Treatment of community-acquired pneumonia with moxifloxacin: a meta-analysis of randomized controlled trials

J Chemother. 2012 Oct;24(5):257-67. doi: 10.1179/1973947812Y.0000000028.

Abstract

Community-acquired pneumonia (CAP) is a leading cause of morbidity and mortality throughout the world. To investigate whether moxifloxacin monotherapy is associated with better clinical outcomes than other antibiotics recommended for CAP among adults with mild-to-moderate or severe CAP, we performed a meta-analysis. MEDLINE, EMBASE, Web of Science, and the Cochrane Library were searched for randomized control trials (RCTs). The efficacy and safety of moxifloxacin were compared with other antimicrobial agents used to treat CAP. Fourteen RCTs, consisting of 6923 total patients, were included in the meta-analysis. No difference was found regarding the incidence of adverse events and mortality between moxifloxacin and the compared regimens. We found that moxifloxacin is as effective and well-tolerated as other recommended antibiotics for the treatment of CAP and possesses a better pathogen eradication rate than beta-lactam-based therapy.

Publication types

  • Meta-Analysis

MeSH terms

  • Anti-Bacterial Agents / therapeutic use*
  • Aza Compounds / therapeutic use*
  • Community-Acquired Infections / drug therapy
  • Fluoroquinolones
  • Humans
  • Moxifloxacin
  • Pneumonia, Bacterial / drug therapy*
  • Quinolines / therapeutic use*
  • Randomized Controlled Trials as Topic*

Substances

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