2005
OMIG, Abstract 19
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Linezolid and Daptomycin:
Future Ophthalmic Antibiotics?
E. G. Romanowski, R. P. Kowalski, F. S. Mah,
Y. J. Gordon.
The Charles T. Campbell Ophthalmic Microbiology Laboratory,
UPMC Eye Center, University of Pittsburgh, Pittsburgh, PA
Purpose. We evaluated the in vitro
antibacterial activity of the Gram-positive antibiotics linezolid
and daptomycin, and compared those with the in vitro antibacterial
activity of other commonly used ophthalmic antibiotics used for
Gram-positive ocular infections.
Methods. The Minimum Inhibitory
Concentrations (MICs) of 25 consecutive Staphylococcus aureus
endophthalmitis isolates and 25 consecutive Coagulase-Negative
Staphylococci (CNS) endophthalmitis isolates were determined
for linezolid (LZ), daptomycin (DP), moxifloxacin (MX), gatifloxacin
(GA), gentamicin (GM), oxacillin (OX), erythromycin (E), vancomycin
(VA), and cephalothm (CP) using E-tests. Susceptibility was interpreted
using the CLSI standards. MIC5o and MIC9o
determinations are expressed as ug/ml.
Results.
S. aureus |
LZ |
DP |
MX |
GA |
GM |
OX |
E |
VA |
CP |
% Susceptible |
100 |
100 |
72 |
64 |
96 |
40 |
32 |
100 |
100 |
MIC50 |
3 |
0.38 |
1.5 |
2 |
0.5 |
48 |
>256 |
1.5 |
1 |
MIC90 |
4 |
0.5 |
4 |
8 |
0.75 |
>256 |
>256 |
2 |
2 |
CNS |
LZ |
DP |
MX |
GA |
GM |
OX |
E |
VA |
CP |
% Susceptible |
100 |
100 |
72 |
76 |
84 |
24 |
32 |
100 |
100 |
MIC50 |
1.5 |
0.5 |
0.125 |
0.19 |
0.094 |
1 |
64 |
3 |
0.5 |
MIC90 |
2 |
0.75 |
32 |
64 |
6 |
6 |
>256 |
3 |
0.75 |
Conclusions. Linezolid and daptomycin, along with
vancomycin and cephalothin (cefazolin), demonstrated 100% in vitro
susceptibility for the Staphylococcus aureus and Coagulase-
Negative Staphylococci endophthalmitis isolates tested.
Our results suggest that further studies to determine the full potential
of these antibiotics in ophthalmology are warranted.
Disclosure code:N
Support: NIH EY08227, EY08098
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