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Efficacy of Tigecycline Alone and in Combination with Gentamicin in the Treatment of Experimental Endocarditis Due to Linezolid-Resistant Enterococcus faecium
Author(s) -
Konstantinos Pontikis,
Angelos Pefanis,
Θωμάς Τσαγανός,
IraMaria Tzepi,
Dionyssia-Pinelopi Carrer,
Helen Giamarellou
Publication year - 2013
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.00646-13
Subject(s) - tigecycline , linezolid , enterococcus faecium , gentamicin , endocarditis , enterococcus , medicine , microbiology and biotechnology , antibiotics , pharmacology , biology , vancomycin , staphylococcus aureus , bacteria , genetics
We evaluated the efficacy of tigecycline in a rabbit model of experimental endocarditis caused by a linezolid-resistant clinical strain of Enterococcus faecium. Tigecycline-treated animals had a 2.8-log10-CFU/g reduction in microbial counts in excised vegetations compared with controls. Addition of gentamicin caused a further arithmetical reduction in colony counts. The therapeutic effect was sustained 5 days after completion of treatment, as shown by relapse studies performed in treatment groups.

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