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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.

Gemifloxacin Is Efficacious against Penicillin-Resistant and Quinolone-Resistant Pneumococci in Experimental Meningitis

Philippe Cottagnoud,1* Fernando Acosta,2 Marianne Cottagnoud,2 and Martin G. Täuber3

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 [{Delta}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 {Delta}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 {Delta}log10 CFU/ml/h). The excellent antibacterial activity of gemifloxacin was also confirmed by time-kill assays over 8 h in vitro.


* Corresponding author. Mailing address: Department of Internal Medicine, Inselspital, 3010 Bern, Switzerland. Phone: 41 31 632 2111. Fax: 41 31 632 3847. E-mail: pcottagn{at}insel.ch.


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.




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  • Morrissey, I., Tillotson, G. (2004). Activity of gemifloxacin against Streptococcus pneumoniae and Haemophilus influenzae. J Antimicrob Chemother 53: 144-148 [Abstract] [Full Text]