Streptococcus pneumoniae is a significant pathogen of respiratory tract inf
ections such as pneumonia, sinusitis, meningitis, and acute otitis media. R
ising incidences of antimicrobial resistance among pneumococcal strains rep
orted worldwide have led to research into and development of advanced antib
acterials with improved grampositive activity. Moxifloxacin, a new 8-methox
y quinolone, has been tested against a variety of S. pneumoniae strains, in
cluding penicillin-sensitive, intermediately resistant to penicillin, and p
enicillin-resistant strains. We review the preclinical data corroborated by
the available clinical experience to demonstrate moxifloxacin's activity a
gainst S. pneumoniae strains, irrespective of penicillin susceptibility.