The susceptibilities of 123 clinically isolated strains of Xanthomonas maltophilia to six fluoroquinolones (clinafloxacin, PD 131628, PD 138312, PD 140248, ciprofloxacin, and ofloxacin) were examined by microdilution MIC methodology. Clinafloxacin and PD 131628 were the most active compounds tested (MICs for 50% of the strains tested [MIC50s] of 0.5 and 1.0 ,ug/ml and MIC90s of 2.0 and 4.0 ,ug/ml, respectively). PD 138312, PD 140248, ciprofloxacin, and ofloxacin were less active, with MIC50s ranging from 4.0 to 8.0 ,ug/ml and MIC90s of 16.0 ,ug/ml for all four compounds. Only clinafloxacin and PD 131628 were active against ciprofloxacinresistant strains, with MIC50s of 0.5 and 1.0 ,ug/ml and MIC90s of 2.0 and 4.0 ,ug/ml, respectively.Infections caused by Xanthomonas maltophilia are increasingly encountered, especially in patients with compromised host defense mechanisms (10,11,17). The problem is further complicated by the inherently resistant nature of this species, which is due to a combination of permeability defects and ,B-lactamase production (3,10,11,13,17). Of commonly used antimicrobial agents, only trimethoprim-sulfamethoxazole has been found to be consistently active in vitro against this organism (10,17). Available quinolones such as ciprofloxacin and ofloxacin are marginally active, with MICs for susceptible isolates clustering around the breakpoint (1,4,9,(12)(13)(14). Clinafloxacin (CI-960, PD 127391) and PD 131628 (the active component of the prodrug CI-990) are two new fluoroquinolones with improved activity against gram-positive cocci, gramnegative nonfermenters, and anaerobes (5,6,8,9,12,16). This study compared the activities of clinafloxacin, PD 131628, two other experimental broad-spectrum fluoroquinolones (PD 138312 and PD 140248) (2, 7), ciprofloxacin, and ofloxacin against 123 clinical isolates of X maltophilia.Most clinical isolates (85%) were from different patients at Hershey Medical Center and University Hospitals of Cleveland and were collected over a 3-year period. The remainder were obtained from sources listed in the Acknowledgments and were isolated over a 6-year period. All strains were reidentified and MIC studies performed at Hershey Medical Center. Strains were identified by standard methods (10) Suscep-tibility breakpoints for ciprofloxacin (2.0 ,ug/ml) and ofloxacin (4.0 ,ug/ml) were those recommended by the National Committee for Clinical Laboratory Standards for members of the family Enterobacteriaceae (15). Breakpoints for the other four compounds were all 2.0 pug/ml, on the basis of preliminary data for members of the family Enterobacteriaceae (2). It should be noted, however, that no definitive quinolone susceptibility breakpoints are available for X maltophilia.The results of MIC testing are presented in Tables 1 and 2. Clinafloxacin and PD 131628 were the most active agents against all X. maltophilia strains, with 94 and 80% of the strains susceptible to the respective compounds at the preliminary breakpoints. MIC ranges of 0.06 to 8.0 and 0.125 to 16.0 iig/ml, MI...