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Resistance studies with ofloxacin.
D Felmingham1, P Foxall, M D O'Hare
1Department of Clinical Microbiology, University College Hospital, London, UK.
The Journal of Antimicrobial Chemotherapy
|September 1, 1988
Summary
Investigating ofloxacin resistance in bacteria revealed low mutant selection frequencies for Escherichia coli and Staphylococcus aureus. Pseudomonas aeruginosa showed higher resistance at lower concentrations but not at higher ones.
Area of Science:
- Microbiology
- Bacterial genetics
- Antimicrobial resistance
Background:
- Ofloxacin is a crucial fluoroquinolone antibiotic.
- Bacterial resistance to antibiotics is a growing public health concern.
- Understanding the mechanisms and frequencies of resistance development is vital.
Purpose of the Study:
- To investigate the selection frequency of ofloxacin-resistant bacterial mutants.
- To compare resistance development across different bacterial species (E. coli, S. aureus, P. aeruginosa).
- To assess the impact of varying ofloxacin concentrations on mutant selection.
Main Methods:
- Single-step passage of bacterial populations at multiples of the Minimum Inhibitory Concentration (MIC).
- Sequential selection of mutants through multiple passages at sub-inhibitory concentrations (1/2 MIC).
- Prolonged exposure of bacterial populations to different ofloxacin concentrations (1, 10, 100 times MIC).
Main Results:
- Low frequency (< 1 x 10^-10) of ofloxacin-resistant mutants in E. coli and S. aureus.
- P. aeruginosa exhibited a higher frequency (3.3 x 10^-8) at 4x MIC, but not at 8x MIC.
- Sequential selection increased MICs by 2- to 32-fold for tested species.
- Mutants were selected in P. aeruginosa at MIC but not at 10x or 100x MIC during prolonged exposure.
Conclusions:
- Bacterial populations exhibit varying frequencies of ofloxacin resistance development.
- Pseudomonas aeruginosa demonstrates a unique resistance selection profile compared to E. coli and S. aureus.
- High concentrations of ofloxacin may prevent the selection of resistant mutants in some species.