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Published on: February 17, 2014
Resistance of veillonella to hydrosoluble pristinamycins: a possible outer membrane barrier effect
M Reig1, C Calderón, F Baquero
1Department of Microbiology, Hospital Ramón y Cajal, National Institute of Health (INSALUD), Madrid, Spain.
Abstract:
An in vitro study on 25 Veillonella strains showed a consistent clindamycin susceptibility with resistance to erythromycin and to the hydrosoluble pristinamycins, quinupristin and dalfopristin and its 30:70 combination, the synergistin RP59500. Double erythromycin-clindamycin disk tests did not show any inducible resistance pattern. The addition of 10 or 50 mug/mL of polymyxin B nonapeptide, an outer membrane permeabilizing agent, consistently reduced quinupristin and dalfopristin MICs in most strains. This result suggests that the Veillonella outer membrane may act as a permeability barrier to these antibiotics, as in the case of other Gram-negative bacteria.
Insights
Veillonella bacteria show consistent susceptibility to clindamycin but resistance to pristinamycins. Polymyxin B nonapeptide reduced pristinamycin MICs, suggesting the outer membrane acts as a barrier.
Area of Science:
- Microbiology
- Bacterial Outer Membrane Permeability
- Antimicrobial Resistance
Background:
- Veillonella species are Gram-negative bacteria.
- Understanding their antimicrobial susceptibility is crucial for clinical management.
- The outer membrane of Gram-negative bacteria can influence antibiotic efficacy.
Purpose of the Study:
- To investigate the in vitro antimicrobial susceptibility of Veillonella strains.
- To explore the role of the outer membrane in resistance to specific antibiotics.
- To assess the impact of polymyxin B nonapeptide on antibiotic efficacy.
Main Methods:
- In vitro susceptibility testing of 25 Veillonella strains.
- Antimicrobial susceptibility testing against clindamycin, erythromycin, quinupristin, and dalfopristin.
- Evaluation of polymyxin B nonapeptide's effect on antibiotic Minimum Inhibitory Concentrations (MICs).
Main Results:
- Consistent susceptibility to clindamycin observed across all strains.
- Resistance to erythromycin and hydrosoluble pristinamycins (quinupristin, dalfopristin) was noted.
- Polymyxin B nonapeptide significantly reduced quinupristin and dalfopristin MICs in most strains.
Conclusions:
- Veillonella exhibits a distinct antibiotic susceptibility profile, including clindamycin sensitivity.
- The bacterial outer membrane likely contributes to reduced susceptibility to pristinamycins.
- Targeting the outer membrane may enhance the efficacy of certain antibiotics against Veillonella.
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