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. 1993 Nov;37(11):2493–2495. doi: 10.1128/aac.37.11.2493

Activities of potential therapeutic and prophylactic antibiotics against blood culture isolates of viridans group streptococci from neutropenic patients receiving ciprofloxacin.

P H McWhinney 1, S Patel 1, R A Whiley 1, J M Hardie 1, S H Gillespie 1, C C Kibbler 1
PMCID: PMC192417  PMID: 8285642

Abstract

All 47 sequential blood culture isolates of viridans group streptococci obtained from febrile neutropenic patients receiving quinolone prophylaxis were susceptible to vancomycin, teicoplanin, and imipenem. Resistance to benzylpenicillin (MIC for 50% of isolates [MIC50], 0.125 microgram/ml) and ceftazidime (MIC50, 4 micrograms/ml) was common. Most isolates were susceptible to amoxicillin, co-amoxiclav (amoxicillin-clavulanic acid at a 2:1 ratio by weight), azlocillin, clarithromycin, and erythromycin, with azithromycin showing comparable activity. The MIC90 of sparfloxacin was 1 microgram/ml; those for ciprofloxacin and ofloxacin were > 16 and 16 micrograms/ml, respectively.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Beighton D., Hardie J. M., Whiley R. A. A scheme for the identification of viridans streptococci. J Med Microbiol. 1991 Dec;35(6):367–372. doi: 10.1099/00222615-35-6-367. [DOI] [PubMed] [Google Scholar]
  2. Classen D. C., Burke J. P., Ford C. D., Evershed S., Aloia M. R., Wilfahrt J. K., Elliott J. A. Streptococcus mitis sepsis in bone marrow transplant patients receiving oral antimicrobial prophylaxis. Am J Med. 1990 Oct;89(4):441–446. doi: 10.1016/0002-9343(90)90373-l. [DOI] [PubMed] [Google Scholar]
  3. Cohen J., Donnelly J. P., Worsley A. M., Catovsky D., Goldman J. M., Galton D. A. Septicaemia caused by viridans streptococci in neutropenic patients with leukaemia. Lancet. 1983 Dec 24;2(8365-66):1452–1454. doi: 10.1016/s0140-6736(83)90799-7. [DOI] [PubMed] [Google Scholar]
  4. Gluckman E., Roudet C., Hirsch I., Devergie A., Bourdeau H., Arlet C., Perol Y. Prophylaxis of bacterial infections after bone marrow transplantation. A randomized prospective study comparing oral broad-spectrum nonabsorbable antibiotics (vancomycin-tobramycin-colistin) to absorbable antibiotics (ofloxacin-amoxicillin). Chemotherapy. 1991;37 (Suppl 1):33–38. doi: 10.1159/000238904. [DOI] [PubMed] [Google Scholar]
  5. Guiot H. F., Peters W. G., van den Broek P. J., van der Meer J. W., Kramps J. A., Willemze R., van Furth R. Respiratory failure elicited by streptococcal septicaemia in patients treated with cytosine arabinoside, and its prevention by penicillin. Infection. 1990 May-Jun;18(3):131–137. doi: 10.1007/BF01642100. [DOI] [PubMed] [Google Scholar]
  6. Harrison G. A., Stross W. P., Rubin M. P., Davies R. M., Speller D. C. Resistance in oral streptococci after repeated three-dose erythromycin prophylaxis. J Antimicrob Chemother. 1985 Apr;15(4):471–479. doi: 10.1093/jac/15.4.471. [DOI] [PubMed] [Google Scholar]
  7. Johnson A. P., Uttley A. H., Woodford N., George R. C. Resistance to vancomycin and teicoplanin: an emerging clinical problem. Clin Microbiol Rev. 1990 Jul;3(3):280–291. doi: 10.1128/cmr.3.3.280. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Kern W., Kurrle E., Schmeiser T. Streptococcal bacteremia in adult patients with leukemia undergoing aggressive chemotherapy. A review of 55 cases. Infection. 1990 May-Jun;18(3):138–145. doi: 10.1007/BF01642101. [DOI] [PubMed] [Google Scholar]
