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In vivo effect of flucloxacillin in experimental endocarditis caused by mecC-positive staphylococcus aureus showing temperature-dependent susceptibility in vitro.

Abstract
Methicillin-resistant Staphylococcus aureus (MRSA) carrying the mecC gene (mecC-MRSA) exhibited at 37°C MICs of oxacillin close to those of methicillin-susceptible S. aureus (MSSA). We investigated whether at this temperature, mecC-MRSA strains respond to flucloxacillin treatment like MSSA strains, using a rat model of endocarditis. Flucloxacillin (human-like kinetics of 2 g intravenously every 6 h) cured 80 to 100% of aortic vegetations infected with five different mecC-MRSA strains. These results suggest that mecC-MRSA infections may successfully respond to treatment with β-lactams.
AuthorsStefano Mancini, Frédéric Laurent, Tiago R Veloso, Marlyse Giddey, Jacques Vouillamoz, François Vandenesch, Philippe Moreillon, José M Entenza
JournalAntimicrobial agents and chemotherapy (Antimicrob Agents Chemother) Vol. 59 Issue 4 Pg. 2435-8 (Apr 2015) ISSN: 1098-6596 [Electronic] United States
PMID25605361 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2015, American Society for Microbiology. All Rights Reserved.
Chemical References
  • Anti-Bacterial Agents
  • Floxacillin
  • Cefoxitin
  • Oxacillin
Topics
  • Animals
  • Anti-Bacterial Agents (administration & dosage, therapeutic use)
  • Aorta (microbiology)
  • Cefoxitin (pharmacology)
  • Chromatography, Micellar Electrokinetic Capillary
  • Endocarditis, Bacterial (drug therapy, microbiology)
  • Floxacillin (administration & dosage, therapeutic use)
  • Infusion Pumps
  • Methicillin-Resistant Staphylococcus aureus (genetics)
  • Microbial Sensitivity Tests
  • Oxacillin (pharmacology)
  • Rats
  • Staphylococcal Infections (drug therapy, microbiology)
  • Temperature

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