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Daptomycin-reversible rifampicin resistance in vancomycin-resistant Enterococcus faecium
Author(s) -
Kenneth H. Rand,
Herbert Houck,
Jared Silverman
Publication year - 2007
Publication title -
journal of antimicrobial chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.124
H-Index - 194
eISSN - 1460-2091
pISSN - 0305-7453
DOI - 10.1093/jac/dkm045
Subject(s) - daptomycin , enterococcus faecium , vancomycin , rifampicin , enterococcus , microbiology and biotechnology , vancomycin resistant enterococcus , medicine , gram positive bacterial infections , antibacterial agent , antibiotics , biology , bacteria , staphylococcus aureus , genetics
In a previous study, we observed marked synergy between daptomycin and rifampicin against 73% of rifampicin-resistant, vancomycin-resistant Enterococcus faecium (VRE), with approximately 100-fold reductions in rifampicin MICs observed at one-eighth to one-fourth daptomycin MIC. The purpose of this study was to determine whether the synergy between daptomycin and rifampicin could be explained by enhanced entry of rifampicin into the cell or was related to amino acid substitutions in the rifampicin-binding site in the beta subunit (rpo beta) of the RNA polymerase.

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