Concentration-Dependent Enrichment of Linezolid-Resistant Staphylococcus aureus in an in vitro Dynamic Model

Autor: K. N. Alieva, E. N. Strukova, M. V. Golikova, Yu. A. Portnoy, A. A. Firsov
Jazyk: ruština
Rok vydání: 2020
Předmět:
Zdroj: Антибиотики и Химиотерапия, Vol 61, Iss 9-10, Pp 28-32 (2020)
Druh dokumentu: article
ISSN: 0235-2990
Popis: To establish the relationships between the enrichment of resistant Staphylococcus aureus mutants and the ratio of daily area under the concentration - time curve (AUC24) to the MIC of linezolid, a mixed inoculum of linezolid-susceptible and -resistant cells of three strains of S.aureus was exposed to twice daily linezolid in an in vitro dynamic model. Simulated pharmacokinetic profiles mimicked five-day treatments with linezolid dosing over a 32-fold range of the AUC24/MIC ratio. Population analysis of linezol-id-exposed staphylococci was performed daily over 120 h after the start of the treatments. Minor if any enrichment of mutants resistant to 2Х, 4Х and 8XMIC of antibiotic was observed at the lowest and the highest AUC24/MIC ratios in contrast to pronounced enrichment of resistant mutants at the intermediate AUC24/MICs. An integral parameter AUBCM, the area under the time course of resistance mutants, was shown to be a more appropriate endpoint to establish AUC24/MIC relationships with resistance than postexposure number of mutants (NM).
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