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替加环素对2013年和2014年从拉丁美洲国家、澳大利亚、新西兰及中国的一些地点收集的金黄色葡萄球菌和肺炎链球菌的体外活性。

In vitro activity of tedizolid against Staphylococcus aureus and Streptococcus pneumoniae collected in 2013 and 2014 from sites in Latin American countries, Australia, New Zealand, and China.

作者信息

Biedenbach D J, Bouchillon S K, Johnson B, Alder J, Sahm D F

机构信息

International Health Management Associates, Inc., 2122 Palmer Drive, Schaumburg, IL, 60173, USA.

Bayer HealthCare Pharmaceuticals, Whippany, NJ, USA.

出版信息

Eur J Clin Microbiol Infect Dis. 2016 Dec;35(12):1933-1939. doi: 10.1007/s10096-016-2744-3. Epub 2016 Sep 27.

DOI:10.1007/s10096-016-2744-3
PMID:27677280
Abstract

Tedizolid is an oxazolidinone with an antimicrobial in vitro potency advantage against Gram-positive bacterial pathogens compared to other currently marketed drugs in this class, including linezolid. Tedizolid was compared to linezolid when tested against Staphylococcus aureus and Streptococcus pneumoniae isolates collected from countries in Latin America and the Asia-Pacific. Isolates were tested by broth microdilution susceptibility methods against tedizolid, linezolid, and non-class comparators in accordance with the Clinical and Laboratory Standards Institute (CLSI) guidelines. The activity of tedizolid against S. aureus was potent and consistent in Latin America (MIC, 0.5 mg/L), Australia and New Zealand (MIC, 0.25 mg/L), and China (MIC, 0.5 mg/L). Based on MIC results, tedizolid was four- to eight-fold more active than linezolid against S. aureus, including both methicillin-susceptible and -resistant isolates. Only two tedizolid non-susceptible strains were observed; both had intermediate minimum inhibitory concentration (MIC) values of 1 mg/L, for which the MICs of linezolid was higher (≥2 mg/L). Tedizolid (MIC, 0.25 mg/L) was four-fold more potent than linezolid (MIC, 1 mg/L) against S. pneumoniae in all countries that provided isolates. The findings from this study support the global clinical development of tedizolid for Gram-positive infections.

摘要

特地唑胺是一种恶唑烷酮类药物,与该类别中其他目前上市的药物(包括利奈唑胺)相比,它对革兰氏阳性菌病原体具有体外抗菌效力优势。在对从拉丁美洲和亚太地区国家收集的金黄色葡萄球菌和肺炎链球菌分离株进行测试时,特地唑胺与利奈唑胺进行了比较。根据临床和实验室标准协会(CLSI)指南,采用肉汤微量稀释药敏试验方法对分离株进行特地唑胺、利奈唑胺和非同类对照药物的测试。特地唑胺对金黄色葡萄球菌的活性在拉丁美洲(MIC,0.5mg/L)、澳大利亚和新西兰(MIC,0.25mg/L)以及中国(MIC,0.5mg/L)均较强且一致。基于MIC结果,特地唑胺对金黄色葡萄球菌(包括甲氧西林敏感和耐药分离株)的活性比利奈唑胺高4至8倍。仅观察到两株对特地唑胺不敏感的菌株;两者的最低抑菌浓度(MIC)均为1mg/L,而利奈唑胺的MIC更高(≥2mg/L)。在所有提供分离株的国家中,特地唑胺(MIC,0.25mg/L)对肺炎链球菌的效力比利奈唑胺(MIC,1mg/L)高4倍。该研究结果支持特地唑胺针对革兰氏阳性感染的全球临床开发。

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本文引用的文献

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Evaluation of tedizolid against Staphylococcus aureus and enterococci with reduced susceptibility to vancomycin, daptomycin or linezolid.评价替加环素对金黄色葡萄球菌和对万古霉素、达托霉素或利奈唑胺敏感性降低的肠球菌的抗菌活性。
J Antimicrob Chemother. 2016 Jan;71(1):152-5. doi: 10.1093/jac/dkv302. Epub 2015 Oct 16.
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In Vitro Activities of Tedizolid and Linezolid against Gram-Positive Cocci Associated with Acute Bacterial Skin and Skin Structure Infections and Pneumonia.替加环素和利奈唑胺对与急性细菌性皮肤及皮肤结构感染和肺炎相关的革兰氏阳性球菌的体外活性
Antimicrob Agents Chemother. 2015 Oct;59(10):6262-5. doi: 10.1128/AAC.00390-15. Epub 2015 Jul 27.
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Efficacy and Safety of Tedizolid Phosphate versus Linezolid in a Randomized Phase 3 Trial in Patients with Acute Bacterial Skin and Skin Structure Infection.
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Real-Life Evidence for Tedizolid Phosphate in the Treatment of Cellulitis and Wound Infections: A Case Series.磷酸泰地唑胺治疗蜂窝织炎和伤口感染的真实世界证据:病例系列
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Drugs. 2015 Feb;75(3):253-70. doi: 10.1007/s40265-015-0352-7.
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Results of the surveillance of Tedizolid activity and resistance program: in vitro susceptibility of gram-positive pathogens collected in 2011 and 2012 from the United States and Europe.泰地唑胺活性与耐药性监测项目结果:2011年和2012年从美国和欧洲收集的革兰氏阳性病原体的体外敏感性
Diagn Microbiol Infect Dis. 2015 Feb;81(2):112-8. doi: 10.1016/j.diagmicrobio.2014.08.011. Epub 2014 Aug 30.
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