Scientific article
English

Tolerance of staphylococci to bactericidal antibiotics

Published inInjury, vol. 37, no. Suppl 2, p. S15-19
Publication date2006
Abstract

Antibiotic therapy for deep-seated staphylococcal infections, especially when they are associated with artificial devices used for orthopedic surgery is often associated with failure. Standard anti-staphylococcal bactericidal antibiotics, such as semi-synthetic penicillins, cephalosporins, or glycopeptides, are effective when given prophylactically in clinical conditions or experimental trials of implant-related infections. However, the efficacy of all anti-staphylococcal agents is seriously diminished on already established implant-related deep-seated infections, which then frequently require surgical implant removal to obtain a cure. The failure of antibiotic therapy to cure established staphylococcal foreign-body infections may arise in part from a broad-spectrum phenotypic tolerance expressed in vivo to different classes of antimicrobial agents. The molecular and physiological mechanisms of this in vivo tolerance remain poorly understood.

Keywords
  • Animals
  • Anti-Bacterial Agents/ therapeutic use
  • Disease Models, Animal
  • Drug Resistance, Bacterial
  • Guinea Pigs
  • Humans
  • Orthopedic Procedures/adverse effects
  • Prostheses and Implants/adverse effects
  • Prosthesis-Related Infections/drug therapy
  • Rats
  • Staphylococcal Infections/drug therapy/ microbiology
  • Staphylococcus/ drug effects/pathogenicity
  • Virulence
Citation (ISO format)
VAUDAUX, Pierre, LEW, Daniel Pablo. Tolerance of staphylococci to bactericidal antibiotics. In: Injury, 2006, vol. 37, n° Suppl 2, p. S15–19. doi: 10.1016/j.injury.2006.04.004
Main files (1)
Article
accessLevelRestricted
Identifiers
Journal ISSN0020-1383
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