Ls. Engel et al., THE EFFECTIVENESS OF 2 CIPROFLOXACIN FORMULATIONS FOR EXPERIMENTAL PSEUDOMONAS AND STAPHYLOCOCCUS-KERATITIS, Japanese Journal of Ophthalmology, 40(2), 1996, pp. 212-219
Ciprofloxacin is a fluoroquinolone antibiotic with broad spectrum bact
ericidal activity. A commercially available form of ciprofloxacin cont
ains benzalkonium chloride (BAC) (0.006%) and EDTA (0.05%) as preserva
tives. Since BAG has been shown to cause adverse changes in corneal ep
ithelial cells, a formulation of ciprofloxacin devoid of BAC and EDTA
but with the same effectiveness would be valuable. We present here the
results of experiments designed to assess the efficacy of a BAC-free
and EDTA-free formulation of ciprofloxacin, Ciprofloxacin-polystyrene
sulfonate (PSS), in experimental models of Pseudomonas aeruginosa and
Staphylococcus aureas keratitis, Both formulations of ciprofloxacin st
erilized corneas infected with P aeruginosa, and both formulations sho
wed equal bactericidal activity for S aureus, Normal eyes treated with
either formulation showed mild conjunctival irritation compared to un
treated normal eyes. The bactericidal activities of both formulations
of ciprofloxacin were excellent, Therefore, the Ciprofloxacin-PSS form
ulation could serve as an effective single drug therapy for ocular inf
ections.