a review of worldwide experience with sparfloxacin in the treatment of community-acquired pneumonia and acute bacterial exacerbations of chronic bronchitis:在社区获得性肺炎、慢性支气管炎急性发作期治疗细菌司帕沙星全球经验回顾.pdfVIP
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a review of worldwide experience with sparfloxacin in the treatment of community-acquired pneumonia and acute bacterial exacerbations of chronic bronchitis:在社区获得性肺炎、慢性支气管炎急性发作期治疗细菌司帕沙星全球经验回顾
International Journal of Antimicrobial Agents 12 (1999) 5–17
Review article
A review of worldwide experience with sparfloxacin in the treatment of
community-acquired pneumonia and acute bacterial exacerbations of
chronic bronchitis
Roger G. Finch *
Department of Microbiology and Infectious Diseases, The City Hospital and Uniersity of Nottingham, Nottingham NG5 1PB, UK
Received 26 August 1998; accepted 10 September 1998
Abstract
The worldwide occurrence of community-acquired pneumonia (CAP) shows an undiminished prevalence of this serious illness
and hospitalisation is common in those patients with severe illness. The diversity of bacterial pathogens that can act as aetiologic
agents presents a challenge to initial empiric antimicrobial management. In recent years, treatment has been further complicated
by an increased incidence of antibiotic resistance in pathogens such as Streptococcus pneumoniae, Haemophilus influenzae and
Moraxella catarrhalis. The newly available fluoroquinolones including sparfloxacin offer an alternative approach to empiric
management. Sparfloxacin is active against many typical and atypical pathogens, as well as strains resistant to conventional
agents. In comparative studies, the in vitro potency of sparfloxacin and its pharmacokinetic profile have been confirmed. The
clinical trial efficacy and safety data suggest it might be a useful empiric therapy for both CAP and acute bacterial exacerbation
of chronic bronchitis. © 1999 Elsevier Science B.V. and International Society of Chemotherapy. All rights reserved.
Keywords: Sparfloxacin; Co
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