Vancomycin MICs for Methicillin-Resistant Staphylococcus aureus Isolates Differ Based upon the Susceptibility Test Method Used
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Recent studies have questioned treatment of serious methicillin-resistant Staphylococcus aureus (MRSA) infections with vancomycin because of treatment failures, despite vancomycin MICs in the susceptible category (MIC ≤ 2 μg/ml) ([2][1], [3][2], [5][3], [6][4], [7][5]). Some of these studies have
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The E-test method exhibits systematic biases towards higher or lower MIC values for certain microorganism-antimicrobial agent combinations.
“The E-test method has also been observed to exhibit systematic biases towards higher or lower MIC values for certain microorganism-antimicrobial agent combinations [74, 75].”
From Methods for screening and evaluation of antimicrobial activity: A review of protocols, advantages, and limitations (2024) · cites this paper as [75]
The Results report that Etest vancomycin MICs for MRSA isolates were consistently one twofold dilution higher than MICs from the comparison methods. This supports a systematic upward difference for one microorganism–antimicrobial combination, but the paper does not establish lower Etest MICs or differences across other combinations. (LLM, conf=0.87)
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- [2]Hidayat, L. K., D. I. Hsu, R. Quist, K. A. Shriner, and A. Wong-Beringer. 2006. High-dose vancomycin therapy for methicillin-resistant Staphylococcus aureus infections. Arch. Intern. Med. 166:2138-2144. [DOI] [PubMed] [Google Scholar]
- [3]Maclayton, D. O., K. J. Suda, K. A. Coval, C. B. York, and K. W. Garey. 2006. Case-control study of the relationship between MRSA bacteremia with a vancomycin MIC of 2 μg/mL and risk factors, costs, and outcomes in inpatients undergoing hemodialysis. Clin. Ther. 28:1208-1216. [DOI] [PubMed] [Google Scholar]
- [4]Moise-Broder, P. A., A. Forrest, M. C. Birmingham, and J. J. Schentag. 2004. Pharmacodynamics of vancomycin and other antimicrobials in patients with Staphylococcus aureus lower respiratory tract infections. Clin. Pharmacokinet. 43:925-942. [DOI] [PubMed] [Google Scholar]
- [5]Moise-Broder, P. A., G. Sakoulas, G. M. Eliopoulos, J. J. Schentag, A. Forrest, and R. C. Moellering. 2004. Accessory gene regulator group II polymorphism in methicillin-resistant Staphylococcus aureus is predictive of failure of vancomycin therapy. Clin. Infect. Dis. 15:1700-1705. [DOI] [PubMed] [Google Scholar]
- [6]Sakoulas, G., P. A. Moise-Broder, J. Schentag, A. Forrest, R. C. Moellering, and G. M. Eliopoulos. 2004. Relationship of MIC and bactericidal activity to efficacy of vancomycin for treatment of methicillin-resistant Staphylococcus aureus bacteremia. J. Clin. Microbiol. 42:2398-2402. [DOI] [PMC free article] [PubMed] [Google Scholar]
- [7]Soriano, A., F. Marco, J. A. Martinez, E. Pisos, M. Almela, V. P. Dimova, D. Alamo, M. Ortego, J. Lopez, and J. Mensa. 2008. Influence of vancomycin minimum inhibitory concentration on the treatment of methicillin-resistant Staphylococcus aureus bacteremia. Clin. Infect. Dis. 15:193-200. [DOI] [PubMed] [Google Scholar]
Cited by
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Howden, B. P., Davies, J. K., Johnson, P. D. R., Stinear, T. P., & Grayson, M. L. (2010) · Clinical Microbiology Reviews · doi:10.1128/cmr.00042-09 · Cited by 962 · see citing works
Hossain, T. J. (2024) · European Journal of Microbiology and Immunology · doi:10.1556/1886.2024.00035 · Cited by 392 · see citing works
- Authors
- Prakash, V., Lewis, J. S., & Jorgensen, J. H.
- Affiliations
- Brooke Army Medical Center (US)
- The University of Texas at San Antonio Health Science Center (US)
- Venue
- Antimicrobial Agents and Chemotherapy
- Publisher
- American Society for Microbiology
- Published
- 2008-12
- Volume
- 52
- Issue
- 12
- Pages
- 4528-4528
- ISSN
- 0066-4804 (ISSN-L)
- 1098-6596
- PMC
- PMC2592869
- OpenAlex
- W2131393110
- Cited by
- 123
- References
- 0
- Citations by year
- 2025: 3 · 2024: 3 · 2023: 3 · 2022: 4 · 2021: 9 · 2020: 7 · 2019: 3 · 2018: 5 · 2017: 3 · 2016: 7 · 2015: 8 · 2014: 7 · 2013: 15 · 2012: 9
- FWCI
- 7.97
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Antimicrobial Agents and Chemotherapy (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Defense
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antimicrobial Resistance in Staphylococcus
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Bacterial Identification and Susceptibility Testing
- Life Sciences › Immunology and Microbiology › Applied Microbiology and Biotechnology › Antibiotic Use and Resistance
- Keywords
- vancomycin, methicillin-resistant Staphylococcus aureus, minimum inhibitory concentration, antimicrobial susceptibility testing, treatment failure, MRSA infection
- MeSH terms
- Anti-Bacterial Agents, Humans, Microbial Sensitivity Tests, Staphylococcal Infections, Vancomycin, Bacteremia, Methicillin-Resistant Staphylococcus aureus
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