Efficacy of doxycycline and ciprofloxacin against experimental Yersinia pestis infection

J Antimicrob Chemother. 1998 Feb;41(2):301-5. doi: 10.1093/jac/41.2.301.

Abstract

The efficacies of ciprofloxacin and doxycycline prophylaxis and therapy were assessed against experimental pneumonic plague infections induced by two strains of Yersinia pestis in a mouse model. When exposed to an aerosol of Y. pestis strain GB, containing 8.39 x 10(5) +/- 4.17 x 10(4) cfu, the retained dose was 7.3 x 10(3) +/- 2.3 x 10(3) cfu. When exposed to an aerosol of Y. pestis strain CO-92, containing 1.86 x 10(5) +/- 7.4 x 10(3) cfu, the retained dose was 3.4 x 10(4) +/- 2.6 x 10(3) cfu. Both strains resulted in a respiratory and systemic infection closely resembling human pneumonic plague. Ciprofloxacin prophylaxis and therapy was successful against both strains for up to 24 h after challenge, but not after 48 h. Both doxycycline prophylaxis and therapy regimens were ineffective against both strains, although strain CO-92 was more susceptible in vitro to doxycycline than strain GB and supra-MIC levels were achieved in the serum and lungs of the animal.

MeSH terms

  • Animals
  • Antibiotic Prophylaxis
  • Ciprofloxacin / pharmacology*
  • Disease Models, Animal
  • Doxycycline / pharmacology*
  • Lung / microbiology
  • Lung / pathology
  • Mice
  • Microbial Sensitivity Tests
  • Plague / drug therapy*
  • Plague / microbiology
  • Plague / prevention & control
  • Treatment Outcome
  • Yersinia pestis / drug effects*

Substances

  • Ciprofloxacin
  • Doxycycline