Low prevalence of Cfr-mediated linezolid resistance among methicillin-resistant Staphylococcus aureus in a Spanish hospital: case report on linezolid resistance acquired during linezolid therapy

PLoS One. 2013;8(3):e59215. doi: 10.1371/journal.pone.0059215. Epub 2013 Mar 15.

Abstract

Linezolid is an effective antimicrobial agent to treat methicillin-resistant Staphylococcus aureus (MRSA). Resistance to linezolid due to the cfr gene is described worldwide. The present study aimed to analyze the prevalence of the cfr-mediated linezolid resistance among MRSA clinical isolates in our area. A very low prevalence of cfr mediated linezolid resistance was found: only one bacteremic isolate out of 2 215 screened isolates. The only linezolid resistant isolate arose in a patient, previously colonized by MRSA, following linezolid therapy. Despite the low rate of resistance in our area, ongoing surveillance is advisable to avoid the spread of linezolid resistance.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetamides / therapeutic use*
  • Aged
  • Anti-Bacterial Agents / therapeutic use*
  • Bacterial Proteins / metabolism*
  • Drug Resistance, Multiple, Bacterial
  • Hospitals
  • Humans
  • Linezolid
  • Male
  • Methicillin / therapeutic use
  • Methicillin-Resistant Staphylococcus aureus / drug effects*
  • Methicillin-Resistant Staphylococcus aureus / isolation & purification*
  • Methicillin-Resistant Staphylococcus aureus / metabolism
  • Microbial Sensitivity Tests
  • Oxazolidinones / therapeutic use*
  • Spain
  • Staphylococcal Infections / drug therapy*
  • Staphylococcal Infections / microbiology

Substances

  • Acetamides
  • Anti-Bacterial Agents
  • Bacterial Proteins
  • CFR protein, Staphylococcus aureus
  • Oxazolidinones
  • Linezolid
  • Methicillin

Grants and funding

This work was supported by a grant from Fondo de Investigación Sanitaria (grant number 10/01783) and by Ministerio de Ciencia e Innovación, Instituto de Salud Carlos III co-financed by European Development Regional Fund “A way to achieve Europe” ERDF, Spanish Network for the Research in Infectious Diseases (grant number REIPI RD06/0008). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.