Susceptibility relationship between vancomycin and daptomycin in Staphylococcus aureus : facts and assumptions

Summary The decrease in vancomycin treatment efficacy that is accompanying increases in vancomycin minimum inhibitory concentration (MIC) within the susceptible range (so-called MIC creep) has led to the suggestion that vancomycin is losing its potency in treating serious Staphylococcus aureus infec...

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Veröffentlicht in:The Lancet infectious diseases 2009-10, Vol.9 (10), p.617-624
Hauptverfasser: Moise, Pamela A, PharmD, North, Donald, PharmD, Steenbergen, Judith N, PhD, Sakoulas, George, Dr
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container_end_page 624
container_issue 10
container_start_page 617
container_title The Lancet infectious diseases
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creator Moise, Pamela A, PharmD
North, Donald, PharmD
Steenbergen, Judith N, PhD
Sakoulas, George, Dr
description Summary The decrease in vancomycin treatment efficacy that is accompanying increases in vancomycin minimum inhibitory concentration (MIC) within the susceptible range (so-called MIC creep) has led to the suggestion that vancomycin is losing its potency in treating serious Staphylococcus aureus infections. Understanding the clinical importance of the microbiological effects of glycopeptides on bacterial lipopeptides and lipoglycopeptides will be crucial in treating serious meticillin-resistant S aureus infections. We review the observed effects of reduced glycopeptide susceptibility on the activities of daptomycin in S aureus in vitro and in vivo. Factors associated with loss of susceptibility and ways to reduce the risk of resistance to daptomycin are reviewed, including the importance of prompt mechanical reduction of bacterial inoculum through surgery or through potent or combination antibiotic therapy, as well as optimisation of daptomycin pharmacodynamic exposure.
doi_str_mv 10.1016/S1473-3099(09)70200-2
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Understanding the clinical importance of the microbiological effects of glycopeptides on bacterial lipopeptides and lipoglycopeptides will be crucial in treating serious meticillin-resistant S aureus infections. We review the observed effects of reduced glycopeptide susceptibility on the activities of daptomycin in S aureus in vitro and in vivo. 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Understanding the clinical importance of the microbiological effects of glycopeptides on bacterial lipopeptides and lipoglycopeptides will be crucial in treating serious meticillin-resistant S aureus infections. We review the observed effects of reduced glycopeptide susceptibility on the activities of daptomycin in S aureus in vitro and in vivo. Factors associated with loss of susceptibility and ways to reduce the risk of resistance to daptomycin are reviewed, including the importance of prompt mechanical reduction of bacterial inoculum through surgery or through potent or combination antibiotic therapy, as well as optimisation of daptomycin pharmacodynamic exposure.</description><subject>Anti-Bacterial Agents - pharmacology</subject><subject>Antibacterial agents</subject><subject>Antibiotics</subject><subject>Antibiotics. Antiinfectious agents. 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subjects Anti-Bacterial Agents - pharmacology
Antibacterial agents
Antibiotics
Antibiotics. Antiinfectious agents. Antiparasitic agents
Bacterial diseases
Biological and medical sciences
daptomycin
Daptomycin - pharmacology
Glycopeptides
Human bacterial diseases
Humans
Infection
Infectious Disease
Infectious diseases
Inoculum
lipopeptides
Medical sciences
Microbial Sensitivity Tests
Minimum inhibitory concentration
Pharmacodynamics
Pharmacology. Drug treatments
Reviews
Staphylococcal Infections - drug therapy
Staphylococcal Infections - microbiology
Staphylococcal Infections - surgery
Staphylococcal infections, streptococcal infections, pneumococcal infections
Staphylococcus aureus
Staphylococcus aureus - drug effects
Surgery
Vancomycin
Vancomycin - pharmacology
Vancomycin Resistance
title Susceptibility relationship between vancomycin and daptomycin in Staphylococcus aureus : facts and assumptions
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