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Experimental Therapeutics

Influence of Reduced Susceptibility to Glycopeptides on Activities of Vancomycin and Teicoplanin against Staphylococcus aureus in Experimental Endocarditis

Juliette Pavie, Agnès Lefort, Marie-Cécile Ploy, Laurent Massias, Françoise Chau, Louis Garry, François Denis, Bruno Fantin
Juliette Pavie
1INSERM EMI.U.9933, Faculté de Médecine Xavier Bichat
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Agnès Lefort
1INSERM EMI.U.9933, Faculté de Médecine Xavier Bichat
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Marie-Cécile Ploy
2Laboratoire de Microbiologie, CHU de Limoges, 87042 Limoges Cedex, France
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Laurent Massias
3Service de Pharmacie, Hôpital Xavier Bichat, 75018 Paris
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Françoise Chau
1INSERM EMI.U.9933, Faculté de Médecine Xavier Bichat
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Louis Garry
1INSERM EMI.U.9933, Faculté de Médecine Xavier Bichat
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François Denis
2Laboratoire de Microbiologie, CHU de Limoges, 87042 Limoges Cedex, France
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Bruno Fantin
1INSERM EMI.U.9933, Faculté de Médecine Xavier Bichat
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  • For correspondence: bruno.fantin@bjn.ap-hop-paris.fr
DOI: 10.1128/AAC.47.6.2018-2021.2003
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    FIG. 1.

    In vitro population analysis of S. aureus Lim-1 and Lim-2 on vancomycin (A) and teicoplanin (B) agar. Population analyses were performed with overnight cultures (∼108 to 109 CFU/ml) that were serially diluted and plated onto BHI agar containing increasing concentrations of vancomycin (0 to 10 μg/ml) or teicoplanin (0 to 40 μg/ml) and incubated for 48 h at 37°C before enumeration of the CFU.

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    FIG. 2.

    Time-kill curve studies with vancomycin (Vm) (A) and teicoplanin (Tc) (B) at various concentrations against S. aureus Lim-1 and Lim-2.

  • FIG. 3.
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    FIG. 3.

    Ex vivo population analysis of S. aureus Lim-1 (A) and Lim-2 (B) on vancomycin agar. The two strains were from the vegetations of six different infected rabbits sampled at the start of therapy.

Tables

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  • TABLE 1.

    Efficacies of 4-day antibiotic regimens for treatment of experimental endocarditis due to S. aureus

    TreatmentRegimenMean ± log10 CFU/g of vegetation (no. of sterile vegetations/total no. of vegetations) for strain:
    Lim-1Lim-2
    None (start-of- therapy controls)9.4 ± 0.9 (0/14)9.2 ± 1.3 (0/11)
    Vancomycin
        Standard dose40 mg/kg every 12 h7.0 ± 2.3a (1/8)6.5 ± 2.4a (1/8)
        High dose50 mg/kg every 8 h6.2 ± 2.0a (2/10)5.8 ± 2.8a (2/8)
    Teicoplanin
        Standard dose20 mg/kg every 12 hb6.1 ± 2.4a (1/8)8.3 ± 1.9 (0/14)
        High dose40 mg/kg q 12 hcNot done7.0 ± 1.6a (0/9)
    • ↵ a P < 0.05 versus controls.

    • ↵ b After a loading dose of 40 mg/kg.

    • ↵ c After a loading dose of 80 mg/kg.

  • TABLE 2.

    Concentrations of vancomycin and teicoplanin in the sera of three uninfected rabbits after the intramuscular administration of a single antibiotic dose

    Regimen (dose [mg/kg])Concn (μg/ml) in serum (time [h])
    PeakTrough
    Vancomycin (40)39 ± 12 (2)12 ± 3 (12)
    Vancomycin (50)45 ± 8 (2)20 ± 5 (8)
    Teicoplanin (20)44 ± 5 (4)24 ± 1 (12)
    Teicoplanin (40)95 ± 17 (4)59 ± 21 (12)
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Influence of Reduced Susceptibility to Glycopeptides on Activities of Vancomycin and Teicoplanin against Staphylococcus aureus in Experimental Endocarditis
Juliette Pavie, Agnès Lefort, Marie-Cécile Ploy, Laurent Massias, Françoise Chau, Louis Garry, François Denis, Bruno Fantin
Antimicrobial Agents and Chemotherapy Jun 2003, 47 (6) 2018-2021; DOI: 10.1128/AAC.47.6.2018-2021.2003

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Influence of Reduced Susceptibility to Glycopeptides on Activities of Vancomycin and Teicoplanin against Staphylococcus aureus in Experimental Endocarditis
Juliette Pavie, Agnès Lefort, Marie-Cécile Ploy, Laurent Massias, Françoise Chau, Louis Garry, François Denis, Bruno Fantin
Antimicrobial Agents and Chemotherapy Jun 2003, 47 (6) 2018-2021; DOI: 10.1128/AAC.47.6.2018-2021.2003
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KEYWORDS

Anti-Bacterial Agents
Endocarditis, Bacterial
staphylococcal infections
Staphylococcus aureus
teicoplanin
vancomycin

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