Biedenbach Douglas J, Bell Jan M, Sader Helio S, Turnidge John D, Jones Ronald N
JMI Laboratories, 345 Beaver Kreek Centre, Suite A, North Liberty, Iowa 52317, USA.
Antimicrob Agents Chemother. 2009 Mar;53(3):1260-3. doi: 10.1128/AAC.01453-08. Epub 2009 Jan 5.
Dalbavancin, a long-acting lipoglycopeptide, was evaluated against 81,673 isolates of staphylococci, enterococci, and streptococci collected from 33 countries during worldwide resistance surveillance (2002 to 2007). Regardless of susceptibility to oxacillin, comparable potencies for dalbavancin against Staphylococcus aureus and coagulase-negative staphylococci from all countries were noted (MIC(90), 0.06 to 0.12 microg/ml). Vancomycin-susceptible Enterococcus spp. had dalbavancin MIC(90)s comparable to those for staphylococci, whereas vancomycin-resistant strains were more resistant (MIC(50), >4 microg/ml). beta-Hemolytic and viridians group streptococci were very susceptible to dalbavancin (MIC(90), <or=0.03 microg/ml). Overall, dalbavancin was >or=16-fold more active than vancomycin against the monitored gram-positive species.
达巴万星是一种长效脂糖肽,在全球耐药性监测(2002年至2007年)期间,对从33个国家收集的81673株葡萄球菌、肠球菌和链球菌进行了评估。无论对苯唑西林的敏感性如何,均观察到达巴万星对来自所有国家的金黄色葡萄球菌和凝固酶阴性葡萄球菌具有相当的效力(MIC90,0.06至0.12微克/毫升)。对万古霉素敏感的肠球菌属的达巴万星MIC90与葡萄球菌相当,而耐万古霉素菌株的耐药性更强(MIC50,>4微克/毫升)。β溶血性链球菌和草绿色链球菌对达巴万星非常敏感(MIC90,≤0.03微克/毫升)。总体而言,达巴万星对所监测的革兰氏阳性菌的活性比万古霉素高16倍或更多。