Efficacy and tolerability of flurithromycin ethylsuccinate were evalua
ted in lower respiratory tract infections. One hundred and ten patient
s (38 women, 72 men; age range 18-87 years) were treates with on 375 m
g tablet 12-hourly for a mean duration of 8.7 days. One hundred and fi
ve patients were evaluable for efficacy. Overall clinical cure rate wa
s 62.9%;, improvement was recorded in 19% of patients for a total sati
sfactory clinical response rate of 81.9%. Sputum production decreased
in most patients, being absent after treatment in 47% (only one patien
t was negative at baseline); sputum was purulent or mucopurulent in 80
% of subjects before and in 20% after treatment. Bacteriological evalu
ation was possible in 72 patients: pathogen eradication was achieved i
n 80.2% of cases. Eight patients out of 110 reported adverse reactions
, mainly gastrointestinal; in one case treatment had to be discontinue
d. These results demonstrate that flurithromycin ethylsuccinate is saf
e and effective in the treatment of lower respiratory tract infections
.