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Antimicrobial Agents and Chemotherapy, May 2002, p. 1607-1609, Vol. 46, No. 5
0066-4804/02/$04.00+0 DOI: 10.1128/AAC.46.5.1607-1609.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
Department of Internal Medicine, Inselspital,1 Institute of Infectious Diseases, University of Bern, 3010 Bern,3 Department of Internal Medicine, Zieglerspital, 3007 Bern, Switzerland2
Received 5 February 2001/ Returned for modification 27 November 2001/ Accepted 1 February 2002
In experimental rabbit meningitis, gemifloxacin penetrated inflamed meninges well (22 to 33%) and produced excellent bactericidal activity (change in log10 [
log10] CFU/ml/h, -0.68 ± 0.30 [mean and standard deviation]), even superior to that of the standard regimen of ceftriaxone plus vancomycin (-0.49 ± 0.09
log10 CFU/ml/h), in the treatment of meningitis due to a penicillin-resistant pneumococcal strain (MIC, 4 mg/liter). Even against a penicillin- and quinolone-resistant strain, gemifloxacin showed good bactericidal activity (-0.48 ± 0.16
log10 CFU/ml/h). The excellent antibacterial activity of gemifloxacin was also confirmed by time-kill assays over 8 h in vitro.
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