Drug Susceptibility Testing of 31 Antimicrobial Agents on Rapidly Growing Mycobacteria Isolates from China
Objectives. Several species of rapidly growing mycobacteria (RGM) are now recognized as human pathogens. However, limited data on effective drug treatments against these organisms exists. Here, we describe the species distribution and drug susceptibility profiles of RGM clinical isolates collected f...
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description | Objectives. Several species of rapidly growing mycobacteria (RGM) are now recognized as human pathogens. However, limited data on effective drug treatments against these organisms exists. Here, we describe the species distribution and drug susceptibility profiles of RGM clinical isolates collected from four southern Chinese provinces from January 2005 to December 2012. Methods. Clinical isolates (73) were subjected to in vitro testing with 31 antimicrobial agents using the cation-adjusted Mueller-Hinton broth microdilution method. The isolates included 55 M. abscessus, 11 M. fortuitum, 3 M. chelonae, 2 M. neoaurum, and 2 M. septicum isolates. Results. M. abscessus (75.34%) and M. fortuitum (15.07%), the most common species, exhibited greater antibiotic resistance than the other three species. The isolates had low resistance to amikacin, linezolid, and tigecycline, and high resistance to first-line antituberculous agents, amoxicillin-clavulanic acid, rifapentine, dapsone, thioacetazone, and pasiniazid. M. abscessus and M. fortuitum were highly resistant to ofloxacin and rifabutin, respectively. The isolates showed moderate resistance to the other antimicrobial agents. Conclusions. Our results suggest that tigecycline, linezolid, clofazimine, and cefmetazole are appropriate choices for M. abscessus infections. Capreomycin, sulfamethoxazole, tigecycline, clofazimine, and cefmetazole are potentially good choices for M. fortuitum infections. Our drug susceptibility data should be useful to clinicians. |
doi_str_mv | 10.1155/2015/419392 |
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Several species of rapidly growing mycobacteria (RGM) are now recognized as human pathogens. However, limited data on effective drug treatments against these organisms exists. Here, we describe the species distribution and drug susceptibility profiles of RGM clinical isolates collected from four southern Chinese provinces from January 2005 to December 2012. Methods. Clinical isolates (73) were subjected to in vitro testing with 31 antimicrobial agents using the cation-adjusted Mueller-Hinton broth microdilution method. The isolates included 55 M. abscessus, 11 M. fortuitum, 3 M. chelonae, 2 M. neoaurum, and 2 M. septicum isolates. Results. M. abscessus (75.34%) and M. fortuitum (15.07%), the most common species, exhibited greater antibiotic resistance than the other three species. The isolates had low resistance to amikacin, linezolid, and tigecycline, and high resistance to first-line antituberculous agents, amoxicillin-clavulanic acid, rifapentine, dapsone, thioacetazone, and pasiniazid. M. abscessus and M. fortuitum were highly resistant to ofloxacin and rifabutin, respectively. The isolates showed moderate resistance to the other antimicrobial agents. Conclusions. Our results suggest that tigecycline, linezolid, clofazimine, and cefmetazole are appropriate choices for M. abscessus infections. Capreomycin, sulfamethoxazole, tigecycline, clofazimine, and cefmetazole are potentially good choices for M. fortuitum infections. Our drug susceptibility data should be useful to clinicians.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2015/419392</identifier><identifier>PMID: 26351633</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Anti-infective agents ; Anti-Infective Agents - therapeutic use ; Antibiotics ; Antimicrobial agents ; China ; Disease prevention ; Dosage and administration ; Drug dosages ; Drug interactions ; Drug Resistance, Bacterial - drug effects ; Health aspects ; Humans ; Immunology ; Infections ; Infectious diseases ; Microbial Sensitivity Tests - methods ; Mycobacteria ; Mycobacterium ; Mycobacterium - drug effects ; Mycobacterium - isolation & purification ; Mycobacterium Infections - drug therapy ; Mycobacterium Infections - microbiology ; Observations ; Studies</subject><ispartof>BioMed research international, 2015-01, Vol.2015 (2015), p.1-8</ispartof><rights>Copyright © 2015 Hui Pang et al.</rights><rights>COPYRIGHT 2015 John Wiley & Sons, Inc.