Alarcón T, Domingo D, Prieto N, Sánchez S, López-Brea M
Servicio de Microbiología, Hospital Universitario de la Princesa, Diego de León 62, 28006 Madrid.
Rev Esp Quimioter. 1998 Mar;11(1):47-51.
The in vitro activity of trovafloxacin against 238 clinical isolates obtained from respiratory specimens were compared with ciprofloxacin. Fifty-four Haemophilus influenzae, 58 Streptococcus pneumoniae, 40 Moraxella catarrhalis, 21 Streptococcus pyogenes, 25 Klebsiella pneumoniae and 40 Staphylococcus aureus (21 methicillin resistant and 19 methicillin susceptible) were studied. The MIC was determined following NCCLS recommendations. Ciprofloxacin and trovafloxacin MIC90 was 0.016 mg/l and 0.016 mg/l for H. influenzae, 4 mg/l and 0. 25 mg/l for S. pneumoniae, </=0.008 mg/l and </=0.008 mg/l for M. catarrhalis, 0.5 mg/l and 0.064 mg/l for S. pyogenes, 0.064 mg/l and 0.25 mg/l for K. pneumoniae, 16 mg/l and 0.5 mg/l for methicillin-resistant S. aureus and 2 mg/l and 0.032 mg/l for methicillin-susceptible S. aureus. According to this data, trovafloxacin showed better in vitro activity than ciprofloxacin in the Gram-positive pathogen studied and similar activity against the Gram-negatives tested.
将曲伐沙星对从呼吸道标本中分离出的238株临床菌株的体外活性与环丙沙星进行了比较。研究了54株流感嗜血杆菌、58株肺炎链球菌、40株卡他莫拉菌、21株化脓性链球菌、25株肺炎克雷伯菌和40株金黄色葡萄球菌(21株耐甲氧西林和19株对甲氧西林敏感)。按照美国国家临床实验室标准化委员会(NCCLS)的建议测定最低抑菌浓度(MIC)。对于流感嗜血杆菌,环丙沙星和曲伐沙星的MIC90分别为0.016mg/L和0.016mg/L;对于肺炎链球菌,分别为4mg/L和0.25mg/L;对于卡他莫拉菌,均≤0.008mg/L;对于化脓性链球菌,分别为0.5mg/L和0.064mg/L;对于肺炎克雷伯菌,分别为0.064mg/L和0.25mg/L;对于耐甲氧西林金黄色葡萄球菌,分别为16mg/L和0.5mg/L;对于对甲氧西林敏感金黄色葡萄球菌,分别为2mg/L和0.032mg/L。根据这些数据,在研究的革兰氏阳性病原体中,曲伐沙星显示出比环丙沙星更好的体外活性,而对所检测的革兰氏阴性菌的活性相似。