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Next we can ask whether
levofloxacin is the best fluoroquinolone for treatment of S. pneumoniae with
respect of resistance. Since fluoroquinolones with a methoxy moiety at the C-8 position
show enhanced activity against resistant mutants with other bacteria., we carried out a
comparison of moxifloxacin and levofloxacin for the ability to select resistant mutants by
placing a large number of cells on agar plates containing a variety of fluoroquinolone
concentrations. We found that the MPC for moxifloxacin was about 1/5 that of levofloxacin.
In this case we estimated MPC as the concentration that allows no colony formation when at
least 1010 cells are applied to an agar plate. |