title: Emergence, mechanism, and clinical implications of reduced glycopeptide susceptibility in Staphylococcus aureus.
abstract: In order to understand the mechanism(s) of the resistance/reduced susceptibility of Staphylococcus aureus to glycopeptide antibiotics, the current data on the modes of action of glycopeptides were reviewed. In addition, the different test systems for detecting vancomycin resistance and the clinical relevance of resistant Staphylococcus aureus were analyzed. Finally, strategies to prevent the nosocomial spread of these bacteria are presented, as are new therapeutic options.
authors.affiliation: Institut für Medizinische Mikrobiologie und Virologie der Heinrich Heine Universität Düsseldorf, Germany. R.Geisel@uni-duesseldorf.de
authors.forename: R
authors.initials: R
authors.lastname: Geisel
authors.forename: F J
authors.initials: FJ
authors.lastname: Schmitz
authors.forename: A C
authors.initials: AC
authors.lastname: Fluit
authors.forename: H
authors.initials: H
authors.lastname: Labischinski
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology* / Q000627:therapeutic use; D004305:Dose-Response Relationship, Drug; D006801:Humans; D008826:Microbial Sensitivity Tests; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D013203:Staphylococcal Infections / Q000188:drug therapy*; D013211:Staphylococcus aureus / Q000187:drug effects* / Q000302:isolation & purification / Q000502:physiology; D014640:Vancomycin / Q000494:pharmacology* / Q000627:therapeutic use; D020713:Vancomycin Resistance / Q000502:physiology*
chemical_list: D000900:Anti-Bacterial Agents; D014640:Vancomycin