2005
DOI: 10.1128/jcm.43.10.5285-5287.2005
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Development of Daptomycin Resistance In Vivo in Methicillin-Resistant Staphylococcus aureus

Abstract: Daptomycin is a new lipopeptide antibiotic that is rapidly bactericidal against Staphylococcus aureus. We report daptomycin resistance and treatment failure in 2 patients with osteomyelitis due to methicillin-resistant S. aureus. Disk diffusion susceptibility testing failed to detect resistance. Daptomycin at high concentration retained bactericidal activity against resistant isolates.

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Cited by 226 publications
(146 citation statements)
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“…Daptomycin is a cyclic lipopeptide derived from Streptomyces roseosporus. Reduced daptomycin susceptibility in S. aureus was reported to emerge during therapy and appears to be associated with high-bacterial-load infections (87,110,116,191,198). In some cases resistance appears to be associated with mutations in mprF and yycG, loci which have been implicated in reduced vancomycin susceptibility in some strains.…”
Section: Potentially Active Antimicrobials Currently Availablementioning
confidence: 99%
“…Daptomycin is a cyclic lipopeptide derived from Streptomyces roseosporus. Reduced daptomycin susceptibility in S. aureus was reported to emerge during therapy and appears to be associated with high-bacterial-load infections (87,110,116,191,198). In some cases resistance appears to be associated with mutations in mprF and yycG, loci which have been implicated in reduced vancomycin susceptibility in some strains.…”
Section: Potentially Active Antimicrobials Currently Availablementioning
confidence: 99%
“…The mechanisms underlying daptomycin resistance are not well understood (19) (20) , but it is known that decreased susceptibility to daptomycin and vancomycin can co-occur both in vivo (20) and in vitro (21) after selection with either antimicrobial (21) . Although there is evidence for cross-resistance (21) , in this study, the hDRSA isolate remained susceptible to vancomycin.…”
Section: Discussionmentioning
confidence: 99%
“…Gram pozitif aerop ve anaerop bakteri grupları üzerine hızlı bakterisidal etkinliğe sahiptir. Metisiline dirençli stafilokok türleri, glikopeptidlere orta duyarlı S. aureus, penisilin dirençli Streptococcus pneumoniae ve vankomisine dirençli enterokokları (VRE) da içine alan geniş çapta etkinliği vardır (7)(8)(9)(10) . Daptomisin, oligorimerizasyon ile hücre zarı bütünlüğünü bozar, depolarizasyon sonucu sitoplazma zarı işlevini kaybeder ve hücre hızla ölür.…”
Section: Introductionunclassified