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欧洲葡萄球菌临床分离株检测的替考拉宁活性更新(2009-2010 年)。

Update on the telavancin activity tested against European staphylococcal clinical isolates (2009-2010).

机构信息

JMI Laboratories, North Liberty, IA 52317, USA.

出版信息

Diagn Microbiol Infect Dis. 2011 Sep;71(1):93-7. doi: 10.1016/j.diagmicrobio.2011.05.012.

Abstract

This study evaluated telavancin activity against 3868 Staphylococcus aureus and 1003 coagulase-negative staphylococci (CoNS) collected from 33 European hospitals (2009-2010). Studies of telavancin potency included analysis of strains with decreased susceptibility to glycopeptides. Telavancin (MIC(50/90), 0.12/0.25 μg/mL) showed high activity against S. aureus and CoNS, regardless of the stratification analysis performed (year sampled, infection source, or methicillin susceptibility). In addition, telavancin (MIC(50/90), 0.25/0.5 μg/mL) retained activity against S. aureus isolates with higher vancomycin (MIC, 2 μg/mL) or teicoplanin (MIC, 2-8 μg/mL) MIC results. Overall, telavancin exhibited higher potency (at least 2-fold greater) than tested comparators (vancomycin, daptomycin, and linezolid) against European staphylococci. Alongside published clinical data, the telavancin in vitro activity observed against these pathogens supports this drug as an option for treating S. aureus infections in Europe, including those infections caused by strains with decreased susceptibility to vancomycin and/or teicoplanin.

摘要

这项研究评估了替拉万星对 33 家欧洲医院(2009-2010 年)收集的 3868 株金黄色葡萄球菌和 1003 株凝固酶阴性葡萄球菌(CoNS)的活性。替拉万星效力研究包括分析对糖肽类药物敏感性降低的菌株。替拉万星(MIC50/90,0.12/0.25μg/ml)对金黄色葡萄球菌和凝固酶阴性葡萄球菌表现出高度的活性,无论进行何种分层分析(采样年份、感染源或耐甲氧西林情况)。此外,替拉万星(MIC50/90,0.25/0.5μg/ml)对万古霉素(MIC,2μg/ml)或替考拉宁(MIC,2-8μg/ml)MIC 结果较高的金黄色葡萄球菌分离株仍保留活性。总体而言,替拉万星对欧洲葡萄球菌的效力(至少高出 2 倍)高于测试的对照药物(万古霉素、达托霉素和利奈唑胺)。结合已发表的临床数据,观察到替拉万星对这些病原体的体外活性支持该药作为治疗欧洲金黄色葡萄球菌感染的一种选择,包括对万古霉素和/或替考拉宁敏感性降低的菌株引起的感染。

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