Staphylococcus aureus with decreased susceptibility to glycopeptides in cystic fibrosis patients

被引:9
|
作者
Filleron, Anne [2 ]
Chiron, Raphael [3 ]
Reverdy, Marie-Elisabeth [4 ]
Jean-Pierre, Helene [1 ,5 ]
Dumitrescu, Oana [4 ]
Aleyrangues, Linda [5 ]
Counil, Francois [3 ]
Jumas-Bilak, Estelle [1 ]
Marchandin, Helene [1 ,5 ]
机构
[1] Univ Montpellier 1, Equipe Pathogenes & Environm, UMR 5119, UFR Pharm,CNRS,IRD,IFREMER,UM1,UM2, F-34093 Montpellier 5, France
[2] Hop Arnaud de Villeneuve, Ctr Hosp Reg Univ Montpellier, Serv Pediat Gen, Immunol Clin, F-34295 Montpellier 5, France
[3] Hop Arnaud de Villeneuve, Ctr Hosp Reg Univ Montpellier, Ctr Ressources & Competences Mucoviscidose, Serv Pediat & Malad Resp 1, F-34295 Montpellier 5, France
[4] Fac Med Laennec, INSERM, E0230, Ctr Natl Reference Staphylocoques, F-69008 Lyon, France
[5] Hop Arnaud de Villeneuve, Ctr Hosp Reg Univ Montpellier, Bacteriol Lab, F-34295 Montpellier 5, France
关键词
Glycopeptides; Resistance; Staphylococcus aureus; GISA; Cystic fibrosis; METHICILLIN-RESISTANT; CLINICAL-SIGNIFICANCE; VANCOMYCIN SUSCEPTIBILITY; REDUCED SUSCEPTIBILITY; PULMONARY INFECTION; EPIDEMIOLOGY; EMERGENCE; STRAINS;
D O I
10.1016/j.jcf.2011.05.001
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
We report the isolation of Staphylococcus aureus with decreased susceptibility to glycopeptides in five CF patients and review the clinical and microbiological features of these cases. Three patients presented with pulmonary exacerbation that may be attributed to these strains and two of them were successfully treated using linezolid therapy. Glycopeptide-intermediate S. aureus (GISA) strains isolated in two patients were susceptible to methicillin, while the three other patients harbored rnethicillin-resistant GISA. Rarely reported in CF, GISA may remain underestimated due to the difficulty of detection, and both clinicians and microbiologists should be aware of the GISA emergence in CF patients' population. (C) 2011 European Cystic Fibrosis Society. Published by Elsevier B.V. All rights reserved.
引用
收藏
页码:377 / 382
页数:6
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