Novel Combinations of Vancomycin plus Ceftaroline or Oxacillin against Methicillin-Resistant Vancomycin-Intermediate Staphylococcus aureus (VISA) and Heterogeneous VISA

Autor: K. L. Newton, Poochit Nonejuie, Joe Pogliano, Michael J. Rybak, George Sakoulas, Brian J. Werth, K. P. Murray, Celine Vidaillac
Rok vydání: 2013
Předmět:
Zdroj: Antimicrobial Agents and Chemotherapy. 57:2376-2379
ISSN: 1098-6596
0066-4804
DOI: 10.1128/aac.02354-12
Popis: We demonstrated a significant inverse correlation between vancomycin and beta-lactam susceptibilities in vancomycin-intermediate Staphylococcus aureus (VISA) and heterogeneous VISA (hVISA) isolates. Using time-kill assays, vancomycin plus oxacillin or ceftaroline was synergistic against 3 of 5 VISA and 1 of 5 hVISA isolates or 5 of 5 VISA and 4 of 5 hVISA isolates, respectively. Beta-lactam exposure reduced overall vancomycin-Bodipy ( dipy rromethene bo ron difluoride [4,4-difluoro-4-bora-3a,4a-diaza- s -indacene] fluorescent dye) binding but may have improved vancomycin-cell wall interactions to improve vancomycin activity. Further research is warranted to elucidate the mechanism behind vancomycin and beta-lactam synergy.
Databáze: OpenAIRE