In-vitro activity of arbekacin alone and in combination with vancomycin against gentamicin- and methicillin-resistant Staphylococcus aureus

被引:19
作者
You, I
Kariyama, R
Zervos, MJ
Kumon, H
Chow, JW [1 ]
机构
[1] Wayne State Univ, Sch Med, Div Infect Dis,Res & Med Serv, John D Dingell Dept Vet Affairs Med Ctr, Detroit, MI 48201 USA
[2] Okayama Univ, Sch Med, Dept Urol, Okayama 700, Japan
[3] William Beaumont Hosp, Royal Oak, MI 48073 USA
关键词
D O I
10.1016/S0732-8893(99)00104-2
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
In-vitro susceptibility studies were performed on 99 clinical Staphylococcus aureus isolates. A total of 68 of 73 methicillin-resistant S. aureus and 2 of 26 methicillin-susceptible S. aureus were gentamicin-resistant (gentamicin MIC range 16 to 1,024 mu g/mL). All 70 gentamicin-resistant isolates contained the aac(6')-Ie-aph(2 ")-Ia aminoglycoside resistance gene, and none possessed the aph(2 ")-Ic or aph(2 ")-Id aminoglycoside resistance genes. The arbekacin MIC for the 70 gentamicin-resistant isolates ranged from 0.25 to 4 mu g/mL. The combination of arbekacin plus vancomycin produced synergistic killing against 12 of 13 gentamicin-resistant MRSA isolates. The combination of gentamicin plus vancomycin produced synergistic killing against 7 of the same 13 isolates. Arbekacin may prove useful when used in combination with vancomycin in treating infections caused by gentamicin-resistant MRSA. (C) 2000 Elsevier Science Inc. All rights reserved.
引用
收藏
页码:37 / 41
页数:5
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