Chonnam Med J.
2002 Mar;38(1):73-77.
A Clinical Study of Moxifloxacin for the Lower Respiratory Infections
- Affiliations
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- 1Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. kyc0923@chonnam.ac.kr
- 2Department Anesthesiology, Chonnam National University Medical School, Gwangju, Korea.
- 3Department Clinical Pathology, Chonnam National University Medical School, Gwangju, Korea.
- 4Chonnam National University Research Institute of Medical Sciences, Gwangju, Korea.
Abstract
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Moxifloxacin is a newly developed drug which is more potent and safe than previous fluoroquinolones. This drug is known to be effective in treating lower respiratory tract infections by gram-positive and gram-negative organisms. Moreover, moxifloxacin is effective to beta-lactamase-producing or other resistant bacteria. We observed the clinical efficacy and safety of oral moxifloxacin taken 400mg once a day for 7 days in patients with lower respiratory tract infection. Clinical effects were evaluable in 16 patients. Their pre-test diagnosis were bronchiectasis, acute exacerbation of chronic bronchitis, community-acquired pneumonia, and other lower respiratory infections. Clinical success was noted in 15 (93.8%) of 16 moxifloxacin-treated patients, and 7 (43.8%) patients were judged to be cured clinically. Among the respiratory symptoms and signs, sputum (p=0.001) and cough (p=0.002) were more easily improved than fever and dyspnea. Adverse reactions were reported by 3 patients. Their complaints were nausea, fatigue, and thirsty. No other significant laboratory abnormalities related to moxifloxacin were observed. This study demonstrated that a 7-day course of moxifloxacin 400 mg once daily was effective and safe for the treatment of adult lower respiratory tract infections.