Both Fidaxomicin and Vancomycin Inhibit Outgrowth of Clostridium difficile Spores
Author(s) -
Charlotte A. Allen,
Farah Babakhani,
Pam Sears,
Ly Nguyen,
Joseph A. Sorg
Publication year - 2012
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.01611-12
Subject(s) - fidaxomicin , vancomycin , clostridium difficile , spore , microbiology and biotechnology , germination , diarrhea , spore germination , metabolite , medicine , clostridium , clostridiaceae , biology , bacteria , antibiotics , staphylococcus aureus , toxin , botany , genetics
Fidaxomicin (FDX) is approved to treat Clostridium difficile-associated diarrhea and is superior to vancomycin in providing a sustained clinical response (cure without recurrence in the subsequent 25 days). The mechanism(s) behind the low recurrence rate of FDX-treated patients could be multifactorial. Here, we tested effects of FDX, its metabolite OP-1118, and vancomycin on spore germination and determined that none affected the initiation of spore germination but all inhibited outgrowth of vegetative cells from germinated spores.
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