PMID- 19501791 OWN - NLM STAT- MEDLINE DCOM- 20090727 LR - 20220321 IS - 1879-0070 (Electronic) IS - 0732-8893 (Linking) VI - 64 IP - 3 DP - 2009 Jul TI - In vitro antibacterial activity of tigecycline against resistant Gram-negative bacilli and enterococci by time-kill assay. PG - 300-4 LID - 10.1016/j.diagmicrobio.2009.03.023 [doi] AB - This time-kill study was performed with 65 genetically unique clinical isolates of Gram-negative bacilli and enterococci to further define the antibacterial activity of tigecycline. To our knowledge, this is the largest published time-kill study evaluating tigecycline activity to date. Isolates evaluated were 10 meropenem-resistant Acinetobacter baumannii; 15 Escherichia coli, including 10 extended-spectrum beta-lactamase (ESBL) producers; 15 Klebsiella pneumoniae, including 10 ESBL producers; 20 vancomycin-resistant Enterococcus faecium (VRE), including 10 that were linezolid resistant; and 5 vancomycin-susceptible Enterococcus faecalis. Time-kill testing was performed using tigecycline concentrations of 1x, 2x, and 4x MIC with colony-forming units (CFU) per milliliter determined at 0, 4, 8, 12, 24, 36, and 48 h. Tigecycline MICs (microg/mL) were < or =1 for E. coli and K. pneumoniae, regardless of the isolates' ESBL production; A. baumannii, 0.06 to 4; 9/10 (90%) were < or =2; E. faecalis < or =0.12; and VRE < or =0.25, regardless of linezolid susceptibility. In the time-kill assay, tigecycline significantly inhibited bacterial growth when compared with the growth control. The reduction in growth was <3 log(10) CFU/mL for all isolates, indicative of a bacteriostatic effect. FAU - Pankey, George A AU - Pankey GA AD - Infectious Disease Research, Ochsner Clinic Foundation, New Orleans, LA 70121, USA. gpankey@ochsner.org FAU - Ashcraft, Deborah S AU - Ashcraft DS LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Diagn Microbiol Infect Dis JT - Diagnostic microbiology and infectious disease JID - 8305899 RN - 0 (Anti-Bacterial Agents) RN - 70JE2N95KR (Tigecycline) RN - FYY3R43WGO (Minocycline) SB - IM MH - Anti-Bacterial Agents/*pharmacology MH - Colony Count, Microbial MH - Enterococcus/*drug effects MH - Gram-Negative Bacteria/*drug effects MH - Humans MH - Microbial Sensitivity Tests MH - Microbial Viability/*drug effects MH - Minocycline/*analogs & derivatives/pharmacology MH - Tigecycline MH - Time Factors EDAT- 2009/06/09 09:00 MHDA- 2009/07/28 09:00 CRDT- 2009/06/09 09:00 PHST- 2008/12/05 00:00 [received] PHST- 2009/03/11 00:00 [revised] PHST- 2009/03/21 00:00 [accepted] PHST- 2009/06/09 09:00 [entrez] PHST- 2009/06/09 09:00 [pubmed] PHST- 2009/07/28 09:00 [medline] AID - S0732-8893(09)00130-8 [pii] AID - 10.1016/j.diagmicrobio.2009.03.023 [doi] PST - ppublish SO - Diagn Microbiol Infect Dis. 2009 Jul;64(3):300-4. doi: 10.1016/j.diagmicrobio.2009.03.023.