Linezolid: First of a new drug class for Gram-positive infections
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Atanaskova N.
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Department of Pathology, Wayne State University School of Medicine, Detroit, MI 48201Department of Pathology, Wayne State University School of Medicine, Detroit, MI 48201
Atanaskova N.
[1
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Keshamouni V.G.
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Department of Pathology, Wayne State University School of Medicine, Detroit, MI 48201Department of Pathology, Wayne State University School of Medicine, Detroit, MI 48201
Keshamouni V.G.
[1
]
Krueger J.S.
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Department of Pathology, Wayne State University School of Medicine, Detroit, MI 48201Department of Pathology, Wayne State University School of Medicine, Detroit, MI 48201
Krueger J.S.
[1
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Schwartz J.A.
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Department of Physiology, Wayne State University School of Medicine, Detroit, MI 48201Department of Pathology, Wayne State University School of Medicine, Detroit, MI 48201
Schwartz J.A.
[2
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Miller F.
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Department of Pathology, Wayne State University School of Medicine, Detroit, MI 48201Department of Pathology, Wayne State University School of Medicine, Detroit, MI 48201
Miller F.
[1
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Reddy K.B.
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Department of Pathology, Wayne State University School of Medicine, Detroit, MI 48201Department of Pathology, Wayne State University School of Medicine, Detroit, MI 48201
Reddy K.B.
[1
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机构:
[1] Department of Pathology, Wayne State University School of Medicine, Detroit, MI 48201
[2] Department of Physiology, Wayne State University School of Medicine, Detroit, MI 48201
Linezolid is an oxazolidinone-type antibacterial agent which inhibits bacterial protein synthesis by specifically binding to the 50S ribosomal subunit. Linezolid is active against Gram-positive organisms and certain anaerobes, and has shown some bactericidal activity. Methicillin-resistant staphylococci, penicillin-resistant Streptococcus pneumoniae and vancomycin-resistant Enterococcus faecalis and E. faecium are susceptible to linezolid. This agent is effective in patients with skin and soft tissue infections, community-acquired and nosocomial pneumonia, and bacteraemia, and has similar efficacy to that of other standard treatments. Resistance to linezolid has been reported in a small number of patients infected with E. faecium. Linezolid is generally well tolerated and most events (mainly GI-related) are of mild to moderate intensity, resolve during continuous linezolid treatment and are not dose-related. Linezolid is an important new drug which is likely to be of use in the treatment of serious or complicated infections due to potentially resistant Gram-positive organisms.