Journal of Antimicrobial Chemotherapy, Vol 39, 109-113, Copyright © 1997 by The British Society for Antimicrobial Chemotherapy
I Herrera-Insua, K Jacques-Palaz, BE Murray and RM Rakita
Many clinical isolates of Enterococcus faecium are resistant to
neutrophil-mediated phagocytosis and killing. As antibiotic exposure may
alter bacterial surface properties and promote phagocytosis, we used a
fluorescence microscopy assay to examine the effect of antibiotic
pretreatment on the resistance to phagocytosis of six strains of E.
faecium. Using two antimicrobial agents with good in- vitro activity
against E. faecium, namely quinupristin/ dalfopristin and sparfloxacin, we
found that exposure to quinupristin/dalfopristin at concentrations both
below and above the MIC promoted bacterial adherence to neutrophils (PMNs)
for all of three strains of vancomycin- susceptible E. faecium, while
sparfloxacin was similarly effective in two of these three strains. In
contrast, neither antibiotic was effective in promoting PMN adherence for
three vancomycin-resistant strains of E. faecium. The variability amongst
strains in response to antibiotic exposure suggests that either the
mechanisms of resistance to phagocytosis, or its regulation, may be
different amongst different strains of E. faecium.
ORIGINAL ARTICLES
The effect of antibiotic exposure on adherence to neutrophils of Enterococcus faecium resistant to phagocytosis
Division of Infectious Diseases, University of Texas Medical School at Houston 77030, USA.
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