Inducible clindamycin resistance in Staphylococci: Should clinicians and microbiologists be concerned?

The increasing incidence of a variety of infections due to Staphylococcus aureus and the expanding role of community-associated methicillin-resistant S. aureus has led to an emphasis on the need for safe and effective agents to treat both systemic and localized Staphylococcal infections. Several new...

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Main Authors: Madhumati Kamat, M A Vagarali, S G Karadesai
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Journal of the Scientific Society
Subjects:
Online Access:http://www.jscisociety.com/article.asp?issn=0974-5009;year=2012;volume=39;issue=1;spage=7;epage=9;aulast=Kamat
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author Madhumati Kamat
M A Vagarali
S G Karadesai
author_facet Madhumati Kamat
M A Vagarali
S G Karadesai
author_sort Madhumati Kamat
collection DOAJ
description The increasing incidence of a variety of infections due to Staphylococcus aureus and the expanding role of community-associated methicillin-resistant S. aureus has led to an emphasis on the need for safe and effective agents to treat both systemic and localized Staphylococcal infections. Several newer antimicrobial agents are available for treatment of systemic Staphylococcal infections, but their use may be limited by the relatively high cost of these agents or the need forparenteral administration. Clindamycin has been used successfully to treat soft-tissue and musculoskeletal infections due to MRSA, in adults and children. However, concern over the possibility of the emergence of clindamycin resistance during therapy has discouraged some clinicians from prescribing that agent. Simple laboratory testing (e.g., the erythromycin-clindamycin ′D-zone′ test) can separate strains that have the genetic potential (i.e., the presence of erm genes) to become resistant during therapy, from strains that are fully susceptible to clindamycin.
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spelling doaj.art-ce246f18a6d6466b95ddecaa8cc61e252022-12-22T03:04:28ZengWolters Kluwer Medknow PublicationsJournal of the Scientific Society0974-50092012-01-013917910.4103/0974-5009.96459Inducible clindamycin resistance in Staphylococci: Should clinicians and microbiologists be concerned?Madhumati KamatM A VagaraliS G KaradesaiThe increasing incidence of a variety of infections due to Staphylococcus aureus and the expanding role of community-associated methicillin-resistant S. aureus has led to an emphasis on the need for safe and effective agents to treat both systemic and localized Staphylococcal infections. Several newer antimicrobial agents are available for treatment of systemic Staphylococcal infections, but their use may be limited by the relatively high cost of these agents or the need forparenteral administration. Clindamycin has been used successfully to treat soft-tissue and musculoskeletal infections due to MRSA, in adults and children. However, concern over the possibility of the emergence of clindamycin resistance during therapy has discouraged some clinicians from prescribing that agent. Simple laboratory testing (e.g., the erythromycin-clindamycin ′D-zone′ test) can separate strains that have the genetic potential (i.e., the presence of erm genes) to become resistant during therapy, from strains that are fully susceptible to clindamycin.http://www.jscisociety.com/article.asp?issn=0974-5009;year=2012;volume=39;issue=1;spage=7;epage=9;aulast=KamatClindamycinD testerythromycininducibleS. aureus
spellingShingle Madhumati Kamat
M A Vagarali
S G Karadesai
Inducible clindamycin resistance in Staphylococci: Should clinicians and microbiologists be concerned?
Journal of the Scientific Society
Clindamycin
D test
erythromycin
inducible
S. aureus
title Inducible clindamycin resistance in Staphylococci: Should clinicians and microbiologists be concerned?
title_full Inducible clindamycin resistance in Staphylococci: Should clinicians and microbiologists be concerned?
title_fullStr Inducible clindamycin resistance in Staphylococci: Should clinicians and microbiologists be concerned?
title_full_unstemmed Inducible clindamycin resistance in Staphylococci: Should clinicians and microbiologists be concerned?
title_short Inducible clindamycin resistance in Staphylococci: Should clinicians and microbiologists be concerned?
title_sort inducible clindamycin resistance in staphylococci should clinicians and microbiologists be concerned
topic Clindamycin
D test
erythromycin
inducible
S. aureus
url http://www.jscisociety.com/article.asp?issn=0974-5009;year=2012;volume=39;issue=1;spage=7;epage=9;aulast=Kamat
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AT mavagarali inducibleclindamycinresistanceinstaphylococcishouldcliniciansandmicrobiologistsbeconcerned
AT sgkaradesai inducibleclindamycinresistanceinstaphylococcishouldcliniciansandmicrobiologistsbeconcerned