PMID- 24824818 OWN - NLM STAT- MEDLINE DCOM- 20141028 LR - 20181202 IS - 1881-1469 (Electronic) IS - 0021-8820 (Linking) VI - 67 IP - 7 DP - 2014 Jul TI - In vitro activity of telavancin compared with vancomycin and linezolid against Gram-positive organisms isolated from cancer patients. PG - 505-9 LID - 10.1038/ja.2014.30 [doi] AB - Telavancin is a dual action, bactericidal lipoglycopeptide. Its in vitro activity was compared with vancomycin and linezolid against 392 Gram-positive isolates from cancer patients. MIC90 values (mug ml(-1)) for telavancin, vancomycin and linezolid were determined for methicillin-susceptible Staphylococcus aureus (MSSA), methicillin-resistant S. aureus (MRSA), methicillin-susceptible (MS), methicillin-resistant (MR), coagulase-negative staphylococci (CoNS), viridans group streptococci (VGS), Streptococcus pneumoniae, Bacillus species, Corynebacterium species and Micrococcus species. Telavancin had potent activity against beta-hemolytic streptococci and Staphylococcus lugdunensis. Whereas 100% of MRSA and 98% of MSSA had vancomycin MICs ⩾ 1.0 mug ml(-1) (minimum inhibitory concentrations (MICs) at which poor clinical responses have been reported), the highest telavancin MIC was 0.38 mug ml(-1). For CoNS, 95% of MS and 100% of MR isolates had vancomycin MICs ⩾ 1.0 mug ml(-1), whereas the highest telavancin MIC was 0.38 mug ml(-1). Furthermore, 48% of VGS had vancomycin MICs ⩾ 1.0 mug ml(-1), whereas the highest telavancin MIC was 0.064 mug ml(-1). A similar pattern was noticed for S. lugdunensis, Bacillus species, Corynebacterium species and beta-hemolytic streptococci. These data suggest that telavancin and linezolid have potent activity against most Gram-positive organisms that cause infections in cancer patients. Consequently, they may be considered as alternatives to vancomycin, especially in institutions wherein a substantial proportion of infections are caused by organisms with vancomycin MICs ⩾ 1.0 mug ml(-1). FAU - Rolston, Kenneth 6th AU - Rolston K 6th AD - 1] Department of Infectious Diseases, Infection Control, and Employee Health; The University of Texas MD Anderson Cancer Center, Houston, TX, USA [2] University of Houston College of Pharmacy, Houston, TX, USA. FAU - Wang, Weiqun AU - Wang W AD - University of Houston College of Pharmacy, Houston, TX, USA. FAU - Nesher, Lior AU - Nesher L AUID- ORCID: 0000000212300428 AD - Department of Infectious Diseases, Infection Control, and Employee Health; The University of Texas MD Anderson Cancer Center, Houston, TX, USA. FAU - Coyle, Elizabeth AU - Coyle E AD - 1] Department of Infectious Diseases, Infection Control, and Employee Health; The University of Texas MD Anderson Cancer Center, Houston, TX, USA [2] University of Houston College of Pharmacy, Houston, TX, USA. FAU - Shelburne, Samuel AU - Shelburne S AD - Department of Infectious Diseases, Infection Control, and Employee Health; The University of Texas MD Anderson Cancer Center, Houston, TX, USA. FAU - Prince, Randall A AU - Prince RA AD - 1] Department of Infectious Diseases, Infection Control, and Employee Health; The University of Texas MD Anderson Cancer Center, Houston, TX, USA [2] University of Houston College of Pharmacy, Houston, TX, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140514 PL - England TA - J Antibiot (Tokyo) JT - The Journal of antibiotics JID - 0151115 RN - 0 (Acetamides) RN - 0 (Aminoglycosides) RN - 0 (Anti-Bacterial Agents) RN - 0 (Lipoglycopeptides) RN - 0 (Oxazolidinones) RN - 6Q205EH1VU (Vancomycin) RN - ISQ9I6J12J (Linezolid) RN - XK134822Z0 (telavancin) SB - IM MH - Acetamides/*pharmacology MH - Aminoglycosides/*pharmacology MH - Anti-Bacterial Agents/*pharmacology MH - Gram-Positive Bacteria/*drug effects MH - Gram-Positive Bacterial Infections/complications/microbiology MH - Humans MH - Linezolid MH - Lipoglycopeptides MH - Microbial Sensitivity Tests MH - Neoplasms/*microbiology MH - Oxazolidinones/*pharmacology MH - Vancomycin/*pharmacology EDAT- 2014/05/16 06:00 MHDA- 2014/10/29 06:00 CRDT- 2014/05/15 06:00 PHST- 2013/09/18 00:00 [received] PHST- 2013/12/12 00:00 [revised] PHST- 2014/02/26 00:00 [accepted] PHST- 2014/05/15 06:00 [entrez] PHST- 2014/05/16 06:00 [pubmed] PHST- 2014/10/29 06:00 [medline] AID - ja201430 [pii] AID - 10.1038/ja.2014.30 [doi] PST - ppublish SO - J Antibiot (Tokyo). 2014 Jul;67(7):505-9. doi: 10.1038/ja.2014.30. Epub 2014 May 14.