Pulsed field gel electrophoresis typing of coagulase-negative staphylococci with decreased susceptibility to teicoplanin isolated from an intensive care unit

Increased isolation of coagulase-negative staphylococci (CoNS) with decreased susceptibility to teicoplanin prompted this epidemiological survey in the authors intensive care unit. Of 224 medical and surgical patients with hepatobiliary disease, in hospital between December 1998 and July 1999, 14 (6...

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Veröffentlicht in:The Journal of hospital infection 2001-09, Vol.49 (1), p.62-68
Hauptverfasser: Schlegel, L., Saliba, F., Mangeney, N., Mathieu, D.
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container_title The Journal of hospital infection
container_volume 49
creator Schlegel, L.
Saliba, F.
Mangeney, N.
Mathieu, D.
description Increased isolation of coagulase-negative staphylococci (CoNS) with decreased susceptibility to teicoplanin prompted this epidemiological survey in the authors intensive care unit. Of 224 medical and surgical patients with hepatobiliary disease, in hospital between December 1998 and July 1999, 14 (6.3%) had at least one isolate of CoNS with decreased susceptibility to teicoplanin. A total of 27 isolates with decreased susceptibility to teicoplanin were recovered from these 14 patients. Pulsed field electrophoresis (PFGE) with Sma I endonuclease demonstrated that CoNS isolates obtained from different patients were unrelated. In addition, different isolates obtain from the same patient were also unrelated, with the exception of two patients. Eighteen out of 27 isolates (66.7%) with decreased susceptibility to teicoplanin were recovered after an earlier treatment with teicoplanin or vancomycin (median 13.1g, range 2.4–32.7g per patient). Only four CoNS strains with decreased susceptibility to teicoplanin induced serious infection, all of which responded well to vancomycin therapy. Emergence of CoNS strains with decreased susceptibility to teicoplanin remained limited in hospitalized patients, and was not related to a clonal spread of a particular resistant strain.
doi_str_mv 10.1053/jhin.2001.1046
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subjects Adult
Aged
Anti-Bacterial Agents - pharmacology
Antibacterial agents
Antibiotics. Antiinfectious agents. Antiparasitic agents
Biological and medical sciences
Coagulase-negative staphylococci
Drug Resistance, Microbial
Electrophoresis, Gel, Pulsed-Field
Female
France - epidemiology
Humans
Intensive Care Units
Liver Failure - etiology
Liver Failure - microbiology
Liver Transplantation
Male
Medical sciences
Middle Aged
PFGE
Pharmacology. Drug treatments
Postoperative Complications - microbiology
Prospective Studies
Staphylococcal Infections - drug therapy
Staphylococcal Infections - epidemiology
Staphylococcal Infections - microbiology
Staphylococcus
Staphylococcus - classification
Staphylococcus - drug effects
Staphylococcus - isolation & purification
Teicoplanin - pharmacology
teicoplanin resistance
title Pulsed field gel electrophoresis typing of coagulase-negative staphylococci with decreased susceptibility to teicoplanin isolated from an intensive care unit
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