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. 1999 Nov;43(11):2726–2730. doi: 10.1128/aac.43.11.2726

TABLE 1.

In vitro activity of gemifloxacin (SB 265805), trovafloxacin, and other oral antimicrobial agents against unusual anaerobic pathogens

Organism (no. of isolates) and agent MIC (μg/ml)a
Organism (no. of isolates) and agent MIC (μg/ml)a
Range 50% 90% Range 50% 90%
Actinomyces odontolyticus (10)
 Gemifloxacin 1–2 2 2
 Trovafloxacin 2–4 4 4
 Penicillin G 0.125–0.25 0.125 0.125
 Amoxicillin-clavulanate 0.06–0.125 0.125 0.25
 Clindamycin ≤0.015–0.5 0.125 0.25
 Erythromycin ≤0.015–0.03 ≤0.015 0.03
 Azithromycin ≤0.015–0.06 0.03 0.06
 Clarithromycin ≤0.015 ≤0.015 ≤0.015
 Metronidazole 4–>32 16 32
Actinomyces israelii (6)
 Gemifloxacin 0.5–2 1
 Trovafloxacin 0.5–2 1
 Penicillin G ≤0.015–0.25 0.03
 Amoxicillin-clavulanate 0.03–1 0.03
 Clindamycin 0.06–0.25 0.06
 Erythromycin 0.03 0.03
 Azithromycin 0.06 0.06
 Clarithromycin ≤0.015 ≤0.015
 Metronidazole 1–32 4
Anaerobiospirillum thomasii (13)
 Gemifloxacin 0.06–0.25 0.125 0.125
 Trovafloxacin 0.06–0.5 0.125 0.25
 Penicillin G 0.06–0.125 0.06 0.125
 Amoxicillin-clavulanate 0.125–0.25 0.125 0.25
 Clindamycin 8–>32 32 >32
 Erythromycin 1–16 4 8
 Azithromycin 0.125–1 0.5 1
 Clarithromycin 2–32 4 16
 Metronidazole 1–4 2 4
Anaerobiosprillum succiniciproducens (3)
 Gemifloxacin 0.5–2 1
 Trovafloxacin 0.5–2 1
 Penicillin G 0.5–1 0.5
 Amoxicillin-clavulanate 0.25–0.5 0.25
 Clindamycin 32 32
 Erythromycin 8–16 16
 Azithromycin 0.5–1 0.5
 Clarithromycin 8–32 32
 Metronidazole 4–8 8
Bacteroides gracilis (11)
 Gemifloxacin ≤0.015–1 ≤0.015 1
 Trovafloxacin ≤0.015–2 0.03 0.5
 Penicillin G ≤0.015–4 0.125 4
 Amoxicillin-clavulanate ≤0.015–2 0.5 2
 Clindamycin 0.03–8 0.25 2
 Erythromycin 0.125–2 1 2
 Azithromycin 0.06–0.5 0.125 0.5
 Clarithromycin 0.25–2 1 1
 Metronidazole 0.06–>32 0.5 >32
Bacteroides tectum (22)
 Gemifloxacin 0.06–8 0.125 0.25
 Trovafloxacin 0.03–0.125 0.06 0.125
 Penicillin G ≤0.015–32 0.03 16
 Amoxicillin-clavulanate 0.03–0.5 0.06 0.5
 Clindamycin ≤0.015–0.125 ≤0.015 ≤0.015
 Erythromycin 0.25–1 0.5 0.5
 Azithromycin 0.5–2 1 2
 Clarithromycin 0.125 0.125 0.125
 Metronidazole 0.125–2 0.5 0.5
Bacteroides ureolyticus (17)
 Gemifloxacin ≤0.015–2 ≤0.015 2
 Trovafloxacin ≤0.015–4 0.06 4
 Penicillin G ≤0.015–1 ≤0.015 0.25
 Amoxicillin-clavulanate ≤0.015–1 ≤0.015 0.125
 Clindamycin 0.03–0.5 0.06 0.25
 Erythromycin 0.125–2 0.25 2
 Azithromycin 0.06–0.25 0.06 0.25
 Clarithromycin 0.125–4 0.5 2
 Metronidazole 0.06–2 0.25 1
Bilophila wadsworthia (16)
 Gemifloxacin 0.125–>8 0.25 4
 Trovafloxacin 0.125–>8 0.5 >8
 Penicillin G 2–16 4 8
 Amoxicillin-clavulanate 1–4 2 4
 Clindamycin 0.25–2 0.5 2
 Erythromycin 4–32 16 32
 Azithromycin 1–16 4 16
