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Antimicrobial Agents and Chemotherapy, October 2008, p. 3763-3775, Vol. 52, No. 10
0066-4804/08/$08.00+0 doi:10.1128/AAC.00294-08
Copyright © 2008, American Society for Microbiology. All Rights Reserved.

JMI Laboratories, North Liberty, Iowa,1 Tufts University School of Medicine, Boston, Massachusetts,2 Universidade Federal de Sao Paulo, Sao Paulo, Brazil3
Received 3 March 2008/ Returned for modification 30 March 2008/ Accepted 15 June 2008
The activity of DC-159a, a novel orally administered fluorinated quinolone, was evaluated by reference broth microdilution or agar dilution methods against 1,149 recently collected clinical isolates from five continents. Against pathogens associated with community-acquired respiratory tract infections (CA-RTIs), the MIC90s were 0.12 µg/ml for Streptococcus pneumoniae, 0.015 to 0.03 µg/ml for Haemophilus influenzae, 0.03 µg/ml for Moraxella catarrhalis, and 0.12 µg/ml for beta-hemolytic streptococci. Similarly, DC-159a was potent against various types of staphylococci (MIC90 range, 0.03 to 2 µg/ml), Enterococcus faecalis (MIC90, 4 µg/ml), wild-type isolates of the family Enterobacteriaceae (MIC90 range, 0.06 to 2 µg/ml), wild-type Pseudomonas aeruginosa (MIC90, 2 µg/ml), and Acinetobacter spp. (MIC90, 0.12 µg/ml). Fluoroquinolone-nonsusceptible organism subsets usually had elevated DC-159a MICs, but the MICs were often two- to fourfold lower than those of levofloxacin and moxifloxacin. In conclusion, DC-159a appears to possess a balanced broad spectrum of activity that exceeds the activities of the currently marketed fluoroquinolones, especially against pathogens that cause CA-RTIs.
Published ahead of print on 23 June 2008.
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