@article{3050793, title = "Comparative in vitro and in vivo efficacy of roxithromycin and erythromycin against a strain of methicillin-susceptible Staphylococcus epidermidis", author = "Danias, PG and Chalevelakis, G and Mylonakis, EE and Argyropoulou, A and and Paniara, O and Saroglou, G and Raptis, SA", journal = "Diagnostic Microbiology and Infectious Disease", year = "1998", volume = "32", number = "1", pages = "51-54", publisher = "EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC", issn = "0732-8893", doi = "10.1016/S0732-8893(98)00059-5", abstract = "The in vitro and in vivo efficacy of roxithromycin was compared with that of erythromycin, against a methicillin-susceptible strain of Staphylococcus epidermidis. We performed standard in vitro testing (MIC, MBC, and time-kill kinetics) for roxithromycin, erythromycin, and rifampin. Both macrolides were bacteriostatic in vitro. There was no significant difference in microbial survival between erythromycin and roxithromycin groups in the time-kill kinetics (p = 0.3). For the in vivo experiments, using the rabbit experimental endocarditis model, roxithromycin was found to be inferior to erythromycin in decreasing the microbial burden of the endocardial vegetations (p < 0.05). Rifampin was highly effective, both in vitro and in vivo. In conclusion, the efficacy of roxithromycin was poor and inferior to erythromycin against a strain of methicillin-susceptible S. epidermidis. (C) 1998 Elsevier Science Inc." }