β‐lactam antibiotic‐induced vancomycin resistant MRSAに対する各種抗菌薬の抗菌力

書誌事項

タイトル別名
  • In vitro activity of antibacterial agents against .BETA.-lactam antibiotic-induced vancomycin resistant MRSA

この論文をさがす

抄録

We compared the sensitivity of methicillin-resistant Staphylococcus aureus (MRSA) to drugs such as arbekacin (ASK), vancomycin (VCM) and teicoplanin (TEIC) in β-lactam antibiotic-induced VCM-resistant MRSA (BIVR) and non-BIVR strains. MRSA clinical isolates (121 strains) were classified into 16 strains of BIVR and 105 strains of non-BIVR due to the existence of antagonism between ceftizoxime (CZX) and VCM in an Mu3 medium. There was a slight difference between the susceptibility of BIVR and non-BIVR to ABK. The antibacterial activity of ABK was also not affected in combination with low-concentrations of CZX (0.06 or 1μg/mL). On the other hand, the minimum inhibitory concentrations, MIC50, and MIC90, of VCM against BIVR strains were both twice higher than against non-BIVR strains, and were also 4 times higher thanagainst non-BIVR strains in cornbination with CZX. Although the antibacterial activity of TEIC against BIVR strains did not change in the presence of CZX, the MTC50 and MIC90 of TEIC alone were 8 and 4 times higher thanagainst non-BIVR strains, respectively. Next, the relationship between the MIC of TEIC and detection frequency of BIVR strains was investigated. As a result, the higher the MIC of TEIC, the more frequently BIVR strains were found. Furthermore, BIVR strains were isolated from non-BIVR sub-populations with diminished susceptibility to TEIC.<BR>In conclusion, the antibacterial activity of ABK was not changed by the difference between BIVR and non-BIVR strains. On the other hand, VCM showed antagonistic effects in combination with CZX at low concentrations against BIVR strains. TEIC alone was less effective against BIVR strains, although TEIC did not reveal any antagonistic effect against BIVR strains in combination with CZX.

収録刊行物

参考文献 (22)*注記

もっと見る

詳細情報 詳細情報について

問題の指摘

ページトップへ