Cited by 10Antimicrobial Resistance in StaphylococcusBacterial Identification and Susceptibility TestingAntibiotic Resistance in Bacteria

Phenotypic Detection of Hemin-Inducible Trimethoprim-Sulfamethoxazole Heteroresistance in Staphylococcus aureus

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Nurjadi, Dennis, Chanthalangsy, Quan, Zizmann, Elfi, Stuermer, Vanessa, Moll, Maximilian, Klein, Sabrina, Boutin, Sébastien, Heeg, Klaus +1 more·2021·Microbiology Spectrum

Abstract

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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Crossref · 10.1128/spectrum.01510-21

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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
Published
2021-10-31
Volume
9
Issue
2
Pages
e0151021-e0151021
ISSN
2165-0497 (ISSN-L)
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
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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