Infectious disease by microbial infections is one of the major catastrophes in medical and biomedical fields, which impose considerable economic, financial, and health-related burdens on patients and healthcare systems. For example, bacterial keratitis is a bacterial infection of the cornea and may lead to vision loss or blindness[1]. The cornea infection by Pseudomonas aeruginosa may arise following extended contact lens wear, eye surgery, and other pathogenic-involving situations. The treatment options may depend on microorganism culture and sensitivity tests by prescribing proper antibiotics[2]. Levofloxacin is a prototypical of the third generation of fluoroquinolones, exerting broad-spectrum antimicrobial agent against both Gram-positive and Gram-negative bacteria [3]. Besides bacterial keratitis, levofloxacin could also be successfully prescribed to treat other infectious diseases, such as chronic bacterial prostatitis, lower respiratory tract infections, urinary tract infections and H. pylori infections. Chemically, levofloxacin is a chiral fluorinated carboxyquinolone, which is the (-)-(S)-enantiomer of the racemic drug substance ofloxacin (Fig. 1)[4]. It is an amphoteric molecule (pKa1 and pKa2 values of 6.22 and 7.81, respectively) with a log P of 0.59 at the isoelectric pH of 7.10. Levofloxacin topical ophthalmic solution (5 mg/mL) is indicated for treating corneal ulcers and bacterial ocular infections.
The antibacterial activity of levofloxacin is related to inhibiting the enzymes (i.e., topo-isomerase II, topo-isomerase IV, and gyrase) responsible for separating bacterial DNA. It blocks cell transcription, replication, repair and recombination and, consequently, results in cell death[5–8]. According to the reported structure-activity data, the fluorine atom at position 6 of the naphthyridine ring helps the broaden levofloxacin activity spectrum against both Gram-negative and Gram-positive pathogens (Fig. 1)[3, 4, 9]. It is shown that the antibacterial activity of the S isomer of levofloxacin is approximately 130 times higher than the R- isomer[3].
The bacterial killing activity of quinolones shows a concentration-dependent manner and increases by increasing the drug concentration. In this regard, as the serum drug concentration of levofloxacin rises to around 30 times of the minimum inhibitory concentration (MIC), the antiseptic and bactericidal activity increases [5, 9, 10]. However, the topical administration of levofloxacin drops in treating bacterial keratitis exhibits lower bioavailability due to the eye’s unique anatomical and physiological constrictions. Therefore, the bactericidal effect of levofloxacin in treating bacterial keratitis is provided with a repeatable dose in defined time intervals. Although the repeated administration of the drug decreases the patient’s compliance, it also prevents the resistance of the bacteria to the treatment[2, 10]. The other factor that may influence the effectiveness of the treatment is the stability of the substance in pharmaceutical formulations, which impacts the effective concentration of the drug. As a result, quantitative determination of drug concentration in pharmaceutical formulations and also in human plasm is an essential parameter to consider in levofloxacin administration to obtain better clinical outcomes.
Until today, several analytical methods have been introduced to quantify levofloxacin amount in different dosage forms like 1H NMR spectroscopy, ultra-performance liquid chromatography (UPLC), capillary electrophoreses, and High-performance liquid chromatography coupled with Ultraviolet (HPLC-UV), fluorescence (HPLC-FL), and tandem mass spectrometry (HPLC-MS/MS),) detectors[11]. In the HPLC methods, different kinds of additives were employed as mobile phase components for improving peak shape and resolution. For example, Triethanolamine (TEA), tetrabutylammonium bromide (TBAB), butadiene styrene brominated ammonium (BSBA), tetrabutylammonium hydrogen sulfate (TBHS), sodium or potassium phosphate buffers, etc. have been used in the mobile phase to improve peak shape[2, 11–13]. The other methods were also conducted under gradient elution method using formic acid, trifluoracetic acid, and methanol at minuscule concentrations (0.05–0.1%) as mobile phase components[14, 15]. However, these methods result in a relatively long separation time (about 13 min). On the other hand, using additives in the mobile phase in gradient elution exerts additional disadvantages, including slow equilibrium time, reduced column lifetime, tailing peak, early elution, late elution, and artefact peaks[16, 17]. Moreover, many of these HPLC methods are based on specific detectors that are not widely available in all laboratories because of the high cost of the equipment. In addition, although different HPLC methods have been applied to determine and quantify levofloxacin and its various derivatives in human plasma and standard solutions, the application of the HPLC method for determining levofloxacin concentration in real and pharmaceutical solutions has not been reported in previous literature.
With this background in mind, this study aimed to develop and validate a rapid, simple, economical, and precise HPLC method for quantitatively determining levofloxacin in ophthalmic and other pharmaceutical solutions.