Effects of subinhibitory concentrations of moxifloxacin in an in-vitro dynamic model

J Chemother. 2000 Apr;12(2):129-33. doi: 10.1179/joc.2000.12.2.129.

Abstract

The postantibiotic effect (PAE), sub-MIC effect (SME) and postantibiotic sub-MIC effect (PASME) of moxifloxacin were investigated in an in-vitro dynamic model reproducing in-vivo elimination kinetics of the antibiotic. The PAE was induced by exposing strains of Staphylococcus aureus, Streptococcus pneumoniae, Escherichia coli and Klebsiella pneumoniae to 5 x MIC of the antibiotic for 1.5 hours. After induction, cultures were washed to eliminate the antibiotic and resuspended into the dynamic model either in the presence or absence of a subinhibitory concentration of the antibacterial agent of 0.5 x MIC. Unexposed controls were treated similarly. PASMEs were constantly longer than corresponding SMEs, but differences between them were not statistically significant. Both PASMEs (mean 11:17 hours, range from 8:17 to 14:57) and SMEs (mean 9:23 hours, range from 6:03 to 12:34) had an initial bactericidal effect and were significantly longer than PAEs (mean 1:31 hours, range from 0:21 to 2:14). The primary effect of moxifloxacin sub-MICs appears to be prevalent in PAE. The possibility of once-daily dosing of the drug is strengthened.

MeSH terms

  • Anti-Infective Agents / administration & dosage
  • Anti-Infective Agents / pharmacology*
  • Aza Compounds*
  • Bacteria / classification
  • Bacteria / drug effects*
  • Escherichia coli / drug effects
  • Fluoroquinolones*
  • Humans
  • Klebsiella pneumoniae / drug effects
  • Microbial Sensitivity Tests / methods
  • Moxifloxacin
  • Quinolines*
  • Staphylococcus aureus / drug effects
  • Streptococcus pneumoniae / drug effects

Substances

  • Anti-Infective Agents
  • Aza Compounds
  • Fluoroquinolones
  • Quinolines
  • Moxifloxacin