Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-30T21:47:45.179Z Has data issue: false hasContentIssue false

Institution-wide and Within-Patient Evolution of Daptomycin Susceptibility in Vancomycin-Resistant Enterococcus faecium Bloodstream Infections

Published online by Cambridge University Press:  14 January 2018

Robert J. Woods*
Affiliation:
Department of Internal Medicine, Michigan Medicine, Ann Arbor, Michigan
Twisha S. Patel
Affiliation:
Department of Pharmacy, Michigan Medicine, Ann Arbor, Michigan
Jerod L. Nagel
Affiliation:
Department of Pharmacy, Michigan Medicine, Ann Arbor, Michigan
Duane W. Newton
Affiliation:
Department of Pathology, Michigan Medicine, Ann Arbor, Michigan
Andrew F. Read
Affiliation:
Department of Biology, The Pennsylvania State University, University Park, Pennsylvania
*
Address correspondence to Robert J. Woods, MD, PhD, 5510C MSRB I, SPC 5680; 1150 W. Medical Center Dr, Ann Arbor, MI 48109-5680 ([email protected]).

Abstract

We report daptomycin minimum inhibitory concentrations (MICs) for vancomycin-resistant Enterococcus faecium isolated from bloodstream infections over a 4-year period. The daptomycin MIC increased over time hospital-wide for initial isolates and increased over time within patients, culminating in 40% of patients having daptomycin-nonsusceptible isolates in the final year of the study.

Infect Control Hosp Epidemiol 2018;39:226–228

Type
Concise Communications
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

PREVIOUS PRESENTATION: These results were previously presented as poster number D-1176 at the 55th Annual Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC), September 17, 2015, in San Diego, California.

References

REFERENCES

1. Kamboj, M, Cohen, N, Gilhuley, K, Babady, NE, Seo, SK, Sepkowitz, KA. Emergence of daptomycin-resistant VRE: experience of a single institution. Infect Control Hosp Epidemiol 2011;32:391394.Google Scholar
2. Storm, JC, Diekema, DJ, Kroeger, JS, Johnson, SJ, Johannsson, B. Daptomycin exposure precedes infection and/or colonization with daptomycin non-susceptible Enterococcus . Antimicrob Resist Infect Control 2012;1:19.Google Scholar
3. Wang, G, Kamalakaran, S, Dhand, A, et al. Identification of a novel clone, ST736, among Enterococcus faecium clinical isolates and its association with daptomycin nonsusceptibility. Antimicrob Agent Chemother 2014;58:48484854.Google Scholar
4. Judge, T, Pogue, JM, Marchaim, D, et al. Epidemiology of vancomycin-resistant enterococci with reduced susceptibility to daptomycin. Infect Control Hosp Epidemiol 2012;33:12501254.Google Scholar
5. Shukla, BS, Shelburne, S, Reyes, K, et al. Influence of minimum inhibitory concentration in clinical outcomes of Enterococcus faecium bacteremia treated with daptomycin: Is it time to change the breakpoint? Clin Infect Dis 2016;62:15141520.CrossRefGoogle ScholarPubMed
6. Lipsitch, M, Bergstrom, CT, Levin, BR. The epidemiology of antibiotic resistance in hospitals: paradoxes and prescriptions. Proc Natl Acad Sci U S A 2000;97:19381943.CrossRefGoogle ScholarPubMed
7. Lellek, H, Franke, GC, Ruckert, C, et al. Emergence of daptomycin non-susceptibility in colonizing vancomycin-resistant Enterococcus faecium isolates during daptomycin therapy. Int J Med Microbiol 2015;305:902909.Google Scholar
8. Pamer, EG. Resurrecting the intestinal microbiota to combat antibiotic-resistant pathogens. Science 2016;352:535538.Google Scholar
9. Day, T, Read, AF. Does high-dose antimicrobial chemotherapy prevent the evolution of resistance? PLoS Comput Biol 2016;12:e1004689.CrossRefGoogle ScholarPubMed
10. Munita, JM, Panesso, D, Diaz, L, et al. Correlation between mutations in liaFSR of Enterococcus faecium and MIC of daptomycin: revisiting daptomycin breakpoints. Antimicrob Agents Chemother 2012;56:43544359.Google Scholar