title: Activity of telithromycin against 26 quinolone-resistant pneumococci with known quinolone-resistance mechanisms.
abstract: NCCLS agar dilution was used to test activity of telithromycin compared to clarithromycin, penicillin G, ciprofloxacin, levofloxacin, sparfloxacin and moxifloxacin against 26 pneumococci with defined quinolone resistance (type II topoisomerase and efflux) mechanisms. Thirteen strains were penicillin susceptible, six intermediate and seven resistant. Clarithromycin resistance (mef and/or erm) was seen in eight strains. Ciprofloxacin MICs (mg/L) were 8-64 compared to 1-32 (levofloxacin), 0.5 . or = 32 (sparfloxacin) and 0.125-4 (moxifloxacin). Telithromycin MIC50 and MIC90 values (mg/L) were 0.016 and 0.25, with only one strain having an MIC of 2 mg/L.
authors.affiliation: Department of Pathology, Hershey Medical Center, Hershey, PA 17033, USA.
authors.forename: K
authors.initials: K
authors.lastname: Nagai
authors.forename: D
authors.initials: D
authors.lastname: Hoellman
authors.forename: T
authors.initials: T
authors.lastname: Davies
authors.forename: M
authors.initials: M
authors.lastname: Jacobs
authors.forename: P
authors.initials: P
authors.lastname: Appelbaum
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D000890:Anti-Infective Agents / Q000494:pharmacology*; D004250:DNA Topoisomerases, Type II / Q000235:genetics; D024881:Drug Resistance, Bacterial; D024841:Fluoroquinolones; D006801:Humans; D048628:Ketolides; D018942:Macrolides; D008826:Microbial Sensitivity Tests; D009154:Mutation; D013296:Streptococcus pneumoniae / Q000187:drug effects* / Q000235:genetics
chemical_list: D000900:Anti-Bacterial Agents; D000890:Anti-Infective Agents; D024841:Fluoroquinolones; D048628:Ketolides; D018942:Macrolides; D004250:DNA Topoisomerases, Type II; C106791:telithromycin