Balofloxacinの呼吸器感染症に対する臨床的有用性の検討

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  • Clinical study of balofloxacin in respiratory tract infections

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We performed bacteriological and clinical studies on balofloxacin (BLFX), a new quinolone derivative, in respiratory tract infections and obtained the following results.<BR>1) The MICs of balofloxacin against methicillin-susceptible Staphylococcus aureus (MSSA), Streptococcus pneumoniae, Haemophilus influenzae, Branhamella catarrhalis and Klebsiella pneumoniae ranged from 0.01 to 4μg/ml, equal to those of sparfloxacin (SPFX) and levofloxacin (LVFX). The MIC90 against methicillin-resistant S. aureus (MRSA) was 4μg/ml, which was superior to those of SPFX and LVFX. The MIC90 against Pseudomonas aeruginosa was 64μg/ml, inferior to those of SPFX and LVFX.<BR>2) The MICs against Chlamydia pneumoniae, Chlamydia psittaci and Chlamydia trachomatis were 0.25-0.5μg/ml, equal to those of ofloxacin and ciprofloxacin but inferior to those of tosufloxacin and SPFX.<BR>3) Ten patients with respiratory tract infection were treated with BLFX. Efficacy was rated as excellent in 2, good in 7, and poor in 1 case. The overall clinical efficacy was 90%. No adverse side effects were seen, but there was 1 patient with mild liver dysfunction.

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