In vitro activity of ceftriaxone, cefetamet (Ro 15-8074), ceftetrame (Ro 19-5247; T-2588), and fleroxacin (Ro 23-6240; AM-833) versus Neisseria gonorrhoeae and Haemophilus ducreyi

Antimicrob Agents Chemother. 1987 Jul;31(7):1153-4. doi: 10.1128/AAC.31.7.1153.

Abstract

We examined 300 strains of Neisseria gonorrhoeae and 100 strains of Haemophilus ducreyi to determine their in vitro susceptibility to two new cephalosporins, cefetamet (Ro 15-8074) and ceftetrame (Ro 19-5247; T-2588), and a new fluroquinolone, fleroxacin (Ro 23-6240; AM-833). Their activity was compared with that of ceftriaxone, penicillin, spectinomycin, tetracycline, and erythromycin. Cefetamet, ceftetrame, and fleroxacin had excellent in vitro activity against both groups of microorganisms. beta-Lactamase production did not significantly affect the MICs of these agents. The Mtr phenotype of N. gonorrhoeae raised the MICs two- to fourfold, but the MICs remained within the range of achievable levels in serum. These newer compounds have a distinct advantage over existing therapeutic agents in that they can be administered orally. Clinical trials are warranted to assess their usefulness in the therapy of gonorrhea and chancroid.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cefmenoxime* / analogs & derivatives*
  • Ceftizoxime* / analogs & derivatives*
  • Ceftriaxone / pharmacology
  • Cephalosporins / pharmacology*
  • Ciprofloxacin / analogs & derivatives*
  • Ciprofloxacin / pharmacology
  • Erythromycin / pharmacology
  • Fleroxacin
  • Haemophilus ducreyi / drug effects*
  • Humans
  • Neisseria gonorrhoeae / drug effects*
  • Penicillins / pharmacology
  • Spectinomycin / pharmacology
  • Tetracycline / pharmacology

Substances

  • Cephalosporins
  • Penicillins
  • cefetamet
  • Ciprofloxacin
  • Erythromycin
  • cefteram
  • Ceftriaxone
  • Spectinomycin
  • Ceftizoxime
  • Tetracycline
  • Cefmenoxime
  • Fleroxacin