 Clarithromycin 4–32 16 32
 Metronidazole 0.125 0.125 0.125
Clostridium clostridioforme (11)
 Gemifloxacin 0.5–>8 0.5 1
 Trovafloxacin 1–8 4 4
 Penicillin G 0.5–>32 1 16
 Amoxicillin-clavulanate 0.5–8 0.5 1
 Clindamycin ≤0.015–2 0.06 2
 Erythromycin 0.25–>32 16 >32
 Azithromycin 0.125–>32 16 >32
 Clarithromycin 0.125–>32 4 >32
 Metronidazole 0.03–1 0.125 0.5
Clostridium difficile (14)
 Gemifloxacin 1–>8 2 >8
 Trovafloxacin 0.5–>8 1 >8
 Penicillin G 1–4 2 4
 Amoxicillin-clavulanate 0.5–1 1 1
 Clindamycin 0.25–>32 0.5 >32
 Erythromycin 0.25–>32 0.5 >32
 Azithromycin 1–>32 2 >32
 Clarithromycin 0.125–>32 0.5 >32
 Metronidazole 0.25–1 0.5 0.5
Clostridium innocuum (11)
 Gemifloxacin 0.125–>8 0.25 2
 Trovafloxacin 0.25–>8 0.5 8
 Penicillin G 0.25–>32 0.5 0.5
 Amoxicillin-clavulanate 0.5–2 0.5 0.5
 Clindamycin 0.25–>32 0.5 >32
 Erythromycin 0.5–>32 >32 >32
 Azithromycin 0.125–>32 >32 >32
 Clarithromycin 0.25–>32 >32 >32
 Metronidazole 0.5–2 0.5 1
Clostridium ramosum (10)
 Gemifloxacin 0.125–2 0.25 1
 Trovafloxacin 0.25–8 0.5 2
 Penicillin G 0.06–1 0.06 1
 Amoxicillin-clavulanate 0.06–0.25 0.06 0.25
 Clindamycin 0.25–4 2 2
 Erythromycin 0.5–>32 1 >32
 Azithromycin 0.125–>32 0.25 >32
 Clarithromycin 0.25–>32 0.5 >32
 Metronidazole 1 1 1
Fusobacterium spp. group 1 (19)b
 Gemifloxacin 0.06–8 0.25 8
 Trovafloxacin 0.25–4 0.5 4
 Penicillin G ≤0.015–16 ≤0.015 2
 Amoxicillin-clavulanate ≤0.015–0.25 0.06 0.125
 Clindamycin ≤0.015–2 0.06 0.125
 Erythromycin 1–>32 8 32
 Azithromycin 0.06–32 1 8
 Clarithromycin ≤0.015–32 8 32
 Metronidazole 0.125–0.5 0.25 4
Fusobacterium spp. group 2 (12)c
 Gemifloxacin 0.125–>8 4 4
 Trovafloxacin 1–>8 4 4
 Penicillin G ≤0.015–>32 0.25 0.5
 Amoxicillin-clavulanate 0.125–>4 1 2
 Clindamycin 0.06–8 1 8
 Erythromycin 8–>32 >32 >32
 Azithromycin 1–>32 16 32
 Clarithromycin 4–>32 >32 >32
 Metronidazole 0.125–1 0.5 1
Fusobacterium russii (12)
 Gemifloxacin 0.5–>8 >8 >8
 Trovafloxacin 0.5–4 4 4
 Penicillin G ≤0.015–0.06 0.03 0.06
 Amoxicillin-clavulanate ≤0.015–0.25 0.06 0.125
 Clindamycin ≤0.015–0.125 0.03 0.06
 Erythromycin 1–>32 4 >32
 Azithromycin 0.03–32 0.25 32
 Clarithromycin 2–>32 4 >32
 Metronidazole ≤0.015–0.25 0.125 0.25
Fusobacterium varium (17)
 Gemifloxacin 0.25–>8 >8 >8
 Trovafloxacin 0.5–>8 4 >8
 Penicillin G 0.03–>32 0.5 8
 Amoxicillin-clavulanate 0.125–4 2 4
 Clindamycin 0.06–16 4 16
 Erythromycin 32–>32 >32 >32
 Azithromycin 2–>32 32 >32
 Clarithromycin 32–>32 >32 >32
 Metronidazole 0.125–4 1 2
Peptostreptococcus asaccharolyticus (11)
 Gemifloxacin 0.125–0.25 0.25 0.25
 Trovafloxacin 0.5–2 1 1
 Penicillin G ≤0.015–1 0.03 0.25
 Amoxicillin-clavulanate 0.03–1 0.03 0.125
 Clindamycin ≤0.015–>32 0.06 >32
 Erythromycin 1–>32 4 >32
 Azithromycin 0.5–>32 4 >32
 Clarithromycin 0.5–>32 2 >32
