2008, Cilt 22, Sayı 3, Sayfa(lar) 153-163 |
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THE SUSCEPTIBILITY TO QUINUPRISTIN/DALFOPRISTIN AND LINESOLID AND RESISTANCE TO MACROLIDE-LINCOSAMIDE-STREPTOGRAMIN B IN METHICILLINE RESISTANT STAPHYLOCOCCUS AUREUS STRAINS |
Funda DOĞRUMAN AL1, Gülçin AKCA2, Berna AYKAN1, Ayşe Bilge SİPAHİ1, Kayhan ÇAĞLAR1 |
1 Gazi Üniversitesi Tıp Fakültesi, Tıbbi Mikrobiyoloji Anabilim Dalı; Ankara 2 Gazi Üniversitesi Diş Hekimliği Fakültesi, Temel Tıp Bilimleri Anabilim Dalı, Oral Patoloji Bilim Dalı, Mikrobiyoloji Laboratuvarı; Ankara |
Keywords: Methicilline resistant Staphylococcus aureus, quinupristin/dalfopristin, macrolide-lincosamide, streptogramin B resistance |
The increasing antibiotic resistance in MRSA strains has become an important problem in many hospitals. Since resistance against
glycopeptide antibiotics, the first choices of treatment in MRSA infections, is encountered, studies to find new therapeutic options
have increased in recent years. Quinopristin/dalfopristin (Q/D) and linezolid have been introduced as new alternative therapeuical
agents. These two antibiotics inhibit ribosomal protein synthesis. In the present study, we aimed at determining the in vitro susceptibilities
of 63 MRSA strains to Q/D and linezolid antibiotics and to determine the type B macrolide-lincosamide-streptogramine
(MLSB) resistance. Bacterial isolates were obtained from various clinical samples of hospitalized patients in Gazi University Hospital.
We found that all MRSA strains were sensitive to Q/D and linezolid. Thirteen of 63 (20.6%) isolates showed inducible resistance and
32 of 63 (50.8%) showed constitutive MLSB resistance. No resistance was found in 18 of 63 (28.6%) strains. We did not find any
strain which was sensitive to clindamycin and resistant to erytomycin and showed inducible resistance (MS phenotype). We think
that investigating the resistance patterns prior to the use of MLSB antibiotics is important to achieve therapeutic success in MRSA
infections.
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