Eperezolid and linezolid are representatives of a new class of orally active, synthetic antimicrobial agents. The in vitro activity values (MICs) of linezolid, eperezolid, and comparator antibiotics against 102 strains of Rhodococcus equi isolated from humans and animals were determined. Linezolid was more active than eperezolid against the strains tested; premafloxacin was the most active comparator antibiotic.Rhodococcus equi is found in soil and carried in the intestinal tracts of horses. It is a facultative intracellular pathogen that resists phagocytosis as well as intracellular killing by macrophages. It causes an insidious, progressive chronic suppurative bronchopneumonia with abscessation in foals. It is one of the most important diseases in foals less than 6 months of age. It was first reported to cause disease in horses in the 1920s and in humans in the 1960s (1). R. equi is an opportunistic pathogen contracted primarily by inhalation of dust. The majority of human cases occur in immunocompromised individuals, especially those infected with the human immunodeficiency virus. Despite antibiotic therapy for patients with AIDS, frequent relapses occur during the course of the disease (2, 4).Erythromycin and rifampin (initially) therapy for 4 to 9 weeks has become the treatment of choice for foals (5, 6). However, due to cost, clinicians and owners of affected animals are interested in a less costly therapy, and if possible monotherapy, to treat foals. There are limited antimicrobial agents approved for use with animals to treat bacterial infections. Antimicrobial agents approved to treat respiratory infections in livestock are often used in horses. Currently, antimicrobial agents used to treat respiratory disease in livestock include enrofloxacin, sarafloxacin, danofloxacin, ceftiofur, tetracycline, florfenicol, and tilmicosin. Premafloxacin, an extended-spectrum fluoroquinolone, has previously been shown to have superior in vitro activity against gram-positive cocci compared with other fluoroquinolones (14).Eperezolid and linezolid are representatives of a new class of orally active, synthetic antimicrobial agents, the oxazolidinones. The oxazolidinones are most active against gram-positive organisms including methicillin-resistant Staphylococcus aureus, vancomycin-resistant Enterococcus spp., and Streptococcus spp. The in vitro activity of these compounds against a variety of bacterial isolates from humans as well as animals has been well documented (5-8, 13, 15; S. A. Salmon, J. L. Watts, C. A. Case, and C. W. Ford, Abstr. 98th Gen. Meet. Am. Soc. Microbiol., abstr. A-2, p. 38, 1998; J. L. Watts, S. A. Salmon, R. J. Yancey, Jr., and C. W. Ford, Abstr. 35th Intersci. Conf. Antimicrob. Agents Chemother., abstr. F220, p. 151, 1995). However, there are limited data on the in vitro activity of antimicrobial agents against R. equi, including no data on the activity of oxazolidinones against R. equi. The objective of this study was to determine the MICs of linezolid, eperezolid, premafloxacin, and several comp...