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Updated: Apr 4, 2026

Biosensor for Detection of Antibiotic Resistant Staphylococcus Bacteria
Published on: May 8, 2013
[Cloxacillin-susceptible Staphylococcus aureus with high MIC to glycopeptides. Ever we use cloxacillin?]
Alejandra Morales-Cartagena, Antonio Lalueza, Rafael San Juan
1José María Aguado, Unidad de Enfermedades Infecciosas. Hospital Universitario 12 de Octubre, Madrid, Spain. jaguadog1@gmail.com.
Abstract:
Staphylococcus aureus infections are yet an important cause of morbidity and mortality despite of numerous effective anti-staphylococcal antibiotics available. There has been an increasing incidence of methicillin-resistant strains which might have led to a wider use of vancomycin. This seems to ride alongside a covert progressive increase of S. aureus vancomycin minimum inhibitory concentration. In this way, the emergence of vancomycin-intermediate S. aureus (VISA) strains and heteroresistant-VISA has raised concern for the scarcity of alternative treatment options. Equally alarming, though fortunately less frequent, is the emergence of vancomycin-resistant S. aureus. Ultimately, various debate issues have arisen regarding the emergence of S. aureus strains with decreased vancomycin susceptibility, within the range still considered sensitive. These strains have shown a different clinical behaviour regardless of vancomycin use, both in methicillin resistant and sensitive S. aureus. The emergence of increasing vancomycin-resistance in S. aureus isolates, has stirred up the basis of therapeutic approach in staphylococcal infections. There is yet much to explore to better define the impact of higher vancomycin minimum inhibitory concentration in staphylococcal infections.
Insights
Increasing vancomycin resistance in Staphylococcus aureus strains, including VISA, is a growing concern. This necessitates exploring alternative treatments and understanding the clinical impact of reduced vancomycin susceptibility.
Area of Science:
- Microbiology
- Infectious Diseases
- Pharmacology
Context:
- Staphylococcus aureus infections remain a significant cause of illness and death.
- Rising rates of methicillin-resistant S. aureus (MRSA) have increased vancomycin usage.
- A concerning rise in vancomycin minimum inhibitory concentration (MIC) for S. aureus has been observed.
Purpose:
- To highlight the emergence of vancomycin-intermediate S. aureus (VISA) and vancomycin-resistant S. aureus (VRSA) strains.
- To address the clinical implications of S. aureus strains with decreased vancomycin susceptibility.
- To underscore the need for further research into the impact of elevated vancomycin MICs.
Summary:
- The increasing incidence of S. aureus strains with reduced susceptibility to vancomycin, including VISA and VRSA, poses a significant challenge.
- These resistant strains exhibit altered clinical behavior, irrespective of vancomycin use in both MRSA and methicillin-sensitive S. aureus.
- The diminishing effectiveness of vancomycin necessitates a re-evaluation of therapeutic strategies for staphylococcal infections.
Impact:
- The emergence of vancomycin resistance threatens current treatment paradigms for S. aureus infections.
- Scarcity of alternative treatment options for infections caused by resistant strains is alarming.
- Further investigation is crucial to fully understand the clinical impact of higher vancomycin MICs in staphylococcal infections.
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