  9. Kern W., Linzmeier K., Kurrle E. Antimicrobial susceptibility of viridans group streptococci isolated from patients with acute leukemia receiving ofloxacin for antibacterial prophylaxis. Infection. 1989 Nov-Dec;17(6):396–397. doi: 10.1007/BF01645556. [DOI] [PubMed] [Google Scholar]
  10. McWhinney P. H., Gillespie S. H., Kibbler C. C., Hoffbrand A. V., Prentice H. G. Streptococcus mitis and ARDS in neutropenic patients. Lancet. 1991 Feb 16;337(8738):429–429. doi: 10.1016/0140-6736(91)91205-9. [DOI] [PubMed] [Google Scholar]
  11. Oppenheim B. A., Hartley J. W., Lee W., Burnie J. P. Outbreak of coagulase negative staphylococcus highly resistant to ciprofloxacin in a leukaemia unit. BMJ. 1989 Jul 29;299(6694):294–297. doi: 10.1136/bmj.299.6694.294. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Phillips I., Acar J., Baquero F., Bergan T., Forsgren A., Wiedemann B. ESGAB breakpoint determination: clarithromycin. Eur J Clin Microbiol Infect Dis. 1991 Nov;10(11):993–994. doi: 10.1007/BF02005466. [DOI] [PubMed] [Google Scholar]
  13. Rozenberg-Arska M., Dekker A., Verdonck L., Verhoef J. Prevention of bacteremia caused by alpha-hemolytic streptococci by roxithromycin (RU-28 965) in granulocytopenic patients receiving ciprofloxacin. Infection. 1989 Jul-Aug;17(4):240–244. doi: 10.1007/BF01639528. [DOI] [PubMed] [Google Scholar]
  14. Smith S. M., Eng R. H., Bais P., Fan-Havard P., Tecson-Tumang F. Epidemiology of ciprofloxacin resistance among patients with methicillin-resistant Staphylococcus aureus. J Antimicrob Chemother. 1990 Oct;26(4):567–572. doi: 10.1093/jac/26.4.567. [DOI] [PubMed] [Google Scholar]
  15. Sotiropoulos S. V., Jackson M. A., Woods G. M., Hicks R. A., Cullen J., Freeman A. I. Alpha-streptococcal septicemia in leukemic children treated with continuous or large dosage intermittent cytosine arabinoside. Pediatr Infect Dis J. 1989 Nov;8(11):755–758. doi: 10.1097/00006454-198911000-00005. [DOI] [PubMed] [Google Scholar]
  16. Valteau D., Hartmann O., Brugieres L., Vassal G., Benhamou E., Andremont A., Kalifa C., Lemerle J. Streptococcal septicaemia following autologous bone marrow transplantation in children treated with high-dose chemotherapy. Bone Marrow Transplant. 1991 Jun;7(6):415–419. [PubMed] [Google Scholar]
  17. Vansteenkiste J. F., Boogaerts M. A. Adult respiratory distress syndrome in neutropenic leukemia patients. Blut. 1989 Jun;58(6):287–290. doi: 10.1007/BF00320168. [DOI] [PubMed] [Google Scholar]
  18. Venditti M., Baiocchi P., Santini C., Brandimarte C., Serra P., Gentile G., Girmenia C., Martino P. Antimicrobial susceptibilities of Streptococcus species that cause septicemia in neutropenic patients. Antimicrob Agents Chemother. 1989 Apr;33(4):580–582. doi: 10.1128/aac.33.4.580. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Wimperis J. Z., Baglin T. P., Marcus R. E., Warren R. E. An assessment of the efficacy of antimicrobial prophylaxis in bone marrow autografts. Bone Marrow Transplant. 1991 Nov;8(5):363–367. [PubMed] [Google Scholar]

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