JAC Advance Access published online on November 1, 2002
Journal of Antimicrobial Chemotherapy, doi:10.1093/jac/dkf245
© 2002 by The British Society for Antimicrobial Chemotherapy
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Original Paper
1 Department of Microbiology, Toho University School of Medicine,
5-21-16 Omori-nishi, Ota-ku, Tokyo 143, Japan
* Corresponding author. E-mail: shuichi{at}med.toho-u.ac.jp.
Received 29 July 2002
; revised 12 September 2002
; accepted 12 September 2002
The present study was designed to compare in
vitro antibacterial activities of linezolid and vancomycin
against vancomycin-susceptible Enterococcus faecalis (VSEF)
and vancomycin-resistant enterococci (VRE) isolated in Japan with
those of quinupristin-dalfopristin, teicoplanin and minocycline,
and the in vitro short time bactericidal activity
and the in vivo activities of linezolid and vancomycin
against vancomycin-susceptible and -resistant E. faecalis.
The MIC90s of linezolid, quinupristin-dalfopristin,
vancomycin, teicoplanin and minocycline for VSEF and VRE were both
2 mg/L, both 2 mg/L, 2 and >128 mg/L, 0.25 and >128
mg/L, and both 32 mg/L, respectively. The efficacy of linezolid
for mice with bacteraemia caused by VSEF was similar to that of
vancomycin, but the elimination ratio of viable organisms from the
blood of mice treated with vancomycin was significantly higher than
in linezolid-treated and untreated mice at 2 h post-administration,
and those of the two groups at 4 and 6 h were significantly higher than
in untreated mice. Moreover, linezolid was highly active in mice
with bacteraemia caused by vancomycin-resistant E. faecalis because this drug had potent in vitro activity
against the organisms. Our results indicate that linezolid is suitable
for the treatment of VRE and VSEF bacteraemia, and vancomycin is
suitable for VSEF bacteraemia.
Keywords: linezolid, vancomycin, VSEF, VRE
The in vitro and in
vivo antibacterial characterization of vancomycin and linezolid
against vancomycin-susceptible and -resistant enterococci
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