In vitro activities of vancomycin and teicoplanin against coagulase-negative staphylococci isolated from neutropenic patients

Antimicrob Agents Chemother. 1990 May;34(5):901-3. doi: 10.1128/AAC.34.5.901.

Abstract

This study reports the in vitro activities of vancomycin and teicoplanin against 185 coagulase-negative staphylococcal strains isolated from 80 neutropenic patients who received different antibiotic treatments. All strains were susceptible to vancomycin: MICs for 50 and 90% of strains tested were 2 and 4 mg/liter, respectively. Teicoplanin was less active, and MICs displayed a wider range. For only teicoplanin was there a correlation between resistance and previous treatment. At the 4- and 32-mg/liter breakpoint levels, only 20% of the strains isolated from patients without glycopeptide treatment were intermediate or resistant, whereas 49.2% of the strains from patients who had received vancomycin or teicoplanin or both were intermediate or resistant.

Publication types

  • Comparative Study

MeSH terms

  • Agranulocytosis / microbiology*
  • Antineoplastic Agents / adverse effects
  • Coagulase / analysis*
  • Drug Resistance, Microbial
  • Glycopeptides / pharmacology
  • Humans
  • Leukemia / complications
  • Microbial Sensitivity Tests
  • Neutropenia / chemically induced
  • Neutropenia / microbiology*
  • Staphylococcus / drug effects*
  • Staphylococcus / enzymology
  • Teicoplanin
  • Vancomycin / pharmacology*

Substances

  • Antineoplastic Agents
  • Coagulase
  • Glycopeptides
  • Teicoplanin
  • Vancomycin