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In vitro activity of Ro 23-9424, a dual-action antibacterial agent, against bacterial isolates from cancer patients compared with those of other agents.

Abstract
The in vitro activity of Ro 23-9424 against bacterial isolates from patients with cancer was compared with those of fleroxacin, ciprofloxacin, cefoperazone, and ceftazidime. Ro 23-9424 inhibited the majority of the members of the family Enterobacteriaceae and all Aeromonas isolates at a concentration of less than or equal to 1.0 micrograms/ml. It was also active against Acinetobacter spp. and Haemophilus influenzae, including beta-lactamase-producing strains. The MIC for 90% of isolates (MIC90) of Pseudomonas aeruginosa was 16.0 micrograms/ml. All group A and B streptococci were inhibited by less than or equal to 0.25 micrograms/ml, and 90% of group G streptococci and Streptococcus pneumoniae were inhibited by 1.0 micrograms/ml. All methicillin-susceptible strains of Staphylococcus aureus and 60% of methicillin-resistant strains were susceptible to 2.0 micrograms of Ro 23-9424 per ml, whereas the MIC90 for Staphylococcus epidermidis and Staphylococcus hominis isolates was 4.0 micrograms/ml. Staphylococcus haemolyticus and Enterococcus spp. were less susceptible; MIC90s for them were 16.0 and 32.0 micrograms/ml. Ro 23-9424 has a broad antibacterial spectrum and potential utility for therapy of infections in cancer patients.
AuthorsK V Rolston, H T Nguyen, D H Ho, B LeBlanc, G P Bodey
JournalAntimicrobial agents and chemotherapy (Antimicrob Agents Chemother) Vol. 36 Issue 4 Pg. 879-82 (Apr 1992) ISSN: 0066-4804 [Print] United States
PMID1503453 (Publication Type: Comparative Study, Journal Article)
Chemical References
  • Anti-Infective Agents
  • Fluoroquinolones
  • Ro-23-9424
  • Cefotaxime
  • Fleroxacin
Topics
  • Anti-Infective Agents (pharmacology)
  • Bacteria (drug effects)
  • Cefotaxime (analogs & derivatives, pharmacology)
  • Fleroxacin (analogs & derivatives, pharmacology)
  • Fluoroquinolones
  • Humans
  • Microbial Sensitivity Tests
  • Neoplasms (microbiology)

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