1.Recalcitrant gram-positive bacterial keratitis treated with intrastromal levofloxacin 1.5% ophthalmic solution: A case report and review of literature
Bobbie Marie M. Santos ; Josept Mari S. Poblete ; George Michael N. Sosuan ; Pablito F. Sandoval Jr. ; Billie Jean T. Cordero ; David Ammiel R. Tirol V ; Ruben Lim Bon Siong
Philippine Journal of Ophthalmology 2024;49(1):54-60
Objective:
This paper demonstrated the effectiveness of intrastromal injection of levofloxacin 1.5%
ophthalmic solution in the management of recalcitrant Gram-positive bacterial keratitis.
Methods:
This is a report on two cases of recalcitrant bacterial keratitis encountered at the External Diseases
and Cornea Clinic of the Department of Ophthalmology and Visual Sciences at the Philippine General Hospital.
Results:
Two middle-aged females presented with bacterial keratitis unresponsive to previous antibiotic
treatment with impending corneal perforation. The Gram stain of the corneal scraping in the first case revealed Gram-positive cocci, while the second case showed encapsulated Gram-positive bacilli and encapsulated Grampositive cocci in chains. In both cases, repeated intrastromal injections of levofloxacin 1.5% in addition to increasing the frequency of topical levofloxacin 1.5% resulted in marked improvement in visual acuity and resolution of deep stromal infiltrates and hypopyon.
Conclusion
These cases highlighted the utility of intrastromal levofloxacin 1.5% ophthalmic solution in the
management of recalcitrant Gram-positive bacterial keratitis.
Fluoroquinolones
;
Levofloxacin
2.Association between the Levofloxacin Plasma Concentration and Neurological Adverse Events in an Elderly Patient
Gaeun KANG ; Seung Hyun MIN ; Jong Keun KIM ; Kyung Wook KANG
Journal of Clinical Neurology 2019;15(4):572-574
No abstract available.
Aged
;
Humans
;
Levofloxacin
;
Plasma
3.Postoperative safety outcomes in patients undergoing routine Phacoemulsification Cataract Surgery with Intraoperative Intracameral Injection of Preservative-Free Moxifloxacin versus Levofloxacin
Franz Marie Cruz ; Harvey S. Uy ; Carlo Josemaria Rubio ; Pik Sha Chan
Philippine Journal of Ophthalmology 2022;47(1):15-22
Purpose:
This study compared the safety outcomes of two intracameral fluoroquinolone antibiotics,
moxifloxacin and levofloxacin, as prophylaxis treatment in eyes that underwent uncomplicated cataract surgery.
Methods:
This is a prospective, double-masked, randomized, interventional, single-center clinical trial. Eyes
with visually-significant cataracts underwent phacoemulsification and received preservative-free intracameral
0.5% moxifloxacin [58 eyes (M group)] or 0.5% levofloxacin [56 eyes (L group)] at the end of the surgery as
antibiotic prophylaxis. The following safety parameters were evaluated postoperatively at Day 1, Week 1 and
Month 1: central retinal thickness (CRT), macular volume (MV), central corneal thickness (CCT), and
endothelial cell density (ECD). In-between group comparison was made at each of the 4 study visits using
Student’s t-test.
Results:
Both M and L groups had similar baseline characteristics. There were no significant differences in
CRT, MV, CCT and ECD between the 2 groups at each time point in the study. There were no significant
differences in the mean changes in CRT, MV, CCT and ECD from baseline to final visit between the 2 groups.
No study-related adverse events were observed during the study period.
Conclusion
Intracameral application of preservative-free 0.5% moxifloxacin and 0.5% levofloxacin appear to
have similar safety outcomes when used as antibacterial prophylaxis among eyes undergoing cataract surgery.
Based on the results, both fluoroquinolone agents are potentially suitable options for endophthalmitis
chemoprophylaxis.
Levofloxacin
;
Moxifloxacin
;
Fluoroquinolones
4.Clinical Efficacy and Safety of Intravenous levofloxacin in Patients of Abdominal Operati.
