Phenotypic Detection of Hemin-Inducible Trimethoprim-Sulfamethoxazole Heteroresistance in Staphylococcus aureus
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Staphylococcus aureus is one of most important pathogens in clinical medicine. Besides its virulence, the acquisition or emergence of resistance toward antibiotic agents, in particular to beta-lactam antibiotics (methicillin-resistant S. aureus [MRSA]), poses a major therapeutic challenge.
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Trimethoprim-Sulfamethoxazole heteroresistant Staphylococcus aureus strains gave near identical mortality as resistant strains.
“One study demonstrated that Trimethoprim-Sulfamethoxazole heteroresistant Staphylococcus aureus strains gave near identical mortality as the resistant strains, indicating clinical consequences [163].”
From Insight into the Mechanisms and Clinical Relevance of Antifungal Heteroresistance (2025) · cites this paper as [163]
The Results (Infection assay with Galleria mellonella; page unavailable) report comparable survival for larvae infected with heteroresistant and resistant S. aureus strains after trimethoprim-sulfamethoxazole treatment. The comparison supports the mortality claim in that model, but the Discussion says clinical relevance is only possible and requires further investigation; clinical consequences were not demonstrated. (LLM, conf=0.88)
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References 34 · Cited by 10
- Authors
- Nurjadi, D., Chanthalangsy, Q., Zizmann, E., Stuermer, V., Moll, M., Klein, S., Boutin, S., Heeg, K., & Zanger, P.
- Affiliations
- University Hospital Heidelberg (DE)
- Department of Infectious Diseases, Medical Microbiology, and Hygiene, Heidelberg University Hospital, Heidelberg, Germany
- Corresponding author
- Nurjadi, Dennis
- Venue
- Microbiology Spectrum
- Publisher
- American Society for Microbiology
- Published
- 2021-10-31
- Volume
- 9
- Issue
- 2
- Pages
- e0151021-e0151021
- ISSN
- 2165-0497 (ISSN-L)
- PMC
- PMC8549745
- OpenAlex
- W3210421448
- Cited by
- 10
- References
- 34
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2022: 4
- FWCI
- 0.47
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Microbiology Spectrum (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- 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 › Biochemistry, Genetics and Molecular Biology › Molecular Medicine › Antibiotic Resistance in Bacteria
- Keywords
- Staphylococcus aureus, trimethoprim-sulfamethoxazole, heteroresistance, hemin induction, antibiotic resistance, methicillin-resistant Staphylococcus aureus, phenotypic detection, antimicrobial susceptibility testing, resistant subpopulations
- MeSH terms
- Animals, Anti-Bacterial Agents, Hemin, Humans, Microbial Sensitivity Tests, Moths, Phenotype, Staphylococcal Infections, Staphylococcus aureus, Trimethoprim, Sulfamethoxazole Drug Combination, Drug Resistance, Multiple, Bacterial
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