Grepafloxacin Clinical Program for Lower Respiratory Tract Infections

The present paper evaluates the clinical trial program in lower respiratory tract infections treated with a new fluoroquinolone antibiotic, grepafloxacin. Unlike older quinolones, grepafloxacin has excellent activity against Gram-positive organisms, which include Streptococcus pneumoniae and “atypic...

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Main Author: Arne C Rodloff
Format: Article
Language:English
Published: Wiley 1998-01-01
Series:Canadian Journal of Infectious Diseases
Online Access:http://dx.doi.org/10.1155/1998/762368
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author Arne C Rodloff
author_facet Arne C Rodloff
author_sort Arne C Rodloff
collection DOAJ
description The present paper evaluates the clinical trial program in lower respiratory tract infections treated with a new fluoroquinolone antibiotic, grepafloxacin. Unlike older quinolones, grepafloxacin has excellent activity against Gram-positive organisms, which include Streptococcus pneumoniae and “atypical” pathogens Legionella species. Mycoplasma pneumoniae and Chlamydia pneumoniae. Grepafloxacin has a long half-life of 12 to 15 h, which allows once daily dosing. Six studies have been conducted regarding community-acquired lower respiratory tract infections (LRTls), four about community-acquired pneumonia (CAP) and two about acute bacterial exacerbations of chronic bronchitis (ABECB) . In these studies, grepafloxacin demonstrated clinical equivalence with standard therapies. but, in patients with documented infections. grepafloxacin was statistically superior to amoxycillin in both CAP and ABECB. The new fluoroquinolone has a good safety profile, comparable with that of ciprofloxacin. The most common adverse effects of grepafloxacin were nausea and a metallic taste; however, these effects resulted in only a few discontinuations of therapy. With the increasing prevalence of resistance in pathogens isolated from community-acquired LRTIs, grepafloxacin offers a good alternative for monotherapy in these patients.
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spelling doaj-art-0ec5bfcd1b1f41e0b5f9eb94f569d61a2025-02-03T01:30:46ZengWileyCanadian Journal of Infectious Diseases1180-23321998-01-019Suppl E23E26E10.1155/1998/762368Grepafloxacin Clinical Program for Lower Respiratory Tract InfectionsArne C Rodloff0lnstitut für Medizinische Mikrobiologie, und lnfecktionsepidemiologie, der Universität Leipzig, Leipzig, GermanyThe present paper evaluates the clinical trial program in lower respiratory tract infections treated with a new fluoroquinolone antibiotic, grepafloxacin. Unlike older quinolones, grepafloxacin has excellent activity against Gram-positive organisms, which include Streptococcus pneumoniae and “atypical” pathogens Legionella species. Mycoplasma pneumoniae and Chlamydia pneumoniae. Grepafloxacin has a long half-life of 12 to 15 h, which allows once daily dosing. Six studies have been conducted regarding community-acquired lower respiratory tract infections (LRTls), four about community-acquired pneumonia (CAP) and two about acute bacterial exacerbations of chronic bronchitis (ABECB) . In these studies, grepafloxacin demonstrated clinical equivalence with standard therapies. but, in patients with documented infections. grepafloxacin was statistically superior to amoxycillin in both CAP and ABECB. The new fluoroquinolone has a good safety profile, comparable with that of ciprofloxacin. The most common adverse effects of grepafloxacin were nausea and a metallic taste; however, these effects resulted in only a few discontinuations of therapy. With the increasing prevalence of resistance in pathogens isolated from community-acquired LRTIs, grepafloxacin offers a good alternative for monotherapy in these patients.http://dx.doi.org/10.1155/1998/762368
spellingShingle Arne C Rodloff
Grepafloxacin Clinical Program for Lower Respiratory Tract Infections
Canadian Journal of Infectious Diseases
title Grepafloxacin Clinical Program for Lower Respiratory Tract Infections
title_full Grepafloxacin Clinical Program for Lower Respiratory Tract Infections
title_fullStr Grepafloxacin Clinical Program for Lower Respiratory Tract Infections
title_full_unstemmed Grepafloxacin Clinical Program for Lower Respiratory Tract Infections
title_short Grepafloxacin Clinical Program for Lower Respiratory Tract Infections
title_sort grepafloxacin clinical program for lower respiratory tract infections
url http://dx.doi.org/10.1155/1998/762368
work_keys_str_mv AT arnecrodloff grepafloxacinclinicalprogramforlowerrespiratorytractinfections