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Updated: Aug 20, 2026

Experimental Endocarditis Model of Methicillin Resistant Staphylococcus aureus (MRSA) in Rat
Published on: June 4, 2012
Influence of various antimicrobial agents on the intestinal flora in an intestinal MRSA-carrying rat model
Masahiro Takahata1, Yoko Sugiura, Satoshi Ameyama
1Research Laboratories, Toyama Chemical Co., Ltd., 2-4-1 Shimookui, Toyama 930-8508, Japan. masahiro_takahata@toyama-chemical.co.jp
Abstract:
Using an intestinal methicillin-resistant Staphylococcus aureus (MRSA)-carrying rat model, we compared the influence of piperacillin (PIPC) on the intestinal flora to those of cefazolin (CEZ), cefmetazole (CMZ), and flomoxef (FMOX). The number of MRSA did not increase after PIPC and CEZ administrations compared with the nontreated group. However, it significantly increased in the cases of FMOX and CMZ administration (P < 0.01). In the FMOX- and CMZ-treated groups, the intestinal flora was severely disrupted and the recovery of the number of Escherichia coli and Bacteroides spp. cells was delayed. On the other hand, in the PIPC- and CEZ-treated groups, the rapid recovery of bacteria that composed the intestinal flora was observed. The C(max)/MIC(50) and C(trough)/MIC(50) ratios in E. coli and Bacteroides spp. in the case of FMOX and CMZ were relatively higher than those in the case of the PIPC- and CEZ-treated groups.
Insights
Piperacillin (PIPC) and cefazolin (CEZ) did not increase intestinal methicillin-resistant Staphylococcus aureus (MRSA) in rats. Flomoxef (FMOX) and cefmetazole (CMZ) significantly increased MRSA and disrupted gut flora.
Area of Science:
- Microbiology
- Pharmacology
- Gastroenterology
Background:
- Intestinal microbiota plays a crucial role in maintaining gut health.
- Antibiotic use can significantly disrupt the delicate balance of the intestinal flora.
- Methicillin-resistant Staphylococcus aureus (MRSA) colonization poses a significant health risk.
Purpose of the Study:
- To compare the effects of piperacillin (PIPC), cefazolin (CEZ), cefmetazole (CMZ), and flomoxef (FMOX) on intestinal MRSA colonization and gut microbiota composition.
- To evaluate the impact of these antibiotics on the recovery of key gut bacteria like Escherichia coli and Bacteroides spp.
Main Methods:
- Utilized an established rat model carrying methicillin-resistant Staphylococcus aureus (MRSA) in the intestine.
- Administered different antibiotics (PIPC, CEZ, CMZ, FMOX) and monitored MRSA levels.
- Assessed the composition and recovery of intestinal flora, including Escherichia coli and Bacteroides spp.
Main Results:
- PIPC and CEZ did not lead to an increase in intestinal MRSA.
- FMOX and CMZ significantly increased MRSA colonization (P < 0.01).
- FMOX and CMZ severely disrupted intestinal flora, delaying the recovery of Escherichia coli and Bacteroides spp., unlike PIPC and CEZ which showed rapid bacterial recovery.
Conclusions:
- Piperacillin and cefazolin appear to be safer choices regarding MRSA colonization and gut microbiota disruption compared to flomoxef and cefmetazole.
- The choice of antibiotic can significantly influence the risk of MRSA proliferation and the integrity of the intestinal ecosystem.
Related Concept Videos
Clinical Significance of Antibiotic Resistance
Microbiota Modulation by Antibiotics
Mechanism of Antibiotic Resistance in MRSA

