| Literature DB >> 32958715 |
Itaru Nakamura1, Tetsuo Yamaguchi2, Kotaro Aoki3, Yuri Miura1, Satoko Sato1, Hiroaki Fujita1, Hidehiro Watanabe1.
Abstract
We applied combination antibiotic therapy to treat vertebral osteomyelitis and a psoas abscess caused by glycopeptide-intermediate (MIC, 2 μg/ml) and daptomycin-nonsusceptible (>2 μg/ml) methicillin-resistant Staphylococcus aureus The Etest synergy test showed the largest synergistic effects for imipenem/cilastatin and fosfomycin. Whole-gene sequencing showed amino acid changes in SA0802, SA1193 (mprF), and SA1531 (ald). Four weeks of combination treatment using imipenem/cilastatin (1.5 g per day) and fosfomycin (4.0 g per day) resulted in clinical improvement.Entities:
Keywords: Etest synergy test; antibiotic combination; fosfomycin; imipenem; whole genome analysis
Year: 2020 PMID: 32958715 PMCID: PMC7927830 DOI: 10.1128/AAC.01746-20
Source DB: PubMed Journal: Antimicrob Agents Chemother ISSN: 0066-4804 Impact factor: 5.191