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在体外药效学模型中,将利奈唑胺和万古霉素单独及与利福平联合使用,与莫西沙星相比,用于对抗一株耐多药和耐万古霉素的肺炎链球菌菌株。

Linezolid and vancomycin, alone and in combination with rifampin, compared with moxifloxacin against a multidrug-resistant and a vancomycin-tolerant Streptococcus pneumoniae strain in an in vitro pharmacodynamic model.

作者信息

Cha Raymond, Rybak Michael J

机构信息

Anti-Infective Research Laboratory, Department of Pharmacy Practice, Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, Detroit Receiving Hospital, Detroit, Michigan 48201, USA.

出版信息

Antimicrob Agents Chemother. 2003 Jun;47(6):1984-7. doi: 10.1128/AAC.47.6.1984-1987.2003.

Abstract

Potential alternatives, including linezolid, adjunctive rifampin, and moxifloxacin, were evaluated against vancomycin-tolerant (P9802-020) and vancomycin-susceptible clinical isolates of Streptococcus pneumoniae in an in vitro pharmacodynamic model. Vancomycin exhibited maximal killing of 2-log(10) CFU/ml against P9802-020. Linezolid, moxifloxacin, and linezolid plus rifampin exhibited 99.9% killing against both isolates. These alternatives should be considered for further evaluation against vancomycin-tolerant S. pneumoniae.

摘要

在体外药效学模型中,对利奈唑胺、辅助性利福平以及莫西沙星等潜在替代药物针对耐万古霉素(P9802 - 020)和对万古霉素敏感的肺炎链球菌临床分离株进行了评估。万古霉素对P9802 - 020显示出最大杀菌效果为2-log(10) CFU/ml。利奈唑胺、莫西沙星以及利奈唑胺加rifampin对两种分离株的杀菌率均达到99.9%。对于耐万古霉素的肺炎链球菌,应考虑对这些替代药物进行进一步评估。

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本文引用的文献

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Fluoroquinolone resistance in Streptococcus pneumoniae.肺炎链球菌对氟喹诺酮类药物的耐药性
N Engl J Med. 1999 Nov 11;341(20):1546-7; author reply 1547-8. doi: 10.1056/nejm199911113412013.

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