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Journal of Antimicrobial Chemotherapy (1988) 22, 631-636
© 1988 The British Society for Antimicrobial Chemotherapy


research-article

Susceptibility of Campylobacter pylori to macrolides and fluoroquinolones

Dwight J. Hardy, Charles W. Hanson, Dena M. Hensey, Jill M. Beyer and Prabhavathi B. Fernandes

Anti-infective Research Department, Pharmaceutical Products Division, Abbott Laboratories Abbott Park, illinois 60064, USA

Received 25 April 1988; returned 3 July 1988; accepted 3 July 1988


The in-vitro activities of several 14-, 15- and 16-membered macrolides and fluoroquinolones against Campylobacter pylori were determined. In general, macrolides, such as clarithromycin and flurithromycin, were more active than the 15-membered macrolide, azithromycin, which was more active than 16-membered macrolides, such as miocamycin and rokitamycin. Fluoroquinolones, except ciprofloxacin and A-6l827, were less active than macrolides. Clarithromycin was the most active of the new compounds against C. pylori and was as active as ampicillin. MICs of all compounds at pH 5.5 were increased when compared to MICs determined at pH 7.3. All compounds had MBCs which were the same as or within one two-fold dilution of their MICs. Frequencies of spontaneous resistance development by C. pylori NCTC 11637 at four and eight times the MIC of the compounds were low and ranged from <1 x 10–9 to 1 x 10–7


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