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Activity of ceftaroline against recent emerging serotypes of Streptococcus pneumoniae in the United States
Michael R Jacobs1, Caryn E Good, Anne R Windau
1Department of Pathology, University Hospitals Case Medical Center/CWRU, Cleveland, OH 44106, USA. mrj6@cwru.edu
Abstract:
The in vitro activity of ceftaroline against 891 pneumococci collected in 2008 from 22 centers in the United States was investigated. Ceftaroline was the most potent agent tested, with the MICs being <0.008 to 0.5 microg/ml and the MIC(90)s being <0.008 to 0.25 microg/ml against 11 prevailing serotypes. The overall rates of susceptibility were as follows: penicillin G, 86.2%; ceftriaxone, 90.7%; cefuroxime, 70.1%; erythromycin, 61.6%; clindamycin, 79.2%; levofloxacin, 99.4%; and vancomycin, 100%. Serotype 19A isolates were the least susceptible. These results support the use of ceftaroline for the treatment of pneumococcal infections, including those caused by pneumococci resistant to other agents.
Insights
Ceftaroline demonstrated potent in vitro activity against pneumococci, including resistant strains. This finding supports its use for treating pneumococcal infections.
Area of Science:
- Microbiology
- Infectious Diseases
- Pharmacology
Background:
- Pneumococcal infections remain a significant public health concern.
- Antimicrobial resistance in Streptococcus pneumoniae necessitates ongoing surveillance and evaluation of new therapeutic agents.
Purpose of the Study:
- To evaluate the in vitro activity of ceftaroline against a large collection of contemporary pneumococcal isolates.
- To compare the potency of ceftaroline with other commonly used antibiotics against Streptococcus pneumoniae.
Main Methods:
- In vitro susceptibility testing was performed on 891 Streptococcus pneumoniae isolates.
- Minimum Inhibitory Concentrations (MICs) and MIC90 values were determined for ceftaroline and comparator agents.
- Isolates were collected from 22 centers across the United States in 2008.
Main Results:
- Ceftaroline exhibited potent activity, with MICs ranging from <0.008 to 0.5 microg/ml and MIC90s from <0.008 to 0.25 microg/ml against 11 prevalent serotypes.
- Overall susceptibility rates varied: levofloxacin (99.4%) and vancomycin (100%) showed high susceptibility, while others like erythromycin (61.6%) and cefuroxime (70.1%) were lower.
- Serotype 19A isolates displayed the lowest susceptibility rates among the tested strains.
Conclusions:
- Ceftaroline is a highly potent antimicrobial agent against Streptococcus pneumoniae.
- The data support the clinical utility of ceftaroline for treating pneumococcal infections, even those involving strains resistant to other antibiotics.
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