莫西沙星与万古霉素在体外模型中对耐甲氧西林金黄色葡萄球菌和表皮葡萄球菌生物膜的药效学研究

Pharmacodynamics of moxifloxacin versus vancomycin against biofilms of methicillin-resistant Staphylococcus aureus and epidermidis in an in vitro model.

作者信息

Salem A H, Elkhatib W F, Ahmed G F, Noreddin A M

机构信息

Department of Experimental and Clinical Pharmacology, College of Pharmacy, University of Minnesota, Minneapolis, MN 55455, USA.

出版信息

J Chemother. 2010 Aug;22(4):238-42. doi: 10.1179/joc.2010.22.4.238.

Abstract

The aim of this study was to compare the activities of moxifloxacin and vancomycin against methicillin-resistant Staphylococcus aureus (MRSA) and methicillin-resistant Staphylococcus epidermidis (MRSE) biofilms. The study was conducted using a novel in vitro pharmacodynamic model where the biofilms were treated with a simulated clinical dosing of vancomycin 1 g every 12 h or moxifloxacin 400 mg every 24 h. Vancomycin failed to produce a 2 log reduction in the biofilm embedded bacterial count against either of the tested organisms at any time. Moxifloxacin treatment, on the other hand, exhibited a superior anti-biofilm activity and resulted in a 2.5- and 3.7-log reduction in the MRSA and MRSE bacterial bioburdens, respectively, after 24 h of exposure. the results support the implementation of further in vivo and clinical studies aimed at demonstrating the efficacy of moxifloxacin in the treatment of MRSA and MRSE biofilm-associated infections.

摘要

本研究的目的是比较莫西沙星和万古霉素对耐甲氧西林金黄色葡萄球菌(MRSA)和耐甲氧西林表皮葡萄球菌(MRSE)生物膜的活性。该研究使用了一种新型体外药效学模型,其中生物膜用模拟临床剂量的万古霉素(每12小时1克)或莫西沙星(每24小时400毫克)进行处理。万古霉素在任何时间对两种受试菌的生物膜内细菌计数均未能产生2个对数级的降低。另一方面,莫西沙星治疗表现出优异的抗生物膜活性,在暴露24小时后,MRSA和MRSE细菌负荷分别降低了2.5个和3.7个对数级。这些结果支持开展进一步的体内和临床研究,以证明莫西沙星治疗MRSA和MRSE生物膜相关感染的疗效。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索