</rights><rights>Copyright © 2015 Hui Pang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2015 Hui Pang et al. 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c594t-ce7437b5dca5af45561b201ddaf05e25602e4c19f65354a6ef59da627387fb083</citedby><cites>FETCH-LOGICAL-c594t-ce7437b5dca5af45561b201ddaf05e25602e4c19f65354a6ef59da627387fb083</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4550772/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4550772/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26351633$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Omri, Abdelwahab</contributor><creatorcontrib>Wan, Kanglin</creatorcontrib><creatorcontrib>Liu, Haican</creatorcontrib><creatorcontrib>Zhao, Xiuqin</creatorcontrib><creatorcontrib>Li, Guilian</creatorcontrib><creatorcontrib>Pang, Hui</creatorcontrib><creatorcontrib>Yu, Ping</creatorcontrib><title>Drug Susceptibility Testing of 31 Antimicrobial Agents on Rapidly Growing Mycobacteria Isolates from China</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>Objectives. Several species of rapidly growing mycobacteria (RGM) are now recognized as human pathogens. However, limited data on effective drug treatments against these organisms exists. Here, we describe the species distribution and drug susceptibility profiles of RGM clinical isolates collected from four southern Chinese provinces from January 2005 to December 2012. Methods. Clinical isolates (73) were subjected to in vitro testing with 31 antimicrobial agents using the cation-adjusted Mueller-Hinton broth microdilution method. The isolates included 55 M. abscessus, 11 M. fortuitum, 3 M. chelonae, 2 M. neoaurum, and 2 M. septicum isolates. Results. M. abscessus (75.34%) and M. fortuitum (15.07%), the most common species, exhibited greater antibiotic resistance than the other three species. The isolates had low resistance to amikacin, linezolid, and tigecycline, and high resistance to first-line antituberculous agents, amoxicillin-clavulanic acid, rifapentine, dapsone, thioacetazone, and pasiniazid. M. abscessus and M. fortuitum were highly resistant to ofloxacin and rifabutin, respectively. The isolates showed moderate resistance to the other antimicrobial agents. Conclusions. Our results suggest that tigecycline, linezolid, clofazimine, and cefmetazole are appropriate choices for M. abscessus infections. Capreomycin, sulfamethoxazole, tigecycline, clofazimine, and cefmetazole are potentially good choices for M. fortuitum infections. Our drug susceptibility data should be useful to clinicians.</description><subject>Anti-infective agents</subject><subject>Anti-Infective Agents - therapeutic use</subject><subject>Antibiotics</subject><subject>Antimicrobial agents</subject><subject>China</subject><subject>Disease prevention</subject><subject>Dosage and administration</subject><subject>Drug dosages</subject><subject>Drug interactions</subject><subject>Drug Resistance, Bacterial - drug effects</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Immunology</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Microbial Sensitivity Tests - methods</subject><subject>Mycobacteria</subject><subject>Mycobacterium</subject><subject>Mycobacterium - drug effects</subject><subject>Mycobacterium - isolation & purification</subject><subject>Mycobacterium Infections - drug therapy</subject><subject>Mycobacterium Infections - microbiology</subject><subject>Observations</subject><subject>Studies</subject><issn>2314-6133</issn><issn>2314-6141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNks1r3DAQxUVpaEKaU-9F0EtJ2Ubfti-FZZumgYRAm57FWJYcLba1leyG_e8js-k2zSm6SKAfb2bePITeUfKZUinPGKHyTNCKV-wVOmKcioWigr7evzk_RCcprUk-JVWkUm_QIVNcUsX5EVp_jVOLf07J2M3oa9_5cYtvbRr90OLgMKd4OYy-9yaG2kOHl60dxoTDgH_AxjfdFl_EcD_T11sTajCjjR7wZQodjDZhF0OPV3d-gLfowEGX7MnjfYx-fTu_XX1fXN1cXK6WVwsjKzEujC0EL2rZGJDghJSK1nnKpgFHpGVSEWaFoZVTkksByjpZNaBYwcvC1aTkx-jLTncz1b1tTO43Qqc30fcQtzqA1___DP5Ot-GPzrVIUbAs8PFRIIbfU_ZC9z7703Uw2DAlTQvKZEkJKV6Ckqpkpaoy-uEZug5THLITmSKKqoIL_o9qobPaDy7kFs0sqpciF80LreYRP-2ovJWUonX76SjRcy70nAu9y0Wm3z81ZM_-TUEGTndAXlMD9_5lajYj1sETWErBGH8AWCbHrQ</recordid><startdate>20150101</startdate><enddate>20150101</enddate><creator>Wan, Kanglin</creator><creator>Liu, Haican</creator><creator>Zhao, Xiuqin</creator><creator>Li, Guilian</creator><creator>Pang, Hui</creator><creator>Yu, Ping</creator><general>Hindawi Publishing Corporation</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7QO</scope><scope>7T7</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150101</creationdate><title>Drug Susceptibility Testing of 31 Antimicrobial Agents