Grepafloxacin has an extremely broad spectrum of activity. Its activit
y against Gram-positive bacteria exceeds that of currently available q
uinolones. Grepafloxacin-resistant mutants seem to occur less frequent
ly than ciprofloxacin-or ofloxacin-resistant mutants, and the increase
in MIC against the former mutants is less than that of the latter. Th
is applies only to the relative differences (in dilution steps); the a
bsolute values are similar. Grepafloxacin kills Gram-positive bacteria
at concentrations little above the MIG. Its pharmacodynamic profile a
gainst pneumococci is promising, favouring use of this drug for respir
atory tract infections.