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- Title
Relative Susceptibilities to Vancomycin and Quinupristin-Dalfopristin of Adhered and Planktonic Vancomycin-Resistant and Vancomycin-Susceptible Coagulase-Negative Staphylococci.
- Authors
Halliman, Deanine G.; Ahearn, Donald G.
- Abstract
Quinupristin-dalfopristin, a novel streptogramin antibiotic, has proven efficacious against multi-drug-resistant, Gram-positive bacteria, particularly glycopeptide-resistant coagulase-negative staphylococci (CoNS), and CoNS within biofilms. We examined its activity, along with the glycopeptide antibiotic vancomycin, against laboratory-derived, vancomycin-resistant (van R) CoNS and their vancomycin-susceptible (van S) parent strains, both in the planktonic state and after their adhesion to silicone urinary catheters. The laboratory-derived van R CoNS displayed lower adhesion and biofilm formation capabilities than did their van S parent strains. Compared with silicone, the adhesion to hydrogel-silver urinary catheters was approximately one log lower for both van R and van S CoNS. Adhesion of van R and van S CoNS to silicone catheters increased their tolerance to vancomycin. However, adhered van R CoNS succumbed to concentrations of quinupristin-dalfopristin markedly (16- to 32-fold) lower than adhered van S CoNS. This anomaly may be due to the presence of vancomycin sequestered in the cell wall of van R CoNS. Quinupristin-dalfopristin in combination with vancomycin may provide enhanced inhibitory effects against van R CoNS in the adhered state.
- Subjects
QUINUPRISTIN; DALFOPRISTIN; VANCOMYCIN; GRAM-positive bacteria; STREPTOGRAMINS; ANTIBIOTICS
- Publication
Current Microbiology, 2004, Vol 48, Issue 3, p214
- ISSN
0343-8651
- Publication type
Article
- DOI
10.1007/s00284-003-4091-8