Vancomycin-resistant Staphylococcus aureus.

Accession number;00A0221179
Title;Vancomycin-resistant Staphylococcus aureus.
Author; ITO TERUYO (Juntendo Univ., Sch. of Med.) HANAKI HIDEAKI (Juntendo Univ., Sch. of Med.) HIRAMATSU KEIICHI (Juntendo Univ., Sch. of Med.)
Journal Title;Japanese Journal of Chemotherapy
Journal Code:F0608A
ISSN:1340-7007
VOL.48;NO.1;PAGE.7-23(2000)
Figure&Table&Reference;FIG.12, TBL.1, REF.92
Pub. Country;Japan
Language;Japanese
Abstract;Recent emergence of vancomycin resistance in methicillin-resistant Staphylococcus aureus(VRSA) has posed a new threat to hospital infection control and antibiotic chemotherapy. The first vancomycin-resistant Staphylococcus aureus strain, Mu 50, was isolated in 1996. The level of resistance in VRSA, as judged by minimal-growth inhibitory concentration (8.MU.g/mL), is low compared to that of vancomycin-resistant enterococci(VRE). Hetero-VRSA strains exhibit vancomycin MIC levels equal to or less than 4.MU.g/mL, but, they show a heterogeneous type of resistance to vancomycin. Exposure of hetero-VRSA to concentrations of vancomycin of 4.MU.g/mL or higher reproducibly generates VRSA with a frequency of 10-6 or higher. This article provides an historical overview of the emergence of glycopeptide resistance in staphylococci and considers its mechanism of resistance. (author abst.)