Methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci: Emerging problems and new prospects for management

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Introduction: Infections due to multidrug-resistand Gram-positive bacteria are a growing worldwide problem, particularly among seriously ill patients. A number of studies have demonstrated that patients infected with either methicillin-resistant Staphylococcus aureus (MRSA ) or vancomycin-resistant enterococci (VRE) are at higher risk for mortality and medical resource expenditures. Methods: A nonsystematic evidence-based review of linezolid, the first commercially available oxazolidinone, and quinupristin/dalfopristin, the first injectable streptogramin, for management of these multidrug-resistant infections was conducted. Results: As infectionc due to VRE increase and vancomicin-insensitive MRSA emerge, vancomycin is becoming less effective for managing Gram-positive infections. Preclinical comparative studies demonstrated that linezolid and quinupristin/dalfopristin are highly effective in eradicating both susceptible and resistant staphylococci, streptococci, and enterococci. Clinical experience, including phase III and compassionate-use data, with these newer agents in the treatment of MRSA and VRE infections are discussed. Conclusions: The clinical experiences thus far with linezolid and quinupristin/dalfopristin for MRSA and VRE infecdions have demonstrated efficacy, making these agents important additions to the limited number of therapeutic alternatives for Gram-positive infections.

Original languageEnglish (US)
Pages (from-to)320-331
Number of pages12
JournalAnnals of the Academy of Medicine Singapore
Volume30
Issue number3
StatePublished - May 1 2001

Keywords

  • Gram-positive
  • Linezolid
  • Oxazolidinone
  • Quinupristin/dalfopristin
  • Resistance
  • Review
  • Staphylococci
  • Streptogramin

ASJC Scopus subject areas

  • Medicine(all)

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