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Antimicrobial Agents and Chemotherapy, June 2003, p. 1963-1967, Vol. 47, No. 6
0066-4804/03/$08.00+0     DOI: 10.1128/AAC.47.6.1963-1967.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.

In Vitro Activities of Telithromycin and 10 Oral Agents against Aerobic and Anaerobic Pathogens Isolated from Antral Puncture Specimens from Patients with Sinusitis

Ellie J. C. Goldstein,1,2* Diane M. Citron,1 C. Vreni Merriam,1 Yumi Warren,1 Kerin L. Tyrrel,1 and Helen Fernandez1

R. M. Alden Research Laboratory, Santa Monica, California 90404,1 University of California at Los Angeles School of Medicine, Los Angeles, California 900732

Received 17 October 2002/ Returned for modification 21 February 2003/ Accepted 10 March 2003

A study of the comparative in vitro activity of telithromycin, a new ketolide, against 155 aerobic and 171 anaerobic antral sinus puncture isolates showed it to be active against a broad range of sinus pathogens. All pneumococci, including erythromycin-resistant strains, were susceptible to telithromycin at <=0.5 µg/ml; all Haemophilus influenzae and Eikenella corrodens strains were inhibited by <=4 µg of telithromycin/ml; all Moraxella spp. and beta-lactamase-producing Prevotella species strains were inhibited by <=0.25 and 0.5 µg of telithromycin/ml, respectively. Among all anaerobes tested, 94% (160 of 171 strains) were susceptible to <=4 µg of telithromycin/ml; however, 8 of 17 (47%) Fusobacterium strains, 2 Veillonella strains, and 1 Peptostreptococcus micros strain required >4 µg of telithromycin/ml for inhibition. Telithromycin may offer a therapeutic alternative for sinus infections, including those due to erythromycin-resistant pneumococci.


* Corresponding author. Mailing address: 2021 Santa Monica Blvd., Ste. 740 East, Santa Monica, CA 90404. Phone: (310) 315-1511. Fax: (310) 315-3662. E-mail: EJCGMD{at}aol.com.


Antimicrobial Agents and Chemotherapy, June 2003, p. 1963-1967, Vol. 47, No. 6
0066-4804/03/$08.00+0     DOI: 10.1128/AAC.47.6.1963-1967.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.




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  • Brook, I., Hausfeld, J. N. (2005). Recovery of Interfering Bacteria in the Nasopharynx following Antimicrobial Therapy of Acute Maxillary Sinusitis with Telithromycin or Amoxicillin-Clavulanate. Antimicrob. Agents Chemother. 49: 4793-4794 [Abstract] [Full Text]  
  • Chollet, R., Chevalier, J., Bryskier, A., Pages, J.-M. (2004). The AcrAB-TolC Pump Is Involved in Macrolide Resistance but Not in Telithromycin Efflux in Enterobacter aerogenes and Escherichia coli. Antimicrob. Agents Chemother. 48: 3621-3624 [Abstract] [Full Text]