 Metronidazole 0.125–2 0.5 1
Peptostreptococcus magnus (13)
 Gemifloxacin 0.03–0.06 0.03 0.06
 Trovafloxacin 0.06–0.25 0.125 0.25
 Penicillin G ≤0.015–1 0.03 0.25
 Amoxicillin-clavulanate 0.03–1 0.03 0.125
 Clindamycin 0.06–2 0.5 2
 Erythromycin 1–>32 4 >32
 Azithromycin 2–>32 4 >32
 Clarithromycin 0.5–>32 2 >32
 Metronidazole 0.25–2 0.5 0.5
Peptostreptococcus micros (12)
 Gemifloxacin 0.06–0.125 0.06 0.06
 Trovafloxacin 0.03–0.125 0.06 0.06
 Penicillin G ≤0.015–0.03 ≤0.015 0.03
 Amoxicillin-clavulanate 0.03–0.125 0.03 0.125
 Erythromycin 0.5–1 0.5 0.5
 Azithromycin 0.5–1 0.5 1
 Clarithromycin   0.6   0.5 0.5
 Clindamycin 0.06–0.125 0.125 0.125
 Metronidazole 0.03–0.25 0.25 0.25
Peptostreptococcus prevotii (9)
 Gemifloxacin 0.06–0.25 0.125
 Trovafloxacin 0.25–1 0.25
 Penicillin G 0.03–0.06 0.03
 Amoxicillin-clavulanate ≤0.015–0.125 0.03
 Clindamycin 0.030–32 1
 Erythromycin 0.03–>32 >32
 Azithromycin 0.06–>32 32
 Clarithromycin ≤0.015–>32 >32
 Metronidazole 0.125–1 0.5
Porphyromonas asaccharo-lytica (11)
 Gemifloxacin 0.06–0.125 0.06 0.125
 Trovafloxacin 0.03–0.25 0.25 0.25
 Penicillin G ≤0.015 ≤0.015 ≤0.015
 Amoxicillin-clavulanate ≤0.015–0.03 ≤0.015 0.03
 Clindamycin ≤0.015–>32 ≤0.015 >32
 Erythromycin 0.03–32 0.03 32
 Azithromycin 0.125–>32 0.25 >32
 Clarithromycin ≤0.015–>32 0.06 >32
 Metronidazole ≤0.015 ≤0.015 ≤0.015
Porphyromonas canoris (10)
 Gemifloxacin 0.06–0.25 0.25 0.25
 Trovafloxacin 0.06–0.5 0.25 0.5
 Penicillin G ≤0.015–0.03 ≤0.015 ≤0.015
 Amoxicillin-clavulanate ≤0.015–0.03 ≤0.015 0.03
 Clindamycin ≤0.015 ≤0.015 ≤0.015
 Erythromycin 0.03–0.25 0.06 0.125
 Azithromycin 0.125–0.05 0.25 0.25
 Clarithromycin 0.06–0.125 0.06 0.125
 Metronidazole ≤0.015–0.5 0.25 0.25
Porphyromonas gingivalis (13)
 Gemifloxacin ≤0.015–0.125 0.06 0.125
 Trovafloxacin 0.03–0.06 0.06 0.06
 Penicillin G ≤0.015–0.06 ≤0.015 0.03
 Amoxicillin-clavulanate ≤0.015–0.06 ≤0.015 0.06
 Clindamycin ≤0.015 ≤0.015 ≤0.015
 Erythromycin 0.06–0.5 0.125 0.5
 Azithromycin 0.125–1 0.25 0.5
 Clarithromycin 0.06–0.125 0.06 0.125
 Metronidazole ≤0.015–0.03 ≤0.015 0.03
Porphyromonas macacae (13)
 Gemifloxacin 0.03–0.125 0.06 0.125
 Trovafloxacin 0.03–0.125 0.06 0.125
 Penicillin G ≤0.015–1 0.5 0.5
 Amoxicillin-clavulanate ≤0.015–0.06 0.5 0.5
 Clindamycin ≤0.015–0.03 ≤0.015 ≤0.015
 Erythromycin 0.06–0.25 0.125 0.25
 Azithromycin 0.125–1 0.5 0.5
 Clarithromycin 0.06–0.125 0.125 0.125
 Metronidazole ≤0.015–0.125 0.06 0.125
Porphyromonas spp. (11)d
 Gemifloxacin 0.06–0.125 0.06 0.125
 Trovafloxacin 0.06–1 0.25 1
 Penicillin G ≤0.015–4 ≤0.015 ≤0.015
 Amoxicillin-clavulanate ≤0.015–0.06 ≤0.015 ≤0.015
 Clindamycin ≤0.015 ≤0.015 ≤0.015
 Erythromycin ≤0.015–0.5 0.06 0.06
 Azithromycin 0.125–1 0.25 0.5
 Clarithromycin 0.06–0.125 0.06 0.125
