RT Conference Proceedings T1 Fluoroquinolone Resistance, DNA-cleavage, Reactive Oxygen Species Production and Phage Induction Affects the Post-antibiotic Effect of Levofloxacin in Streptococcus pneumoniae A1 Valenzuela, M. V. A1 Ferrándiz, M. J. A1 De la Campa, Adela G. A1 García Esteban, María Teresa AB Backgrounds. The fluoroquinolone levofloxacin (LVX) is currently used for treatment of pneumococcal infections. The post-antibiotic effect (PAE) has a clinical impact on antibacterial dosing regimens. LVX acts via the formation of DNA-LVX-topoisomerase complexes, with the subsequent generation of detrimental double-stranded DNA breaks. Its lethality is enhanced by the production of reactive oxygen species (ROS), via the up-regulation of genes that stimulate the Fenton reaction. In addition, LVX causes bacterial lysis by phage induction Objectives. To study the factors get involved in the PAE of LVX. Methods. Susceptible and resistant pneumococcal strains were analyzed during the postantibiotic phase. Growth curves, level of chromosome fragmentation, and ROS production were determined. In addition, isogenic isolates with prophages inducible or non inducible by LVX were studied Conclusions. Treatment of 1 h with LVX at 2.5× MIC induced EPAs between 0.22±0.05 and 1.41±0.21 h. Treatment with 10× MIC induced longer EPAs (between 0.56±0.11 and 2.06±0.35 h). EPA values were lower in LVX-resistant strains. In pneumococcal cultures treated with LVX (2.5× MIC, 1 h), after 4 hours of removing the antibiotic, bacteria viability increased by 10-fold, while ROS level decreased by 10-fold, and DNA breakage decreased by 7-fold. EPA induced in an isolate carrying an inducible prophage was 3-fold longer than in a non-inducible isolate. LVX induces significant EPAs in S. pneumoniae, which were related with the resistance of the strain, ROS production, DNA cleavage and presence of LVX-inducible prophages. YR 2017 FD 2017 LK https://hdl.handle.net/20.500.14352/129868 UL https://hdl.handle.net/20.500.14352/129868 LA eng NO Valenzuela, M. V., Ferrándiz, M. J., A.G. de la Campa, & García-Esteban, M. T. (2017). Fluoroquinolone Resistance, DNA-cleavage, Reactive Oxygen Species Production and Phage Induction Affects the Post-antibiotic Effect of Levofloxacin in Streptococcus pneumoniae. En FEMS17: 7th Congress of European Microbiologists. FEMS. DS Docta Complutense RD 17 mar 2026