Efficacies of quinupristin-dalfopristin combined with vancomycin in vitro and in experimental endocarditis due to methicillin-resistant Staphylococcus aureus in relation to cross-resistance to macrolides, lincosamides, and streptogramin B- type antibiotics

Antimicrob Agents Chemother. 2002 Sep;46(9):3061-4. doi: 10.1128/AAC.46.9.3061-3064.2002.

Abstract

A beneficial effect of the combination of quinupristin-dalfopristin and vancomycin was observed against two methicillin-resistant strains of Staphylococcus aureus harboring or not harboring the ermC gene, which codes for constitutive macrolide, lincosamide, and streptogramin B resistance. The beneficial effect was observed in time-kill studies, in which the drugs were used at inhibitory concentrations, and in a rabbit model of endocarditis, in which the combination was highly bactericidal and more active than monotherapies.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anti-Bacterial Agents / pharmacology*
  • Anti-Bacterial Agents / therapeutic use*
  • Culture Media
  • Drug Resistance
  • Drug Therapy, Combination / pharmacology*
  • Drug Therapy, Combination / therapeutic use*
  • Endocarditis, Bacterial / drug therapy*
  • Endocarditis, Bacterial / microbiology
  • Lincosamides
  • Macrolides*
  • Methicillin Resistance
  • Microbial Sensitivity Tests
  • Rabbits
  • Staphylococcus aureus / drug effects*
  • Streptogramin B / pharmacology
  • Time Factors
  • Vancomycin / pharmacology*
  • Vancomycin / therapeutic use*
  • Virginiamycin / pharmacology*
  • Virginiamycin / therapeutic use*

Substances

  • Anti-Bacterial Agents
  • Culture Media
  • Lincosamides
  • Macrolides
  • Virginiamycin
  • quinupristin-dalfopristin
  • Streptogramin B
  • Vancomycin