The antibacterial activity of brodimoprim (BDP) was compared to that o
f trimethoprim (TMP) and to 4 other antibiotics (3 beta-lactams and on
e macrolide). The 237 tested strains were selected predominantly among
bacteria isolated from respiratory tract infections: 133 Gram-negativ
e bacilli and 98 Gram positive cocci. The study included: determinatio
n of minimum inhibitory concentrations (MICs) and minimum bactericidal
concentrations (MBCs) of all antibiotics of the study for all isolate
s; kinetics of bactericidal activities for selected susceptible strain
s; correlation between MICs and inhibition zones (standard agar diffus
ion technique) of BDP (regression line). The results of the study show
ed: [1] no significant difference between in vitro activities of BDP a
nd TMP against all tested strains; [2] low MICs of both drugs for Haem
ophilus influenzae, Legionella pneumophila, Staphylococcus aureus (met
hi-S and methi-R), Streptococcus pneumoniae (peni-S), streptococci and
enterococci; [3] kinetics of bactericidal activities indicating 4 log
decrease of inoculum size with BDP for Staph. aureus, S. pneumoniae,
H. influenzae, within 7 hours; [4] correlation was established between
inhibition zones and MICs of BDP, with a coefficient of correlation r
= 0.88 for 182 strains. In conclusion, BDP exhibited in vitro antibac
terial and bactericidal activities at least equal to that of reference
drugs against most respiratory pathogens; BDP was superior to compara
tors against methi-R staphylococci and enterococci.