Journal of Antimicrobial Chemotherapy, Vol 41, 207-214, Copyright © 1998 by The British Society for Antimicrobial Chemotherapy
MP Richard, AG Aguado, R Mattina and R Marre
A survey of resistance to sparfloxacin was carried out in ten European
countries, namely Slovakia, France, Germany, Great Britain, Hungary, the
Republic of Ireland, Italy, The Netherlands, Portugal and Spain.
Respiratory samples were collected from 4297 patients with lower
respiratory tract infections and cultured for the presence of Streptococcus
pneumoniae, Haemophilus influenzae and Moraxella catarrhalis. Altogether
2101 strains were isolated and tested for their susceptibility to
sparfloxacin, ciprofloxacin, erythromycin, tetracycline and penicillin G
(S. pneumoniae) or amoxycillin (H. influenzae and M. catarrhalis). Each
country tested strains using methods commonly used in that country, and
with breakpoints selected based on those used in that country. Penicillin
resistance in pneumococci was seen in those countries in which it had been
reported previously, namely Spain, France and Hungary. Only four strains of
pneumococci were resistant to sparfloxacin (MIC > or = 2 mg/L), while
ciprofloxacin-resistant strains were isolated more frequently, particularly
in the Republic of Ireland and Hungary. Almost all of the strains of H.
influenzae tested were resistant to erythromycin, (MIC50 > or = 4 mg/L),
but all strains were highly sensitive to sparfloxacin (MIC90 < or = 0.06
mg/L). The number of strains of H. influenzae producing beta-lactamase
varied between countries, whereas most strains of M. catarrhalis produced
beta-lactamase. In M. catarrhalis, erythromycin and tetracycline resistance
was rare, but sensitivity to amoxycillin varied. Sparfloxacin was
particularly active against H. influenzae and M. catarrhalis, and was the
most active compound tested. Overall, the activity of sparfloxacin was
greater than that of ciprofloxacin against all three pathogens, and
resistance to it was rare.
REVIEWS
Sensitivity to sparfloxacin and other antibiotics, of Streptococcus pneumoniae, Haemophilus influenzae and Moraxella catarrhalis strains isolated from adult patients with community-acquired lower respiratory tract infections: a European multicentre study. SPAR Study Group. Surveillance Programme of Antibiotic Resistance
Rhone DPC, Antony, France.
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