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Pharmacodynamic effect of clinical vancomycin exposures on cell wall thickness in heterogeneous vancomycin-intermediate Staphylococcus aureus
Author(s) -
Warren E. Rose,
Rochelle Knier,
Paul R. Hutson
Publication year - 2010
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/dkq292
Subject(s) - vancomycin , pharmacodynamics , staphylococcus aureus , medicine , population , pharmacokinetics , methicillin resistant staphylococcus aureus , antibiotics , microbiology and biotechnology , minimum inhibitory concentration , antibacterial agent , pharmacology , biology , bacteria , environmental health , genetics
Heterogeneous vancomycin-intermediate Staphylococcus aureus (hVISA) have a higher predisposition to select for VISA with thickened cell walls upon vancomycin exposure, but the pharmacodynamic relationship of this occurrence with clinical doses is unknown. This study investigates the impact of clinical vancomycin dose simulations on cell wall thickness (CWT) and the emergence of resistance in hVISA in an in vitro pharmacodynamic model.

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