Yoon Seok CHAE ; Sub Jin CHOI ; Jong Hoon LEE ; Kyung Sik KIM ; Woo Jung LEE ; Byong Ro KIM
Korean Journal of Hepato-Biliary-Pancreatic Surgery 2001;5(1):169-173
BACKGROUND/AIMS: For the investigation of the efficacy and safety of intravenous levofloxacin, The clinical study was carrried out in 30 patients with abdominal operation, especially in hepatobiliary and pancreatic division. METHODS: Randomly chosen patients received intravenous levofloxacin (250mg bid) for only 7 days. Clinical and microbiological evaluation were conducted on the day of starting and finishing levofloxacin treatmeat except for the case of combined use of antibiotics. RESULTS: The most commonly isolated organism was staphylococcus aureus(33%, 3/9). The overall bacteriologic eradication rate was 67%, (6/9) with clinical success rate was 96%(29/30), There were no significant dverse effects to stop the administration of the drug. CONCLUSION: These results suggest that intravenous levofloxacin is effective and safe antibiotics in the fields management of abdominal operation especially in hepatobiliary and pancreas surgery.
Anti-Bacterial Agents
;
Humans
;
Levofloxacin*
;
Pancreas
;
Staphylococcus
5.The Efficacy of Oral Levofloxacin in the Treatment of Patient with Chronic Prostatitis.
Chang Soo OH ; Sang Hyeon CHEON ; Ro Jung PARK ; Mi Suk LEE
Infection and Chemotherapy 2005;37(2):99-103
PURPOSE: Antibiotic is widely used in the treatment of chronic prostatitis. In this study, we evaluated the clinical efficacy and safety of levofloxacin (Cravit(R)) in the treatment of patients with chronic prostatitis. MATERIALS AND METHODS: Between March 2001 and February 2003, 64 patients with chronic bacterial (NIH-category II) and nonbacterial inflammatory prostatitis (NIH-category IIIa) were enrolled in this study. Daily 400 mg of levofloxacin was administered orally for 4-18 weeks. To determine the efficacy of levofloxacin, patients were assessed with the NIH-CPSI and examined of expressed prostatic secretion (EPS) at 3 months follow-up period. RESULTS: The CPSI of 16 patients stratified into NIH-category II was 24.9+/-4.7 before and 14.1+/-6.5 after the treatment. For 48 patients stratified into NIH-category IIIa, the CPSI value before and after the treatment was 23.9+/-4.4 and 13.2+/-5.7, respectively. 40 patients (62.5%) showed mild to moderate improvement in NIH-CPSI, and 23 patients (35.9%) showed improvement in the laboratory profile according to the count of leukocytes (WBC <10/HPF) in EPS. Adverse reaction was noted in 1 patient during the treatment. Conclusions:This study shows that levofloxacin may be a safe and effective agent in treating either chronic bacterial prostatitis or chronic nonbacterial inflammatory prostatitis with few adverse reactions.
Follow-Up Studies
;
Humans
;
Leukocytes
;
Levofloxacin*
;
Prostatitis*
6.The Efficacy of Oral Levofloxacin in the Treatment of Patient with Chronic Prostatitis.
Chang Soo OH ; Sang Hyeon CHEON ; Ro Jung PARK ; Mi Suk LEE
Infection and Chemotherapy 2005;37(2):99-103
PURPOSE: Antibiotic is widely used in the treatment of chronic prostatitis. In this study, we evaluated the clinical efficacy and safety of levofloxacin (Cravit(R)) in the treatment of patients with chronic prostatitis. MATERIALS AND METHODS: Between March 2001 and February 2003, 64 patients with chronic bacterial (NIH-category II) and nonbacterial inflammatory prostatitis (NIH-category IIIa) were enrolled in this study. Daily 400 mg of levofloxacin was administered orally for 4-18 weeks. To determine the efficacy of levofloxacin, patients were assessed with the NIH-CPSI and examined of expressed prostatic secretion (EPS) at 3 months follow-up period. RESULTS: The CPSI of 16 patients stratified into NIH-category II was 24.9+/-4.7 before and 14.1+/-6.5 after the treatment. For 48 patients stratified into NIH-category IIIa, the CPSI value before and after the treatment was 23.9+/-4.4 and 13.2+/-5.7, respectively. 40 patients (62.5%) showed mild to moderate improvement in NIH-CPSI, and 23 patients (35.9%) showed improvement in the laboratory profile according to the count of leukocytes (WBC <10/HPF) in EPS. Adverse reaction was noted in 1 patient during the treatment. Conclusions:This study shows that levofloxacin may be a safe and effective agent in treating either chronic bacterial prostatitis or chronic nonbacterial inflammatory prostatitis with few adverse reactions.
