In vitro efficacy of Daptomycin against clinical isolates of Methicillin-resistant Staphylococcus aureus (MRSA)

J Pak Med Assoc. 2021 Jan;71(1(B)):338-340. doi: 10.47391/JPMA.145.

Abstract

This descriptive cross-sectional study was performed in the Department of Microbiology, Fauji Foundation Hospital, Rawalpindi, from March 2019 to September 2019 to determine the in vitro efficacy of Daptomycin against clinical isolates of Methicillin-Resistant Staphylococcus aureus (MRSA). Consecutive non-probability sampling technique was used and a total number of 270 patients' Pan Cultures having MRSA growth on Cefoxatin Disc with size less than 22 mm zone size were included in the study. Cultures were inoculated on MacConkey, Chocolate and Blood agar and then incubated for 24 hours at 37 degree Celsius. After incubation, Coagulase test, Catalase test and Gram staining technique were used for further identification. Minimum Inhibitory Concentration (MIC) of the isolates for Daptomycin was obtained by using E strips (Oxoid UK) according to Clinical & Laboratory Standards Institute (CLSI) guidelines. The mean age of the patients was 46.73±12.22 years, and the study included 147 (54.44%) males and 123 (45.56%) females. Regarding the type of specimen, there were 154 (57.04%) pus specimens, 54 (20.00%) blood specimens, 27 (10.00%) fluid specimens, 18 (6.67%) urine specimens, 10 (3.70%) high vaginal swabs (HVS) specimens and 7 (2.59%) sputum specimens. Daptomycin was effective in 264 (97.78%) patients with MIC range from .015 to 1 µg/ml on E strip.

Keywords: Methicillin Resistance Staphylococcus aureus, Daptomycin, In vitro efficacy..

MeSH terms

  • Adult
  • Anti-Bacterial Agents / pharmacology
  • Cross-Sectional Studies
  • Daptomycin* / pharmacology
  • Female
  • Humans
  • Male
  • Methicillin-Resistant Staphylococcus aureus*
  • Microbial Sensitivity Tests
  • Middle Aged
  • Staphylococcal Infections* / drug therapy

Substances

  • Anti-Bacterial Agents
  • Daptomycin