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Published on: October 10, 2017
[In vitro activity of daptomycin against strains isolated from diabetic foot ulcers]
A Sotto1, D Laouini, N Bouziges
1UFR de Médecine, Institut National de la Santé et de la Recherche Médicale, ESPRI 26, Université Montpellier-1, avenue Kennedy, 30908 Nîmes cedex 02, France.
Purpose Of The Study:
The aim of this study was to evaluate the in vitro activity of daptomycin and other comparator agents against bacterial strains isolated from diabetic foot infections (DFI).
Patients And Methods:
All diabetic patients hospitalized for a first episode of DFI (stage 2 to 4, according to the International Working Group of Diabetic Foot classification) were selected in Nîmes University hospital between June 2006 to August 2007. MIC were determined using E-test strip (AB Biodisk) and custom broth microdilution panels against bacterial strains isolated from foot samples.
Results:
Two hundred strains were studied. Daptomycin was active against 99.5% of all the strains especially Streptococcus sp. (100%), Enterococcus sp. (100%), coagulase-negative Staphylococcus (100%) and methicillin-susceptible Staphylococcus aureus (100%). Exclusively, one methicillin-resistant S. aureus strain was not covered by this antibiotic.
Conclusions:
Daptomycin, a new broad spectrum antimicrobial agent against Gram-positive cocci, is qualified to belong to the therapeutic arsenal package of complicated skin and soft tissue infections in diabetic patients after microbial documentation.