In vitro activity of recombinant lysostaphin in combination with linezolid, vancomycin and oxacillin against methicillin-resistant Staphylococcus aureus

Background and Objectives: The antimicrobial combination with synergistic mechanism is recommended to provide broad-spectrum coverage, and prevent the emergence of resistant mutants. In the present study, the synergistic activity of lysostaphin with linezolid, oxacillin and vancomycin, against methi...

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Main Authors: Nagalakshmi Narasimhaswamy, Indira Bairy, Gautham Shenoy, Laxminarayana Bairy
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2017-11-01
Series:Iranian Journal of Microbiology
Subjects:
Online Access:https://ijm.tums.ac.ir/index.php/ijm/article/view/1285
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author Nagalakshmi Narasimhaswamy
Indira Bairy
Gautham Shenoy
Laxminarayana Bairy
author_facet Nagalakshmi Narasimhaswamy
Indira Bairy
Gautham Shenoy
Laxminarayana Bairy
author_sort Nagalakshmi Narasimhaswamy
collection DOAJ
description Background and Objectives: The antimicrobial combination with synergistic mechanism is recommended to provide broad-spectrum coverage, and prevent the emergence of resistant mutants. In the present study, the synergistic activity of lysostaphin with linezolid, oxacillin and vancomycin, against methicillin-resistant Staphylococcus aureus (MRSA) clinical isolates was determined. Materials and Methods: Seventy-three MRSA isolates collected from clinical specimens were tested, for in vitro synergistic activity of lysostaphin with linezolid, vancomycin and oxacillin, by checkerboard assay.  Results: Lysostaphin showed synergistic activity with linezolid and oxacillin, against all MRSA isolates, tested in the present study. Whereas, only 19.1% of the isolates showed synergistic activity with vancomycin and remaining 80.9% of the MRSA isolates showed additive activity. Conclusion: Lysostaphin causes rapid lysis of S. aureus. Combination therapies that include linezolid and lysostaphin could be used in life-threatening infections, such as endocarditis to increase the early in vivo activity of the antibiotics, and to prevent the emergence of linezolid resistant mutants. Further, in vivo studies are warranted to confirm our results.
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spelling doaj.art-ae726785237f4adfb774b9300dbfdaed2022-12-22T04:08:17ZengTehran University of Medical SciencesIranian Journal of Microbiology2008-32892008-44472017-11-0194In vitro activity of recombinant lysostaphin in combination with linezolid, vancomycin and oxacillin against methicillin-resistant Staphylococcus aureusNagalakshmi Narasimhaswamy0Indira Bairy1Gautham Shenoy2Laxminarayana Bairy3Department of Microbiology, Melaka Manipal Medical College (Manipal Campus) Manipal University, Manipal, Karnataka 576104, IndiaDepartment of Microbiology, Melaka Manipal Medical College (Manipal Campus) Manipal University, Manipal, Karnataka 576104, IndiaDepartment of Pharmaceutical Chemistry, Manipal College of Pharmaceutical Sciences, Manipal University, Manipal, Karnataka 576104, IndiaDepartment of Pharmacology, RAK Medical and Health Sciences University, Ras Al Khaimah, UAEBackground and Objectives: The antimicrobial combination with synergistic mechanism is recommended to provide broad-spectrum coverage, and prevent the emergence of resistant mutants. In the present study, the synergistic activity of lysostaphin with linezolid, oxacillin and vancomycin, against methicillin-resistant Staphylococcus aureus (MRSA) clinical isolates was determined. Materials and Methods: Seventy-three MRSA isolates collected from clinical specimens were tested, for in vitro synergistic activity of lysostaphin with linezolid, vancomycin and oxacillin, by checkerboard assay.  Results: Lysostaphin showed synergistic activity with linezolid and oxacillin, against all MRSA isolates, tested in the present study. Whereas, only 19.1% of the isolates showed synergistic activity with vancomycin and remaining 80.9% of the MRSA isolates showed additive activity. Conclusion: Lysostaphin causes rapid lysis of S. aureus. Combination therapies that include linezolid and lysostaphin could be used in life-threatening infections, such as endocarditis to increase the early in vivo activity of the antibiotics, and to prevent the emergence of linezolid resistant mutants. Further, in vivo studies are warranted to confirm our results.https://ijm.tums.ac.ir/index.php/ijm/article/view/1285LysostaphinMethicillin resistant Staphylococcus aureus (MRSA)Synergistic activity
spellingShingle Nagalakshmi Narasimhaswamy
Indira Bairy
Gautham Shenoy
Laxminarayana Bairy
In vitro activity of recombinant lysostaphin in combination with linezolid, vancomycin and oxacillin against methicillin-resistant Staphylococcus aureus
Iranian Journal of Microbiology
Lysostaphin
Methicillin resistant Staphylococcus aureus (MRSA)
Synergistic activity
title In vitro activity of recombinant lysostaphin in combination with linezolid, vancomycin and oxacillin against methicillin-resistant Staphylococcus aureus
title_full In vitro activity of recombinant lysostaphin in combination with linezolid, vancomycin and oxacillin against methicillin-resistant Staphylococcus aureus
title_fullStr In vitro activity of recombinant lysostaphin in combination with linezolid, vancomycin and oxacillin against methicillin-resistant Staphylococcus aureus
title_full_unstemmed In vitro activity of recombinant lysostaphin in combination with linezolid, vancomycin and oxacillin against methicillin-resistant Staphylococcus aureus
title_short In vitro activity of recombinant lysostaphin in combination with linezolid, vancomycin and oxacillin against methicillin-resistant Staphylococcus aureus
title_sort in vitro activity of recombinant lysostaphin in combination with linezolid vancomycin and oxacillin against methicillin resistant staphylococcus aureus
topic Lysostaphin
Methicillin resistant Staphylococcus aureus (MRSA)
Synergistic activity
url https://ijm.tums.ac.ir/index.php/ijm/article/view/1285
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AT indirabairy invitroactivityofrecombinantlysostaphinincombinationwithlinezolidvancomycinandoxacillinagainstmethicillinresistantstaphylococcusaureus
AT gauthamshenoy invitroactivityofrecombinantlysostaphinincombinationwithlinezolidvancomycinandoxacillinagainstmethicillinresistantstaphylococcusaureus
AT laxminarayanabairy invitroactivityofrecombinantlysostaphinincombinationwithlinezolidvancomycinandoxacillinagainstmethicillinresistantstaphylococcusaureus