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Antimicrobial Agents and Chemotherapy, March 1999, p. 667-671, Vol. 43, No. 3
The R. W. Johnson Pharmaceutical
Research Institute, Raritan, New Jersey 08869
Received 10 February 1998/Returned for modification 25 May
1998/Accepted 23 December 1998
Oral levofloxacin was compared to oral ciprofloxacin in a
Staphylococcus aureus subcutaneous abscess model in
rabbits. Rabbits were surgically prepared with subcutaneous wiffle
balls (43 mm in diameter) and allowed to recover for 4 to 6 weeks.
Rabbits were infected by direct injection into the capsule with
S. aureus ATCC 29213 (5 × 105 CFU) and
were allowed to remain infected for 8 days before the initiation of
anti-infective treatment. Efficacy was determined by assessing the
bacterial load within the capsule over a 10-day treatment period. In
single-dose pharmacokinetic studies in infected rabbits, similar area
under the concentration-time curve/MIC ratios were obtained in the
plasma and abscess fluid for levofloxacin at 45 mg/kg of body weight
and ciprofloxacin at 200 mg/kg of body weight. Similar efficacies were
seen with levofloxacin at 45 mg/kg/day and ciprofloxacin 400 mg/kg/day
by day 10. In this model, levofloxacin was significantly more
efficacious than ciprofloxacin (P < 0.01).
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Comparison of Efficacies of Oral Levofloxacin and
Oral Ciprofloxacin in a Rabbit Model of a Staphylococcal
Abscess

*
Corresponding author. Mailing address: The R. W. Johnson Pharmaceutical Research Institute, 1000 Rt. 202 South, Raritan,
NJ 08869. Phone: (908) 704-4203. Fax: (908) 526-3047. E-mail:
jfernand{at}prius.jnj.com.
This paper is dedicated to the memory of our friend Richard
"Rick" Schwalbe, who offered many valuable suggestions throughout this project.
Present address: Bristol-Myers Squibb Pharmaceutical Research
Institute, Wallingford, CT 06492.
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