PT - JOURNAL ARTICLE AU - Ryoichi Hamasuna AU - Satoshi Takahashi AU - Hiroshi Kiyota AU - Mitsuru Yasuda AU - Hiroshi Hayami AU - Soichi Arakawa AU - Kazunori Tomono AU - Tetsuro Matsumoto TI - Effect of gatifloxacin against <em>Mycoplasma genitalium</em>-related urethritis: an open clinical trial AID - 10.1136/sti.2010.048553 DP - 2011 Aug 01 TA - Sexually Transmitted Infections PG - 389--390 VI - 87 IP - 5 4099 - http://sti.bmj.com/content/87/5/389.short 4100 - http://sti.bmj.com/content/87/5/389.full SO - Sex Transm Infect2011 Aug 01; 87 AB - Objectives Mycoplasma genitalium and Chlamydia trachomatis are the primary pathogens detected from non-gonococcal urethritis (NGU). In this study, the efficacy of gatifloxacin was examined against M genitalium-related urethritis.Methods The study was an open clinical trial evaluating the effectiveness of gatifloxacin with 200 mg doses twice a day for 7 days against male NGU.Results Between March and September 2008, 169 male patients were enrolled, and microbiological and clinical cure rates could be evaluated in 86 patients detected with C trachomatis or M genitalium and in 135 with NGU, respectively. Microbiological cure rates of gatifloxacin against C trachomatis and M genitalium were 100% and 83%, respectively, and the total clinical cure rate was 99%.Conclusion Analysis of in-vivo and in-vitro data from the literature of fluoroquinolone efficacies against M genitalium suggests that a MIC90 of 0.125 μg/ml or less may be useful for optimal activity against M genitalium infection.