The in-vitro susceptibilities of 12 strains of Chlamydia pneumoniae we
re determined for dirithromycin, a new macrolide antibiotic, erythromy
cyclamine, its active metabolite, and erythromycin. Both dirithromycin
and erythromycyclamine had an MIC90 of 2 mg/L, as compared with 0.062
mg/L for erythromycin. The combination of dirithromycin and erythromy
cyclamine appeared to be additive. Determination of the role of dirith
romycin for the treatment of C. pneumoniae infection will depend on th
e results of prospective, controlled studies utilizing culture.