This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowReprints and Permissions
Right arrow Copyright Information
Right arrow Books from ASM Press
Right arrow MicrobeWorld
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Giacometti, A.
Right arrow Articles by Scalise, G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Giacometti, A.
Right arrow Articles by Scalise, G.

 Previous Article  |  Next Article 

Antimicrobial Agents and Chemotherapy, October 2000, p. 2842-2844, Vol. 44, No. 10
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.

Mupirocin Prophylaxis against Methicillin-Susceptible, Methicillin-Resistant, or Vancomycin-Intermediate Staphylococcus epidermidis Vascular-Graft Infection

A. Giacometti,1,* O. Cirioni,1 R. Ghiselli,2 L. Goffi,2 C. Viticchi,3 F. Mocchegiani,2 A. Riva,1 F. Orlando,3 V. Saba,2 and G. Scalise1

Institute of Infectious Diseases and Public Health,1 and Department of General Surgery, I.N.R.C.A.I.R.R.C.S.,2 University of Ancona, and Biotechnology Center, Research Department, I.N.R.C.A. I.R.R.C.S.,3 Ancona, Italy

Received 28 February 2000/Returned for modification 5 June 2000/Accepted 6 July 2000

A rat model was used to investigate the efficacy of mupirocin in the prevention of vascular prosthetic graft infection due to Staphylococcus epidermidis strains with different susceptibility patterns (methicillin susceptible, methicillin resistant, and with intermediate resistance to vancomycin). The effect of mupirocin-soaked Dacron was compared to that of perioperative intraperitoneal prophylaxis with vancomycin. Graft infections were established in the back subcutaneous tissue of adult male Wistar rats by implantation of Dacron prostheses (1 cm2) followed by topical inoculation with 5 × 107 CFU of one staphylococcal strain. The study included a control group (no graft contamination), three contaminated groups that did not receive any antibiotic prophylaxis, three contaminated groups that received mupirocin-soaked grafts, three contaminated groups in which perioperative intraperitoneal vancomycin prophylaxis (10 mg/kg of body weight) was administered, and three contaminated groups that received mupirocin-soaked grafts and perioperative intraperitoneal vancomycin prophylaxis (10 mg/kg). The grafts were sterilely removed 7 days after implantation, and the infection was evaluated by using sonication and quantitative agar culture. Data analysis showed the efficacy of mupirocin against all three strains, with growth of the strains in treated rats significantly different than that in the untreated control. In addition, mupirocin was more effective than vancomycin against the strain with intermediate susceptibility to the glycopeptide. Finally, the combination of mupirocin and vancomycin produced complete suppression of the growth of all of the strains.


* Corresponding author. Mailing address: Clinica delle Malattie Infettive, c/o Azienda Ospedaliera Umberto I, Piazza Cappelli, 1, 60121 Ancona, Italy. Phone: 39 071 5963467. Fax: 39 071 5963468. E-mail: cmalinf{at}popcsi.unian.it.


Antimicrobial Agents and Chemotherapy, October 2000, p. 2842-2844, Vol. 44, No. 10
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.



This article has been cited by other articles:

  • Carrier, M., Marchand, R., Auger, P., Hebert, Y., Pellerin, M., Perrault, L. P., Cartier, R., Bouchard, D., Poirier, N., Page, P. (2002). Methicillin-resistant Staphylococcus aureus infection in a cardiac surgical unit. J. Thorac. Cardiovasc. Surg. 123: 40-44 [Abstract] [Full Text]