Speed of recovery in adult patients with community-acquired pneumonia; moxifloxacin versus levofloxacin

Jamal Wadi Al Ramahi, Mustafa Ramadan, Waad Jaber, Lamya Abushanab, Mohammad Mughrabi, Noor Alshamayleh, Ahmad Mulhem, Dania Momani, Mohammad Obaidat, Ghayda Haddad, Basma Khalil, Anas Zahran, Esraa Odat, Nadeen Kufoof, Haneen Arabiat, Amr Diab, Antonio Anzueto

Research output: Contribution to journalArticle

Abstract

Introduction: To evaluate the speed of recovery in CAP-treated adults with Moxifloxacin versus levofloxacin. Methodology:A retrospective multicenter study between January 14, 2010-March 23, 2017. Patients' records with the diagnosis of community-acquired pneumonia (CAP), age ≥ 18 and ≤ 60 years old, susceptible bacteria to the prescribed fluoroquinolone, completed three days of antimicrobial therapy and who were switched from parenteral to the oral form for the same antimicrobial agent were included. Results: 701 charts were reviewed, 367 were excluded; not on respiratory fluoroquinolones (RFQ), age > 60 or < 18 years old, not enough data, prior antimicrobials, hospital-associated pneumonia, < 3 days of therapy, and one pregnant woman. 334 patients were Included; 167 levofloxacin and 167 moxifloxacin, with 68.5% males (P = 0.259), no significant difference in comorbidities (P >.05), but increased diabetes mellitus in moxifloxacin-treated patients (P = 0.012). No significant difference in Pneumonia Severity Index (PSI). Multivariate and univariate analysis demonstrated that day 3 rate of improvement; levofloxacin-treated patients 75.9% (95% CI, 69.9 to 81.8), and 84.0% (95% CI, 78.1 to 89.9) for Moxifloxacin (difference-8.1%, 95% CI,-16.5-.003, P = 0.058). And day 5 rates of improvement in Levofloxacin-treated patients was 91.9%, (95% CI, 88.3 – 95.6), and 95.5% (95% CI, 91.8-99.2) for moxifloxacin (difference-3.5%, 95% CI,-8.7-1.7, P = 0.184). There was no significant difference for patients with radiological diagnoses for day 3 (P = 0.832) and 5 (P = 0.929). Conclusions: Our uni-and-multivariate analyses demonstrated that moxifloxacin exhibited no significant differences in the rates of improvement on days 3 and 5.

Original languageEnglish (US)
Pages (from-to)878-886
Number of pages9
JournalJournal of Infection in Developing Countries
Volume12
Issue number10
DOIs
StatePublished - Oct 1 2018

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Keywords

  • CAP
  • Community-associated pneumonia
  • Levofloxacin
  • Moxifloxacin
  • Speed of recovery

ASJC Scopus subject areas

  • Parasitology
  • Microbiology
  • Infectious Diseases
  • Virology

Cite this

Ramahi, J. W. A., Ramadan, M., Jaber, W., Abushanab, L., Mughrabi, M., Alshamayleh, N., Mulhem, A., Momani, D., Obaidat, M., Haddad, G., Khalil, B., Zahran, A., Odat, E., Kufoof, N., Arabiat, H., Diab, A., & Anzueto, A. (2018). Speed of recovery in adult patients with community-acquired pneumonia; moxifloxacin versus levofloxacin. Journal of Infection in Developing Countries, 12(10), 878-886. https://doi.org/10.3855/jidc.10335