沙星(RO 09-1168)对严格厌氧菌及部分人体粪便菌群细菌的体外活性]

[In vitro activity of a new fluoroquinolone, marbofloxacin (RO 09-1168) against strictly anaerobic bacteria and some bacteria from human fecal flora].

作者信息

Dubreuil L, Houcke I, Leroy I

机构信息

Faculté de pharmacie, Lille, France.

出版信息

Pathol Biol (Paris). 1996 May;44(5):333-6.

PMID:8758470
Abstract

As recommended by the EEC, the in vitro activity of a veterinary quinolone has to be evaluated on human strains isolated from the gut and especially against anaerobes. Thus, the MICs for Marbofloxacin were determined by the reference agar method (Norma NCCLS M11 A3) using Wilkins Chalgren medium for the 124 anaerobic strains and Mueller Hinton agar for E. coli, Proteus, Enterococcus and Lactobacillus. On the whole aerobes, the activity of Marbofloxacin was equal or slightly greater to that of ofloxacin. The modal MIC was 0.03 mg/l for Enterobacteriaceae, 2 mg/l and 16 mg/l for Enterococcus and Lactobacillus strains, respectively. Considering the anti-anaerobic activity of this new drug, in comparison with that of ofloxacin, MICs for ofloxacin were generally one log2 higher for Gram negative bacilli and two log2 higher for Gram positive bacilli. Modal MICs for marbofloxacin were 0.12 mg/l for Clostridium perfringens, 0.5 mg/l for Bacteroides fragilis, Fusobacterium, Prevotella, and Peptostreptococcus strains, 1 mg/l for Bifidobacteria, 2 mg/l for non-fragilis members of the B. fragilis group, and 4 mg/l for C. difficile strains, respectively. It appears in vitro that Marbofloxacin was a more potent agent than ofloxacin on the whole anaerobes.

摘要

按照欧洲经济共同体的建议,兽用喹诺酮类药物的体外活性必须在从肠道分离出的人体菌株上进行评估,尤其是针对厌氧菌。因此,采用参考琼脂法(NCCLS M11 A3标准)测定了马波沙星对124株厌氧菌的最低抑菌浓度(MIC),其中用威尔金斯·查尔格伦培养基培养厌氧菌,用穆勒·欣顿琼脂培养基培养大肠杆菌、变形杆菌、肠球菌和乳酸杆菌。总体而言,马波沙星对需氧菌的活性与氧氟沙星相当或略强。肠杆菌科细菌的MIC模态值为0.03mg/L,肠球菌和乳酸杆菌菌株的MIC模态值分别为2mg/L和16mg/L。考虑到这种新药的抗厌氧活性,与氧氟沙星相比,革兰氏阴性杆菌对氧氟沙星的MIC通常高一个log2,革兰氏阳性杆菌则高两个log2。马波沙星对产气荚膜梭菌的MIC模态值为0.12mg/L,对脆弱拟杆菌、梭杆菌、普雷沃菌和消化链球菌菌株的MIC模态值为0.5mg/L,对双歧杆菌的MIC模态值为1mg/L,对脆弱拟杆菌群中非脆弱成员的MIC模态值为2mg/L,对艰难梭菌菌株的MIC模态值为4mg/L。体外实验表明,总体而言,马波沙星对厌氧菌的活性比氧氟沙星更强。

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