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Journal of Clinical Microbiology, Jan 1995, 215-216, Vol 33, No. 1
MG Cormican and RN Jones
A test battery of bacterial strains with a high incidence of resistance to
fluoroquinolones was studied to determine the extent to which
susceptibility to levofloxacin could be predicted from susceptibility tests
performed with ciprofloxacin or ofloxacin as reagents. Isolates susceptible
or intermediately susceptible to ofloxacin (MICs < or = 4 micrograms/ml)
may be regarded as susceptible to levofloxacin, with the exception of
Enterococcus faecium. Ciprofloxacin-susceptible isolates (MICs < or = 1
micrograms/ml) were also completely susceptible to levofloxacin. Clinical
laboratories could use either of the currently used fluoroquinolones
(ciprofloxacin or ofloxacin) to predict levofloxacin activity and spectrum
with little risk of false- susceptible errors (0.0 to 1.3%). Results
obtained with ofloxacin are superior in maximizing recognition of
levofloxacin-susceptible clinical isolates.
Copyright © 1995 by the American Society for Microbiology. All rights reserved.
Susceptibility to levofloxacin predicted from in vitro susceptibility testing results obtained with ciprofloxacin and with ofloxacin
Department of Pathology, University of Iowa College of Medicine, Iowa City 52242.
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