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Updated: Jun 6, 2026

Experimental Endocarditis Model of Methicillin Resistant Staphylococcus aureus (MRSA) in Rat
Published on: June 4, 2012
Efficacy of fosfomycin in experimental osteomyelitis due to methicillin-resistant Staphylococcus aureus
W Poeppl1, S Tobudic, T Lingscheid
1Department of Internal Medicine I, Division of Infectious Diseases, Medical University of Vienna, Vienna, Austria.
Abstract:
The activity of fosfomycin was evaluated in an experimental methicillin-resistant Staphylococcus aureus (MRSA) osteomyelitis model. Eighteen rats were treated for 4 weeks with 150 mg of fosfomycin/kg of body weight intraperitoneally once daily or with saline placebo. After treatment, animals were euthanized and the infected tibiae were processed for quantitative bacterial culture. Bone cultures were positive for methicillin-resistant S. aureus in all 9 (100%) untreated controls and in 2 of 9 (22.2%) fosfomycin-treated rats. Thus, fosfomycin treatment was significantly more efficacious than placebo. No development of resistance was observed after the 4-week treatment period.
Insights
Fosfomycin effectively treated experimental methicillin-resistant Staphylococcus aureus (MRSA) osteomyelitis in rats, significantly reducing bacterial bone infections. No resistance developed during the four-week study.
Area of Science:
- Infectious Diseases
- Pharmacology
- Orthopedics
Background:
- Methicillin-resistant Staphylococcus aureus (MRSA) is a significant cause of osteomyelitis.
- Effective treatment options for MRSA osteomyelitis remain limited.
- Fosfomycin is a broad-spectrum antibiotic with potential activity against MRSA.
Purpose of the Study:
- To evaluate the efficacy of fosfomycin in a rat model of MRSA osteomyelitis.
- To assess the development of antibiotic resistance during treatment.
Main Methods:
- An experimental osteomyelitis model was established in rats using MRSA.
- Rats were treated with daily intraperitoneal injections of fosfomycin (150 mg/kg) or saline placebo for four weeks.
- Quantitative bacterial cultures of infected tibiae were performed post-treatment.
Main Results:
- Fosfomycin treatment resulted in significantly lower rates of positive bone cultures compared to placebo (22.2% vs. 100%).
- All untreated control rats had positive bone cultures for MRSA.
- No development of fosfomycin resistance was observed after four weeks of treatment.
Conclusions:
- Fosfomycin demonstrates significant efficacy in treating experimental MRSA osteomyelitis.
- Fosfomycin is a promising therapeutic option for MRSA bone infections.
- The 4-week treatment course did not induce resistance in MRSA.
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