The comparative efficacy and tolerability of the latest fluoroquinolones in pediatric ophthalmology


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

The authors analyze the results of treatment of 45 children with bacterial conjunctivitis (87 eyes). All patients were divided into 3 groups: children of the first group received instillations of 0.3 % ofloxacin (Uniflox, Unimed Pharma), the second — 0.5 % levofloxacin (Oftaquix, Santen or Signizef, Promed Exports), the third — 0.3 % ciprofloxacin (Ciprolet, Dr Reddy`s Laboratories; Cilloxan, Alcon; Cipromed, Promed Exports). The patients received one of the above-mentioned fluoroquinolones 1 drop to each eye 5 times a day during 7 days. All patients were examined: plating of conjunctival cavity content, biomicroscopy of cornea and conjunctiva, staining of cornea and conjunctiva with fluorescein, measurement of tear film stability. All patients filled the questionnaire to estimate the tolerability of drugs. Results: eye drops containing 0.3 % ofloxacin, 0.5 % levofloxacin and 0.3 % ciprofloxacin showed equally high clinical effectiveness. The tolerability of ofloxacin and lexofloxacin drops was higher than ciprofloxacin according to subjective and objective (toxic effect to cornea) criteria.

Full Text

Restricted Access

About the authors

Tatiana Nikolaevna Vorontsova

Saint-Petersburg State Pediatric Medical University

Email: vorontsoff@bk.ru
MD, PhD, Associate Professor Department of Ophthalmology with clinical pharmacology course

Maria Vitalievna Mikhailova

Ophthalmologist. State Center N 7 (ophthalmological)

Email: mikhailov@yandex.ru
MD

Tatiana Vyacheslavovna Smoljaninova

Saint-Petersburg State Pediatric Medical University

Email: Da.sm@mail.ru
head of bacteriological laboratory

Vladimir Vsevolodovich Brzheskiy

Saint-Petersburg State Pediatric Medical University

Email: vbrzh@yandex.ru
MD, PhD, Professor, head of Department of Ophthalmology with clinical pharmacology course

References

  1. Bertino J. Impact of antibiotic resistance in the management of ocular infections: the role of current and future antibiotics. // Clin. Ophthalmol. — 2010. — Vol. 3. — P. 507–521.
  2. Castillo A., Benitez del Castillo J. M., Toledano N. et al. Deposits of topical norfloxacin in the treatment of bacterial keratitis. // Cornea. — 1997. — Vol. 16, N 4. — P. 420.
  3. Eiferman R. A., Snyder J. P., Nordquist R. E. Ciprofloxacin microprecipitates and macroprecipitates in the human corneal epithelium. // J. Cataract. Refract. Surg. — 2001. — Vol. 27, N 10. — P.1701–1702.
  4. Hwang D. G., Schanzlin D. J., Rotberg M. H. et al. A phase III, placebo controlled clinical trial of 0,5% Levofloxacin Ophthalmic Solution for the treatment of bacterial conjunctivitis. // Brit. J. Ophthalmol. — 2003. — Vol. 87. — P. 1004–1009.
  5. Neu H. C. Microbiologic aspects of fluoroquinolones. // Amer. J. Ophthalmol. — 1991. — Vol. 112, N 4. — P. 15–24.
  6. Ogawa G., Hyndiuk R. The fluoroquinolones: New antibiotics in ophthalmology. // Int. Ophthalmol. Clin. — 1993. — Vol. 33. — P. 59–68.
  7. Рatwardhan A., Khan M. Topical ciprofloxacin can delay recovery from viral ocular surface infections. // J. R. Soc.Med. — 2005. — Vol. 98. — P.274–275.
  8. Skelnik D. L., Clark L. A., Bezwada P. Effect of drug concentration and exposure time of levofloxacin, ofloxacin, ciprofloxacin, gatifloxacin, and moxifloxacin on human corneal endothelial cells and keratocytes. Paper presenetd at ARVO Annual Meeting: May 4–9, 2003. Ft. Lauderdale Convention Center.
  9. Wilhelmus K. R., Abshire R. L. Corneal ciprofloxacin precipitation during bacterial keratitis. // Amer. J. Ophthalmol. — 2003. — Vol. 136, N 6. — P. 1032–1037.
  10. Watanabe R., Nakazawa T., Yokokura S. Fluoroquinolone antibacterial eye drop: effects on normal corneal epithelium, stroma and endothelium. // Clin. Ophthalmol. — 2010. — Vol. 4. — P. 1181–1187.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2013 Vorontsova T.N., Mikhailova M.V., Smoljaninova T.V., Brzheskiy V.V.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 69634 от 15.03.2021 г.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies