title: Activity of telithromycin against erythromycin-susceptible and -resistant Streptococcus pneumoniae isolates from adults with invasive infections.
abstract: A telithromycin (TEL) kill-kinetics study was conducted with 120 clinically significant Streptococcus pneumoniae isolates (60 susceptible and 60 highly resistant to erythromycin). Time-kill curves were performed using different antibiotic concentrations. The minimum inhibitory concentrations (MICs) of TEL were low for both erythromycin-susceptible (MIC < or = 0.016 mg/L) and erythromycin-resistant strains (MIC < or = 0.25 mg/L). TEL showed 99.9% killing of all erythromycin resistant strains at 18-24 h of incubation. Even for strains with erythromycin MICs > or = 64.0 mg/L, TEL was uniformly bactericidal at 0.25 mg/L.
authors.affiliation: Infectious Diseases Unit, Hospital Clínic, Barcelona, Spain. marortegaromero@yahoo.es
authors.forename: Mar
authors.initials: M
authors.lastname: Ortega
authors.forename: Francesc
authors.initials: F
authors.lastname: Marco
authors.forename: Manel
authors.initials: M
authors.lastname: Almela
authors.forename: Jorge
authors.initials: J
authors.lastname: Puig
authors.forename: Alex
authors.initials: A
authors.lastname: Soriano
authors.forename: Josep
authors.initials: J
authors.lastname: Mensa
mesh_terms: D000328:Adult; D024881:Drug Resistance, Bacterial; D004917:Erythromycin / Q000494:pharmacology; D006801:Humans; D048628:Ketolides / Q000494:pharmacology*; D008826:Microbial Sensitivity Tests; D011008:Pneumococcal Infections / Q000382:microbiology; D013296:Streptococcus pneumoniae / Q000187:drug effects*
chemical_list: D048628:Ketolides; D004917:Erythromycin; C106791:telithromycin