Follow-Up Studies
;
Humans
;
Leukocytes
;
Levofloxacin*
;
Prostatitis*
7.Two Cases of Green Nail Syndrome.
Beom Joon KIM ; Hee Jin BYUN ; Dong Hun LEE ; Soyun CHO ; Myeung Nam KIM ; Byung In RO ; Yang Won LEE ; Yong Beom CHOE ; Kyu Joong AHN
Korean Journal of Medical Mycology 2006;11(3):163-165
Green nail syndrome is characterized by greenish discoloration of the nail. It is caused by Pseudomas aeruginosa which is an aerobic gram-negative rod found in moist environment. The most common predisposing factors are frequent exposure to water and trauma history. Herein, we report two cases of green nail syndrome who developed greenish discoloration of finger nails, which were treated by systemic levofloxacin and gentian violet application.
Causality
;
Fingers
;
Gentian Violet
;
Levofloxacin
;
Pseudomonas aeruginosa
;
Water
8.Efficacy of wound dressing with microspheres containing levofloxacin on burns treatment.
Ping GAO ; Xiaohui WANG ; Shujie HUANG ; Ying WANG ; Jing GUAN ; Yimin LI ; Zunwei TAO
Journal of Biomedical Engineering 2014;31(4):806-810
This research was aimed to find the skin irritation and burns treatment effect of wound dressing with mi- crospheres containing levofloxacin. We used reference GB/T16886. 10-2005 to evaluate the dressing skin irritation. We prepared rabbit models divided into three groups. The control group was rapped with Vaseline gauze bandage, while the positive control group was rapped with the wounds of nano-silver paste bandage. The experimental sample group was rapped with wound dressing with microspheres containing levofloxacin. We measured the wound without healing area and the hydroxyproline content at the ends of 3 d, 6 d, 9 d, 14 d, 21 d, 28 d. and meanwhile performed histopathological examination. The experimental results showed that the dressing primary irritation index was 0. The nonhealing wound area of theexperimental sample group and positive control group at the ends of 6 d, 9 d, 14 d, 21 d were less than that of the control group (P<0. 05). The nonhealing wound area of the experimental sample group at the ends of 9 d and 14 d was significantly lower than that of the positive control group (P < 0.05). The hydroxyproline content of the experimental sample group at the ends of 6 d, 9 d and 14 d was significantly higher than that of the positive control group and blank control group (P<0. 05). The pathology observed of the experimental sample group at 21 d were the earliest appendages. The wound dressing with microspheres containing levofloxacin has minimal skin irritation, effectively promote wound healing of burn.
Animals
;
Bandages
;
Burns
;
therapy
;
Hydroxyproline
;
chemistry
;
Levofloxacin
;
therapeutic use
;
Microspheres
;
Rabbits
;
Silver
;
Wound Healing
9.Molecular Detection of Fluoroquinolone Resistance in Multidrug-Resistant Mycobacterium tuberculosis Isolates.
