Antibiotic resistance in Staphylococcus aureus and its relevance in therapy

被引:47
作者
Bal, AM [1 ]
Gould, IM [1 ]
机构
[1] Aberdeen Royal Infirm, Dept Med Microbiol, Aberdeen AB25 2ZN, Scotland
关键词
D O I
10.1517/14656566.6.13.2257
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Staphylococcus aureus is a major cause of infections. Only similar to 20% of the strains remain sensitive to penicillin. P-lactamase stable penicillins such as flucloxacillin form the mainstay of treatment of staphylococcal infection. Meticillin-resistant S. aureus (MRSA) are resistant to all P-lactam antibiotics. Glycopepticle antibiotics are effective against most MRSA strains but, in the last few years, isolates of MRSA that have reduced susceptibility to glycopepticles (glycopepticle-intermediate S. aureus) have been isolated. Some strains exhibit frank resistance to glycopepticles (vancomycin-resistant S. aureus). infections due to these strains are difficult to treat. This review summarises the therapeutic options for MRSA, glycopepticle-intermediate S. aureus and vancomycin-resistant S. aureus. Novel therapeutic strategies such as immunotherapy and vaccines are also discussed.
引用
收藏
页码:2257 / 2269
页数:13
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