Abstract
A total of 1989 community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) were susceptibility tested by broth microdilution. Pulsed-field gel electrophoresis, SCCmec type, and polymerase chain reaction for Panton-Valentine leukocidin (PVL) genes were also performed. The overall tigecycline susceptibility rate was 98.2%. Glycopeptides, quinupristin/dalfopristin, linezolid, and chloramphenicol were also active against this collection (< or =0.7% resistant). The vast majority (70.8%) of the CA-MRSA was SCCmec type IV, from which 88.4% belonged to the USA300-0114 clone and 94.7% were PVL positive. Tigecycline showed in vitro activity comparable with other highly active parenteral agents and represents an option for treating complicated infections caused by CA-MRSA.
MeSH terms
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Academic Medical Centers
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Anti-Bacterial Agents / pharmacology*
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Bacterial Toxins / genetics
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Community-Acquired Infections / microbiology*
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DNA Fingerprinting
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DNA, Bacterial / genetics
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Electrophoresis, Gel, Pulsed-Field
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Exotoxins / genetics
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Genotype
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Humans
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Leukocidins / genetics
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Methicillin Resistance / genetics*
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Microbial Sensitivity Tests
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Minocycline / analogs & derivatives*
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Minocycline / pharmacology
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North America
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Staphylococcal Infections / microbiology*
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Staphylococcus aureus / classification
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Staphylococcus aureus / drug effects*
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Staphylococcus aureus / genetics
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Staphylococcus aureus / isolation & purification
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Tigecycline
Substances
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Anti-Bacterial Agents
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Bacterial Toxins
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DNA, Bacterial
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Exotoxins
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Leukocidins
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Panton-Valentine leukocidin
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Tigecycline
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Minocycline