 Metronidazole ≤0.015–0.25 0.03 0.125
Prevotella bivia (21)
 Gemifloxacin 4–>8 8 8
 Trovafloxacin 1–4 2 2
 Penicillin G 0.25–32 16 32
 Amoxicillin-clavulanate 0.06–4 0.5 4
 Clindamycin ≤0.015–>32 ≤0.015 0.03
 Erythromycin 0.06–>32 1 2
 Azithromycin 0.25–>32 0.5 1
 Clarithromycin 0.06–>32 0.125 0.25
 Metronidazole 0.5–4 2 4
Prevotella buccae-oris group (22)e
 Gemifloxacin 0.5–8 2 2
 Trovafloxacin 0.25–4 1 2
 Penicillin G 0.06–>32 8 >32
 Amoxicillin-clavulanate 0.125–2 0.25 1
 Erythromycin 0.5–8 1 2
 Azithromycin 0.125–4 0.5 1
 Clarithromycin 0.06–1 0.125 0.25
 Clindamycin ≤0.015–0.125 ≤0.015 0.03
 Metronidazole 0.5–4 1 2
Prevotella heparinolytica (16)
 Gemifloxacin 0.25–0.5 0.5 0.5
 Trovafloxacin 0.125–0.25 0.125 0.25
 Penicillin G 0.06–0.25 0.06 0.125
 Amoxicillin-clavulanate 0.06–0.25 0.125 0.25
 Clindamycin ≤0.015 ≤0.015 ≤0.015
 Erythromycin 0.25–0.5 0.25 0.25
 Azithromycin 0.5–1 0.5 1
 Clarithromycin 0.06–0.125 0.125 0.125
 Metronidazole 0.06–1 0.5 1
Prevotella intermedia (11)
 Gemifloxacin 0.06–1 0.25 0.5
 Trovafloxacin 0.06–1 0.5 1
 Penicillin G ≤0.015–16 0.03 4
 Amoxicillin-clavulanate 0.03–0.5 0.03 0.125
 Clindamycin ≤0.015–0.03 ≤0.015 ≤0.015
 Erythromycin 0.03–0.5 0.06 0.25
 Azithromycin 0.03–1 0.125 0.5
 Clarithromycin ≤0.015–0.125 ≤0.015 0.125
 Metronidazole 0.03–1 0.5 1
Prevotella melaninogenica (12)
 Gemifloxacin 0.125–>8 1 8
 Trovafloxacin 0.06–8 1 4
 Penicillin G ≤0.015–2 0.25 2
 Amoxicillin-clavulanate 0.03–16 2 4
 Clindamycin ≤0.015–32 ≤0.015 0.5
 Erythromycin 0.06–32 1 8
 Azithromycin 0.125–>32 0.25 32
 Clarithromycin 0.06–4 0.125 4
 Metronidazole 0.125–4 0.5 1
Prevotella denticola-loescheii group (6)
 Gemifloxacin 0.25–8 0.5
 Trovafloxacin 0.06–4 1
 Penicillin G ≤0.015–32 4
 Amoxicillin-clavulanate 0.03–0.5 0.06
 Clindamycin ≤0.015–0.25 ≤0.015
 Erythromycin 0.125–16 0.25
 Azithromycin 0.06–16 0.5
 Clarithromycin 0.03–2 0.06
 Metronidazole 0.5–1 1
Veillonella spp. (24)
 Gemifloxacin 0.03–>8 1 8
 Trovafloxacin 0.125–>8 0.25 >8
 Penicillin G ≤0.015–8 1 4
 Amoxicillin-clavulanate ≤0.015–>4 0.5 2
 Clindamycin 0.03–>32 0.06 2
 Erythromycin 1–>32 16 >32
 Azithromycin 0.125–>32 4 >32
 Clarithromycin 1–>32 16 >32
 Metronidazole 0.25–2 1 2
a

 50% and 90%, MICs at which 50 and 90% of the isolates are inhibited, respectively. 

b

Fusobacterium gonidiaformans (1), Fusobacterium naviforme (8), Fusobacterium necrophorum (8), Fusobacterium nucleatum (1), and Fusobacterium nucleatum subsp. animalis (1). 

c

Fusobacterium mortiferum (2), Fusobacterium necrogenes (3), and Fusobacterium ulcerans (7). 

d

Porphyromonas cangingivalis (4), Porphyromonas cansulci (2), Porphyromonas circumdentaria (2), and Porphyromonas levii (3). 

e

Prevotella buccae (20) and Prevotella oris (2).