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Topical 0.3% ciprofloxacin vs topical 0.3% ofloxacin in early treatment of Pseudomonas aeruginosa keratitis in a rabbit model

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Annals of Ophthalmology

Abstract

An in vivo prospective study compared the effectiveness of 0.3% ciprofloxacin to 0.3% ofloxacin against Pseudomonas aeruginosa keratitis in rabbits. Ofloxacin-treated corneas yielded an average amount of colony-forming units (CFUs) of P aeruginosa that was statistically significantly higher than that of ciprofloxacin-treated corneas (4.7×104±2.2×103 vs 2.5×103±1.0×102). Thus, ciprofloxacin was more effective than ofloxacin in the early reduction of CFUs in P aeruginosa keratitis in rabbits.

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References

  1. Baum JL. Initial therapy of suspected microbial corneal ulcers. I: broad antibiotic therapy based on prevalence of organisms. II: specific antibiotic therapy based on corneal smears. Surv Ophthalmol. 1979;24:97–105.

    Article  PubMed  CAS  Google Scholar 

  2. Levey SB, Katz HR, Abrams DA, Hirschbein MJ, Marsh MJ. The role of cultures in the management of ulcerative keratitis. Cornea. 1997;16:383–386.

    Article  PubMed  CAS  Google Scholar 

  3. Liesegang TJ. Bacterial keratitis. Infect Dis Clin North Am. 1992; 6:815–829.

    PubMed  CAS  Google Scholar 

  4. Neu HC. Microbiology aspects of fluoroquinolones. Am J Ophthalmol. 1991;112:15S-24S.

    PubMed  CAS  Google Scholar 

  5. Rolando M, Brezzo V, Campagna P, et al. Toxic effects of antimicrobials on the ocular surface of healthy volunteers. Chibret Int J Ophthalmol. 1991;8:46.

    Google Scholar 

  6. Wolfson JS, Hooper DC. The fluoroquinolones: structures, mechanisms of action and reistance, and spectra of activity in vitro. Antimicrob Agents Chemother. 1985;28:581–586.

    PubMed  CAS  Google Scholar 

  7. Campoli-Richards DM, Monk JP, Price A, Benfield P, Todd PA, Ward A. Ciprofloxacin: a review of its antibacterial activity, pharmacokinetic properties and therapeutic use. Drugs. 1988;35:373–447.

    PubMed  CAS  Google Scholar 

  8. Neu HC, Chi NX. In vitro activity of the new fluoroquinolone CP-99,219. Antimicrob Agents Chemother. 1994;38:2615–2622.

    PubMed  CAS  Google Scholar 

  9. Hynduik RA, Eiferman RA, Caldwell DR, et al. Comparison of ciprofloxacin ophthalmic solution 0.3% to fortified tobramycin-cefazolin in treating bacterial corneal ulcers. Ophthalmology. 1996;103:1854–1863.

    Google Scholar 

  10. Leibowitz HM. Clinical evaluation of ciprofloxacin 0.3% ophthalmic solution for treatment of bacterial keratitis. Am J Ophthalmol. 1991;112:34S-47S.

    PubMed  CAS  Google Scholar 

  11. Weisbecker CA, Fraunfelder FT, Gold AA, Naidoff M, Tippermann R: Physicians' Desk Reference for Ophthalmology. Montvale, NJ: Medical Economics; 1996:216–289.

    Google Scholar 

  12. Reidy JJ, Hobden JA, Hill JM, Forman K, O'Callaghan RJ. The efficacy of topical ciprofloxacin and norfloxacin in the treatment of experimental Pseudomonas keratitis. Cornea. 1991;10:25–28.

    Article  PubMed  CAS  Google Scholar 

  13. Brown SI, Bloomfield SE, Wai-fong IT. The cornea-destroying enzyme of Pseudomonas aeruginosa. Invest Ophthalmol Vis Sci. 1974;11:174–180.

