Objective: To examine in vitro antimycobacterial activity of levofloxa
cin. Design: Minimum inhibitary concentrations (MICs) of levofloxacin
for various mycobacterial species were determined by the agar dilution
method using 7H11 medium and compared with those of ofloxacin. Antimi
crobial activity of levofloxacin against Mycobacterium tuberculosis an
d M. intracellulare phagocytosed in murine peritoneal macrophages was
measured in terms of reducing cell-associated bacterial colony forming
units (CFUs). Results: MICs of levofloxacin against M. tuberculosis,
M. kansasii, M. marinum, M. scrofulaceum, M. avium, M. intracellulare,
M. fortuitum, and M. chelonae were 2 to 4 times lower than those of o
floxacin. Levofloxacin exhibited higher efficacy in reducing bacterial
CFUs in macrophages than ofloxacin. Conclusion: Levofloxacin possesse
d more potent in vitro antimycobacterial activities as compared to tha
t of ofloxacin.