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J Med Microbiol 56 (2007), 1189-1193; DOI: 10.1099/jmm.0.46710-0
© 2007 Society for General Microbiology
ISSN 1473-5644

Prevalence and regional variation in meticillin-resistant Staphylococcus aureus (MRSA) in the USA and comparative in vitro activity of tigecycline, a glycylcycline antimicrobial

Debra A. Goff1 and Michael J. Dowzicky2

1 The Ohio State University Medical Center, Department of Pharmacy, Columbus, OH 43210, USA

2 Wyeth Pharmaceuticals, Collegeville, PA, USA

Correspondence
Debra A. Goff
debbie.goff{at}osumc.edu

Received 10 May 2006
Accepted 13 February 2007


The Tigecycline Evaluation and Surveillance Trial (T.E.S.T.) is a surveillance study established in 2004 to monitor the activity of tigecycline, the first glycylcycline, and comparator agents [ß-lactams (including penicillins, cephalosporins and carbapenems), glycopeptides, tetracyclines, fluoroquinolones and oxazolidinones] against Gram-positive and Gram-negative pathogens worldwide. This report examines 1692 isolates of Staphylococcus aureus collected in the continental United States between January 2004 and September 2005. Meticillin-resistant S. aureus (MRSA) accounted for 52.0 % of isolates. Prevalence of MRSA by state ranged from 12.5 % in New Hampshire to 100 % in Kentucky. All isolates were susceptible to tigecycline, linezolid and vancomycin. In vitro, tigecycline was potent against both meticillin-susceptible S. aureus (MSSA) (MIC50 and MIC90=0.12 µg ml–1) and MRSA (MIC50=0.12 µg ml–1; MIC90=0.25 µg ml–1). Only a single isolate was resistant to three or more antimicrobial classes. Ninety-six isolates (5.7 %) were susceptible to the complete antimicrobial panel.


Abbreviations: cIAI; complicated intra-abdominal infection; MRSA, meticillin-resistant Staphylococcus aureus; CA-MRSA, community-associated MRSA; HA-MRSA, healthcare-acquired MRSA; MSSA, meticillin-susceptible S. aureus; SSSI, skin and skin-structure infection.

All MIC testing was done locally following a standard protocol.







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