Gw. Kaatz et al., EFFICACY OF TROVAFLOXACIN AGAINST EXPERIMENTAL STAPHYLOCOCCUS-AUREUS ENDOCARDITIS, Antimicrobial agents and chemotherapy, 42(2), 1998, pp. 254-256
Trovafloxacin is a new fluoronaphthyridone chemically and functionally
related to members of the fluoroquinolone class of antimicrobial agen
ts. The in vivo efficacy of the drug was compared with that of vancomy
cin by using the rabbit model of left-sided endocarditis. Rabbits infe
cted with either a nafcillin-susceptible or -resistant test strain wer
e treated with trovafloxacin (13.3 mg/kg of body weight every 12 h) or
vancomycin (25 mg/kg of body weight every 8 h) for 4 days. In compari
son with untreated controls, both antimicrobial agents effectively cle
ared bacteremia and significantly reduced bacterial counts in vegetati
ons and tissues of animals infected with either test strain, No resist
ance to trovafloxacin emerged in test strains during therapy, We concl
ude that in this model trovafloxacin is as efficacious as vancomycin i
s and may serve as a viable alternative to vancomycin for use in human
s with similar infections.