on Rapidly Growing Mycobacteria Isolates from China</title><author>Wan, Kanglin ; Liu, Haican ; Zhao, Xiuqin ; Li, Guilian ; Pang, Hui ; Yu, Ping</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c594t-ce7437b5dca5af45561b201ddaf05e25602e4c19f65354a6ef59da627387fb083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Anti-infective agents</topic><topic>Anti-Infective Agents - therapeutic use</topic><topic>Antibiotics</topic><topic>Antimicrobial agents</topic><topic>China</topic><topic>Disease prevention</topic><topic>Dosage and administration</topic><topic>Drug dosages</topic><topic>Drug interactions</topic><topic>Drug Resistance, Bacterial - drug effects</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Immunology</topic><topic>Infections</topic><topic>Infectious diseases</topic><topic>Microbial Sensitivity Tests - methods</topic><topic>Mycobacteria</topic><topic>Mycobacterium</topic><topic>Mycobacterium - drug effects</topic><topic>Mycobacterium - isolation & purification</topic><topic>Mycobacterium Infections - drug therapy</topic><topic>Mycobacterium Infections - microbiology</topic><topic>Observations</topic><topic>Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wan, Kanglin</creatorcontrib><creatorcontrib>Liu, Haican</creatorcontrib><creatorcontrib>Zhao, Xiuqin</creatorcontrib><creatorcontrib>Li, Guilian</creatorcontrib><creatorcontrib>Pang, Hui</creatorcontrib><creatorcontrib>Yu, Ping</creatorcontrib><collection>الدوريات العلمية والإحصائية - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BioMed research international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wan, Kanglin</au><au>Liu, Haican</au><au>Zhao, Xiuqin</au><au>Li, Guilian</au><au>Pang, Hui</au><au>Yu, Ping</au><au>Omri, Abdelwahab</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Drug Susceptibility Testing of 31 Antimicrobial Agents on Rapidly Growing Mycobacteria Isolates from China</atitle><jtitle>BioMed research international</jtitle><addtitle>Biomed Res Int</addtitle><date>2015-01-01</date><risdate>2015</risdate><volume>2015</volume><issue>2015</issue><spage>1</spage><epage>8</epage><pages>1-8</pages><issn>2314-6133</issn><eissn>2314-6141</eissn><abstract>Objectives. Several species of rapidly growing mycobacteria (RGM) are now recognized as human pathogens. However, limited data on effective drug treatments against these organisms exists. Here, we describe the species distribution and drug susceptibility profiles of RGM clinical isolates collected from four southern Chinese provinces from January 2005 to December 2012. Methods. Clinical isolates (73) were subjected to in vitro testing with 31 antimicrobial agents using the cation-adjusted Mueller-Hinton broth microdilution method. The isolates included 55 M. abscessus, 11 M. fortuitum, 3 M. chelonae, 2 M. neoaurum, and 2 M. septicum isolates. Results. M. abscessus (75.34%) and M. fortuitum (15.07%), the most common species, exhibited greater antibiotic resistance than the other three species. The isolates had low resistance to amikacin, linezolid, and tigecycline, and high resistance to first-line antituberculous agents, amoxicillin-clavulanic acid, rifapentine, dapsone, thioacetazone, and pasiniazid. M. abscessus and M. fortuitum were highly resistant to ofloxacin and rifabutin, respectively. The isolates showed moderate resistance to the other antimicrobial agents. Conclusions. Our results suggest that tigecycline, linezolid, clofazimine, and cefmetazole are appropriate choices for M. abscessus infections. Capreomycin, sulfamethoxazole, tigecycline, clofazimine, and cefmetazole are potentially good choices for M. fortuitum infections. Our drug susceptibility data should be useful to clinicians.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>26351633</pmid><doi>10.1155/2015/419392</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Anti-infective agents Anti-Infective Agents - therapeutic use Antibiotics Antimicrobial agents China Disease prevention Dosage and administration Drug dosages Drug interactions Drug Resistance, Bacterial - drug effects Health aspects Humans Immunology Infections Infectious diseases Microbial Sensitivity Tests - methods Mycobacteria Mycobacterium Mycobacterium - drug effects Mycobacterium - isolation & purification Mycobacterium Infections - drug therapy Mycobacterium Infections - microbiology Observations Studies |
title | Drug Susceptibility Testing of 31 Antimicrobial Agents on Rapidly Growing Mycobacteria Isolates from China |
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