Frequency of reduced vancomycin susceptibility and heterogeneous subpopulation in persistent or recurrent methicillin-resistant Staphylococcus aureus bacteremia

被引:56
作者
Khosrovaneh, A [1 ]
Riederer, K [1 ]
Saeed, S [1 ]
Tabriz, MS [1 ]
Shah, AR [1 ]
Hanna, MM [1 ]
Sharma, M [1 ]
Johnson, LB [1 ]
Fakih, MG [1 ]
Khatib, R [1 ]
机构
[1] St John Hosp & Med Ctr, Dept Med, Infect Dis Sect, Detroit, MI 48236 USA
关键词
D O I
10.1086/383036
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Vancomycin susceptibility was checked in isolates from initial and final blood samples obtained from 22 patients with persistent or recurrent methicillin-resistant Staphylococcus aureus bacteremia. The minimum inhibitory concentration of vancomycin was determined using Etest and found to have increased in 2 pairs of isolates, and results of screening in 4 mug vancomycin and a modified population analysis profile suggested heteroresistance in 3 isolates (13.6%). Heteroresistance is not a common cause of persistent or recurrent bacteremia.
引用
收藏
页码:1328 / 1330
页数:3
相关论文
共 12 条
[1]   Twenty months of screening for glycopeptide-intermediate Staphylococcus aureus [J].
Aucken, HM ;
Warner, M ;
Ganner, M ;
Johnson, AP ;
Richardson, JF ;
Cookson, BD ;
Livermore, DM .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2000, 46 (04) :639-640
[2]   Methicillin-resistant Staphylococcus aureus clinical strain with reduced vancomycin susceptibility [J].
Hiramatsu, K ;
Hanaki, H ;
Ino, T ;
Yabuta, K ;
Oguri, T ;
Tenover, FC .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 1997, 40 (01) :135-136
[3]   Glycopeptide-intermediate Staphylococcus aureus:: Evaluation of a novel screening method and results of a survey of selected US hospitals [J].
Hubert, SK ;
Mohammed, JM ;
Fridkin, SK ;
Gaynes, RP ;
McGowan, JE ;
Tenover, FC .
JOURNAL OF CLINICAL MICROBIOLOGY, 1999, 37 (11) :3590-3593
[4]   Evidence for a continuum of decreased vancomycin susceptibility in unselected Staphylococcus aureus clinical isolates [J].
Hussain, FM ;
Boyle-Vavra, S ;
Shete, PB ;
Daum, RS .
JOURNAL OF INFECTIOUS DISEASES, 2002, 186 (05) :661-667
[5]  
Kim HB, 2003, J CLIN MICROBIOL, V41, P2279, DOI [10.1128/JCM.41.6.2279-2281.2003, 10.1128/JCM.41.6.2779-2281.2003]
[6]   Laboratory reporting of Staphylococcus aureus with reduced susceptibility to vancomycin in United States Department of Veterans Affairs facilities) [J].
Kralovic, SM ;
Danko, LH ;
Roselle, GA .
EMERGING INFECTIOUS DISEASES, 2002, 8 (04) :402-407
[7]   Staphylococcus aureus accessory gene regulator (agr) group II:: Is there a relationship to the development of intermediate-level glycopeptide resistance? [J].
Sakoulas, G ;
Eliopoulos, GM ;
Moellering, RC ;
Novick, RP ;
Venkataraman, L ;
Wennersten, C ;
DeGirolami, PC ;
Schwaber, MJ ;
Gold, HS .
JOURNAL OF INFECTIOUS DISEASES, 2003, 187 (06) :929-938
[8]  
Schwaber MJ, 2003, EMERG INFECT DIS, V9, P657
[9]   Molecular analysis of coagulase-negative Staphylococcus isolates from blood cultures:: Prevalence of genotypic variation and polyclonal bacteremia [J].
Sharma, M ;
Riederer, K ;
Johnson, LB ;
Khatib, R .
CLINICAL INFECTIOUS DISEASES, 2001, 33 (08) :1317-1323
[10]   Evolution of a vancomycin-intermediate Staphylococcus aureus strain in vivo:: Multiple changes in the antibiotic resistance phenotypes of a single lineage of methicillin-resistant S-aureus under the impact of antibiotics administered for chemotherapy [J].
Sieradzki, K ;
Leski, T ;
Dick, J ;
Borio, L ;
Tomasz, A .
JOURNAL OF CLINICAL MICROBIOLOGY, 2003, 41 (04) :1687-1693