The in vitro and in vivo antichlamydial activity of sitafloxacin was investigated. The MICs and minimal chlamydiacidal concentrations of sitafloxacin for various species of chlamydia ranged from 0.031 to 0.125 g/ml. Sitafloxacin had an excellent therapeutic effect on experimental Chlamydia psittaci pneumonia and was more potent than tosufloxacin, ofloxacin, and ciproflxacin, although slightly less potent than sparfloxacin.Sitafloxacin is a new fluoroquinolone antimicrobial agent, which has been reported to have a broader spectrum and more potent activity against gram-positive and gram-negative bacteria than currently available quinolones such as ofloxacin, ciprofloxacin, tosufloxacin, and sparfloxacin (11,15,17). In a preliminary study (12), sitafloxacin showed good clinical efficacy against pneumonia and chronic respiratory tract infection. In the present study, the in vitro and in vivo activity of sitafloxacin against chlamydiae was investigated and compared with the activities of other quinolones.The antimicrobial agents tested were sitafloxacin and ofloxacin (Daiichi Pharmaceutical Co.), sparfloxacin (Dainippon Pharmaceutical Co.), tosufloxacin (Toyama Chemical Co.), and ciprofloxacin (Bayer Yakuhin Co.). These agents were dissolved in solutions according to the instructions of the respective manufacturers.The standard strains of chlamydia tested were Chlamydia pneumoniae TW-183, AR-39, and AR-388 (purchased from the Washington Research Foundation, Seattle); IOL-207 and Kajaani-6 (obtained from P. Saikku, University of Helsinki, Helsinki, Finland); C. psittaci Budgerigar-1 (obtained from the National Institute of Health, Tokyo, Japan) and California 10 (obtained from A. Matsumoto, Department of Microbiology, Kawasaki Medical School, Kurashiki, Japan); and C. trachomatis D/UW-3/Cx, E/UW-5/Cx, and L2/434/Bu (obtained from the National Institute of Health). The MICs for 15 strains of C. pneumoniae, 7 strains of C. trachomatis, and 5 strains of C. psittaci isolated from patients with chlamydial respiratory and urinary infections were also examined.The MIC and the minimal chlamydiacidal concentration (MCC) were determined by the standard methods of the Japan Society of Chemotherapy (4, 5). Briefly, confluent monolayers of HEp-2 cells were grown on coverslips and placed into 24-well cell culture plastic plates. The cells were then inoculated with 10 4 inclusion-forming units (IFU) per well of one of the test organisms (multiplicity of infection of 0.05) by centrifugation (900 ϫ g for 60 min). Next, 1 ml of a culture medium consisting of Eagle minimal essential medium (Nissui Pharmaceuticals Co., Tokyo, Japan), 10% heat-inactivated fetal calf serum (Gibco-BRL/Life Technologies, Inc., Grand Island, N.Y.), and cycloheximide (Nakarai Tesque, Inc., Tokyo, Japan) at a final concentration of 1 g/ml was applied. The medium also contained one concentration of one of the test agents. The plates were then incubated in 5% CO 2 at 35°C for 72 h for C. pneumoniae, at 37°C for 48 h for C. psittaci, or at 37°C for 72 h for C. tra...