Antimicrobial susceptibility of bacteremic vancomycin-resistant Enterococcus faecium to eravacycline, omadacycline, lipoglycopeptides, and other comparator antibiotics: Results from the 2019-2020 Nationwide Surveillance of Multicenter Antimicrobial Resistance in Taiwan (SMART)

被引:12
作者
Tsai, Hsih-Yeh [1 ]
Lee, Yu-Lin [2 ,3 ]
Liu, Po-Yu [4 ]
Lu, Min-Chi [5 ]
Shao, Pei-Lan [6 ]
Lu, Po-Liang [7 ]
Cheng, Shu-Hsing [8 ,9 ]
Ko, Wen-Chien [10 ]
Lin, Chi-Ying [11 ]
Wu, Ting-Shu [12 ]
Yen, Muh-Yong [13 ,14 ]
Wang, Lih-Shinn [15 ,16 ]
Liu, Chang-Pan [17 ,18 ]
Lee, Wen-Sen [19 ,20 ]
Shi, Zhi-Yuan [21 ]
Chen, Yao-Shen [22 ,23 ]
Wang, Fu-Der [23 ]
Tseng, Shu-Hui [24 ,25 ]
Chen, Yu-Hui [26 ]
Sheng, Wang-Huei [27 ]
Lee, Chun-Ming [28 ,29 ]
Chen, Yen-Hsu [7 ]
Liao, Chun-Hsing [1 ]
Hsueh, Po-Ren [27 ,30 ]
机构
[1] Far Eastern Mem Hosp, Dept Internal Med, New Taipei, Taiwan
[2] Changhua Christian Hosp, Dept Internal Med, Changhua, Taiwan
[3] Natl Chung Hsing Univ, Inst Genom & Bioinformat, Taichung, Taiwan
[4] Taichung Vet Gen Hosp, Dept Internal Med, Div Infect Dis, Taichung, Taiwan
[5] China Med Univ, Sch Med, Dept Microbiol & Immunol, Taichung, Taiwan
[6] Natl Taiwan Univ Hosp, Hsin Chu Branch, Dept Pediat, Hsinchu, Taiwan
[7] Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Coll Med, Dept Internal Med, Kaohsiung, Taiwan
[8] Taoyuan Gen Hosp, Minist Hlth & Welf, Dept Internal Med, Taoyuan, Taiwan
[9] Taipei Med Univ, Coll Publ Hlth & Nutr, Sch Publ Hlth, Taipei, Taiwan
[10] Natl Cheng Kung Univ, Med Coll & Hosp, Dept Internal Med, Tainan, Taiwan
[11] Natl Taiwan Univ Hosp, Yun Lin Branch, Dept Internal Med, Yunlin, Taiwan
[12] Chang Gung Univ, Chang Gung Mem Hosp Linkou, Coll Med, Div Infect Dis,Dept Internal Med, Taoyuan, Taiwan
[13] Taipei City Hosp, Div Infect Dis, Taipei, Taiwan
[14] Natl Yang Ming Univ, Sch Med, Taipei, Taiwan
[15] Buddhist Tzu Chi Gen Hosp, Dept Internal Med, Div Infect Dis, Hualien, Taiwan
[16] Tzu Chi Univ, Hualien, Taiwan
[17] MacKay Mem Hosp, Dept Internal Med, Div Infect Dis, Taipei, Taiwan
[18] MacKay Med Coll, New Taipei, Taiwan
[19] Taipei Med Univ, Wan Fang Hosp, Dept Internal Med, Div Infect Dis, Taipei, Taiwan
[20] Taipei Med Univ, Coll Med, Sch Med, Dept Internal Med, Taipei, Taiwan
[21] Taichung Vet Gen Hosp, Dept Internal Med, Taichung, Taiwan
[22] Kaohsiung Vet Gen Hosp, Dept Internal Med, Kaohsiung, Taiwan
[23] Natl Yang Ming Univ, Sch Med, Taipei, Taiwan
[24] Taipei Vet Gen Hosp, Dept Med, Div Infect Dis, Taipei, Taiwan
[25] Ctr Dis Control & Prevent, Minist Hlth & Welf, Taipei, Taiwan
[26] Chi Mei Hosp, Infect Control Ctr, Liouying, Taiwan
[27] Natl Taiwan Univ, Natl Taiwan Univ Hosp, Coll Med, Div Infect Dis,Dept Internal Med, Taipei, Taiwan
[28] St Josephs Hosp, Dept Internal Med, Huwei Township, Yunlin, Taiwan
[29] MacKay Jr Coll Med Nursing & Management, Taipei, Taiwan
[30] Natl Taiwan Univ, Natl Taiwan Univ Hosp, Coll Med, Dept Lab Med, Taipei, Taiwan
关键词
Vancomycin-resistant Enterococcus faecium; Eravacycline; Tedizolid; Omadacycline; Lipoglycopeptides; DAPTOMYCIN; EPIDEMIOLOGY; TIGECYCLINE; MECHANISMS;
D O I
10.1016/j.ijantimicag.2021.106353
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Multicenter surveillance of antimicrobial susceptibility was performed for 235 vancomycin-resistant En-terococcus faecium (VREfm) isolates from 18 Taiwanese hospitals. The minimum inhibitory concentrations (MICs) of eravacycline, omadacycline, lipoglycopeptides, and other comparator antibiotics were deter-mined using the broth microdilution method. Nearly all isolates of VREfm were not susceptible to te-icoplanin, dalbavancin, and telavancin, with susceptibility rates of 0.5%, 1.7% and 0.5%, respectively. Tige-cycline and eravacycline were active against 93.2% and 89.7% of the VREfm isolates, respectively. More -over, the susceptibility rates of quinupristin/dalfopristin, tedizolid, and linezolid were 59.1%, 84.2%, and 77.4%, respectively. Additionally, 94% of the VREfm isolates were classified as susceptible to daptomycin, and the MICs of omadacycline required to inhibit VREfm growth by 50% and 90% were 0.12 and 0.5 mg/L, respectively. Susceptibility rates of VREfm isolates to synthetic tetracyclines and daptomycin were slightly lower and to oxazolidinone-class antibiotics were much lower in Taiwan than those in other parts of the world. Continuous monitoring of VREfm resistance to novel antibiotics, including synthetic tetracyclines, oxazolidinone-class antibiotics, and daptomycin, is needed in Taiwan. (c) 2021 Elsevier Ltd and International Society of Antimicrobial Chemotherapy. All rights reserved.
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页数:5
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