TABLE 1

Inhaled antibiotics approved for use in patients with cystic fibrosis

Aztreonam lysineEffective against most Gram-negative bacteria including Pseudomonas; has activity against aminoglycoside-resistant Pseudomonas aeruginosa.
ColistinActive only against certain Gram-negative aerobes and Gram-negative facultative anaerobes. Species that are susceptible to colistin include Citrobacter species, Escherichia coli, Haemophilus influenzae and P. aeruginosa.
Levofloxacin#Broad spectrum of activity against Gram-positive and Gram-negative bacteria and atypical respiratory pathogens. It is active against both penicillin-susceptible and penicillin-resistant Streptococcus pneumoniae.
TobramycinEffective against Pseudomonas species, Klebsiella species, E. coli and both Staphylococcus aureus and Staphylococcus albus.

#: inhaled levofloxacin is not approved in France.