In vitro activity of new quinolones against Clostridium difficile

We evaluated the in vitro activities of ofloxacin, levofloxacin, grepafloxa cin, trovafloxacin and ciprofloxacin against Clostridium difficile. The MIC 90 was 128 mg/L for ofloxacin and levofloxacin, 64 mg/L for ciprofloxacin, 16 mg/L for grepafloxacin and 8 mg/L for trovafloxacin. Thirty per cent of isolates were resistant to trovafloxacin, and rates of resistance to ofloxa cin, levofloxacin, grepafloxacin and ciprofloxacin were considerably higher . None of the antimicrobials studied would be a reliable therapeutic option against C. difficile. Whether some of the new fluoroquinolones can induce C. difficile-associated diarrhoea remains to be answered.