Chang Ki KIM ; Byung Soo LEE ; Myung Joon CHOI ; Hee Jin KIM ; Kyungwon LEE
Annals of Clinical Microbiology 2014;17(3):80-85
BACKGROUND: Fluoroquinolones (FQs) are important drugs for treating multidrug-resistant tuberculosis (MDR-TB). However, due to widespread use of FQs, the resistance rates to FQs have been increasing among Mycobacterium tuberculosis. Rapid and reliable FQ drug susceptibility testing (DST) is crucial for successful treatment of MDR-TB. In this study, the feasibility of molecular detection of FQ resistance was evaluated. METHODS: A total of 95 MDR-TB isolates were collected from Jan through Oct 2009 at the Korean Institute of Tuberculosis. DST for ofloxacin (OFL), levofloxacin, and moxifloxacin was performed using the Lowenstein-Jensen media absolute concentration method. Minimum inhibitory concentrations (MIC) of these were determined using the broth microdilution method. DNA was extracted from cultured isolates using bead beating method. The quinolone resistance-determining region (QRDR) of gyrA and gyrB were amplified and those sequences were analyzed. RESULTS: Of 95 isolates, 79 were resistant to at least one of FQs. Of these, 71 (89.9%) harbored mutation in the QRDR of gyrA or gyrB. None of FQ susceptible strains possessed any mutation in gyrA or gyrB. Mutations in codon 94 of gyrA were most common; only two isolates had mutation in only the gyrB gene. OFL MICs for isolates with gyrA mutation ranged from 1 to 32 microg/mL, but FQ susceptible isolates showed MICs ranging from < or =0.06 to 0.5 microg/mL. CONCLUSION: Mutation analysis of QRDR of gyrA and gyrB showed 89.9% sensitivity and 100% specificity for detecting FQ resistance in MDR-TB. Therefore, molecular DST can be useful for rapid detection of FQ resistance in MDR-TB.
Codon
;
DNA
;
Fluoroquinolones
;
Levofloxacin
;
Microbial Sensitivity Tests
;
Mycobacterium tuberculosis*
;
Ofloxacin
;
Tuberculosis
;
Tuberculosis, Multidrug-Resistant
10.Efficacy of Levofloxacin-Based Third-Line Therapy for the Eradication of Helicobacter pylori in Peptic Ulcer Disease.
Joo Hyun LIM ; Sang Gyun KIM ; Ji Hyun SONG ; Jae Jin HWANG ; Dong Ho LEE ; Jae Pil HAN ; Su Jin HONG ; Ji Hyun KIM ; Seong Woo JEON ; Gwang Ha KIM ; Ki Nam SHIM ; Woon Geon SHIN ; Tae Ho KIM ; Sun Moon KIM ; Il Kwon CHUNG ; Hyun Soo KIM ; Heung Up KIM ; Joongyub LEE ; Jae Gyu KIM
Gut and Liver 2017;11(2):226-231
BACKGROUND/AIMS: The resistance rate of Helicobacter pylori is gradually increasing. We aimed to evaluate the efficacy of levofloxacin-based third-line H. pylori eradication in peptic ulcer disease. METHODS: Between 2002 and 2014, 110 patients in 14 medical centers received levofloxacin-based third-line H. pylori eradication therapy for peptic ulcer disease. Of these, 88 were included in the study; 21 were excluded because of lack of follow-up and one was excluded for poor compliance. Their eradication rates, treatment regimens and durations, and types of peptic ulcers were analyzed. RESULTS: The overall eradiation rate was 71.6%. The adherence rate was 80.0%. All except one received a proton-pump inhibitor, amoxicillin, and levofloxacin. One received a proton-pump inhibitor, amoxicillin, levofloxacin, and clarithromycin, and the eradication was successful. Thirty-one were administered the therapy for 7 days, 25 for 10 days, and 32 for 14 days. No significant differences were observed in the eradication rates between the three groups (7-days, 80.6% vs 10-days, 64.0% vs 14-days, 68.8%, p=0.353). Additionally, no differences were found in the eradiation rates according to the type of peptic ulcer (gastric ulcer, 73.2% vs duodenal/gastroduodenal ulcer, 68.8%, p=0.655). CONCLUSIONS: Levofloxacin-based third-line H. pylori eradication showed efficacy similar to that of previously reported first/second-line therapies.
Amoxicillin
;
Clarithromycin
;
Compliance
;
Follow-Up Studies
;
Helicobacter pylori*
;
Helicobacter*
;
Humans
;
Levofloxacin
;
Peptic Ulcer*
;
Ulcer