    Google Scholar 

  14. Fisher E, Allen JH. Mechanism of corneal destruction by Pseudomonas proteases. Am J Ophthalmol. 1958;46:249.

    PubMed  CAS  Google Scholar 

  15. O'Brien TP, Maguire MG, Fink NE, Afonso E, McDonnell P, and the Bacterial Keratitis Study Research Group. Efficacy of ofloxacin vs cefazolin and tobramycin in the therapy for bacterial keratitis. Arch Ophthalmol. 1995;113:1257–1265.

    PubMed  Google Scholar 

  16. Parks DJ, Abrams DA, Sarfarazi FA, Katz HR. Comparison of topical ciprofloxacin to conventional antibiotic therapy in the treatment of ulcerative keratitis. Am J Ophthalmol. 1993;115:471–477.

    PubMed  CAS  Google Scholar 

  17. Lauffenburger MD, Cohen KL. Topical ciprofloxacin versus topical fortified antibiotics in rabbit models of Staphylococcus and Pseudomonas keratitis. Cornea. 1993;12:517–521.

    Article  PubMed  CAS  Google Scholar 

  18. Gritz DC, McDonnell PJ, Lee TY, Tang-Lui D, Hubbard BB, Gwon A. Topical ofloxacin in the treatment of Pseudomonas keratitis in a rabbit model. Cornea. 1992;11:143–147.

    Article  PubMed  CAS  Google Scholar 

  19. Madaras-Kelly KJ, Larsson AJ, Rotschafer JC. A pharmacodynamic evaluation of ciprofloxacin and ofloxacin against two strains of Pseudomonas aeruginosa. J Antimicrobial Chem. 1996; 37:703–710.

    Article  CAS  Google Scholar 

  20. Diamond JP, White L, Leeming JP, Hoh HB, Easty DL. Topical 0.3% ciprofloxacin, norfloxacin, and ofloxacin in the treatment in bacterial keratitis: a new method for comparative evaluation of ocular drug penetration. Br J Ophthalmol. 1995;79:606–609.

    PubMed  CAS  Google Scholar 

  21. Brooks GF, Butel JS, Ornston LN. Medical Microbiology. Norwalk, Conn: Appleton & Lange; 1995;603.

    Google Scholar 

  22. Behrens-Baumann W. Absorption of topically administered ciprofloxacin, ofloxacin and gentamicin in the inflamed rabbit eye. Ophthamologica. 1996;210:119–122.

    CAS  Google Scholar 

  23. Ellner PD, Neu HC. The inhibitory quotient: a method for interpreting minimum inhibitory concentration data. JAMA. 1981;246: 1575–1578.

    Article  PubMed  CAS  Google Scholar 

  24. Price FW, Whitson WE, Collins KS, Gonzales JS. Corneal tissue levels of topically applied ciprofloxacin. Cornea. 1995;14:152–156.

    Article  PubMed  Google Scholar 

  25. Donnenfeld ED, Perry HD, Snyder RW, Moadel K, Elsky M, Jones H. Intracorneal aqueous humor, and vitreous humor penetration of topical and oral ofloxacin. Arch Ophthalmol. 1997;115:173–176.

    PubMed  CAS  Google Scholar 

  26. Roussel TJ, Osato MS, Robinson NM. Resistant Pseudomonas keratitis. J Ocular Ther Surg. 1984;3:136.

    Google Scholar 

  27. Gelender H, Rettich C. Gentamicin-resistant Pseudomonas aeruginosa corneal ulcers. Cornea. 1984;3:21–26.

    Article  PubMed  CAS  Google Scholar 

  28. Epley DE, Katz HR, Herling I, Lasky JB. Platinum spatula versus mini-tip culturette in culturing bacterial keratitis. Cornea. 1998; 17:74–78.

    Article  PubMed  CAS  Google Scholar 

  29. Tunkel AR, Scheld WM. Applications of therapy in animal models to bacterial infection in human disease. Infect Dis Clin North Am. 1989;3:441–459.

    PubMed  CAS  Google Scholar 

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LaBorwit, S.E., Katz, H.R., Hirschbein, M.J. et al. Topical 0.3% ciprofloxacin vs topical 0.3% ofloxacin in early treatment of Pseudomonas aeruginosa keratitis in a rabbit model. Ann Ophthalmol 33, 48–52 (2001). https://doi.org/10.1007/s12009-001-0055-4

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