Antimicrobial activity of omiganan pentahydrochloride tested against contemporary bacterial pathogens commonly responsible for catheter-associated infections

Objectives: Omiganan pentahydrochloride is a cidal cationic peptide with a broad antimicrobial spectrum, including yeast, currently in development as a topical agent for the prevention of catheter-associated infections. We evaluated the spectrum and potency of omiganan against pathogens commonly ass...

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Detalhes bibliográficos
Autores: Fritsche, Thomas R., Rhomberg, Paul R., Sader, Helio S. [UNIFESP], Jones, Ronald N.
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2008
País:Brasil
Recursos:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:inglés
OAI Identifier:oai:repositorio.unifesp.br:11600/30611
Acesso em linha:http://dx.doi.org/10.1093/jac/dkn074
http://repositorio.unifesp.br/handle/11600/30611
Access Level:acceso abierto
Palavra-chave:cationic peptides
topical antimicrobials
resistance
bloodstream infections
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spelling Antimicrobial activity of omiganan pentahydrochloride tested against contemporary bacterial pathogens commonly responsible for catheter-associated infectionscationic peptidestopical antimicrobialsresistancebloodstream infectionsObjectives: Omiganan pentahydrochloride is a cidal cationic peptide with a broad antimicrobial spectrum, including yeast, currently in development as a topical agent for the prevention of catheter-associated infections. We evaluated the spectrum and potency of omiganan against pathogens commonly associated with such infections.Methods: A recent (2005-06) collection of bacterial isolates originating from patients with bloodstream, respiratory tract, and skin and skin structure infections in US medical centres was evaluated by reference broth microdilution methods against omiganan and comparator agents.Results: All tested Gram-positive (390) and -negative (167) isolates were inhibited by <= 128 and <= 1024 mg/L, respectively, of omiganan. the agent was the most active against coagulase-negative staphylococci (range 1-8 mg/L; MIC50/90, 4 mg/L) and inhibited all Staphylococcus aureus at <= 32 mg/L (MIC50/90, 16 mg/L). Omiganan was 16-fold more active against Enterococcus faecium than Enterococcus faecalis (MIC50/90 results, 4/8 versus 64/128 mg/L, respectively). MIC ranges and MIC50 potencies were unaffected by methicillin resistance in staphylococci, vancomycin resistance in enterococci, and penicillin resistance in streptococci. Omiganan potency was also unaffected by extended-spectrum beta-lactamase (ESBL) production in Escherichia coli when compared with wild-type strains (MIC50 values 32 mg/L), although a 4-fold increase was noted among ESBL-positive Klebsiella spp. (128 versus 32 mg/L, respectively). Wild-type Enterobacter spp. displayed higher omiganan MIC50/90 results (64/512 mg/L) compared with AmpC-hyperproducing strains (32/64 mg/L). Carbapenem-susceptible and -resistant P. aeruginosa strains exhibited omiganan MIC50/90 values of 128/256 mg/L.Conclusions: At a 1% (10 000 mg/L) topical gel formulation, omiganan can be expected to inhibit all clinically relevant bacterial species producing catheter-associated infections (all MIC values, <= 1024 mg/L), including those with antimicrobial-resistant phenotypes.JMI Lab, N Liberty, IA 52317 USAUniversidade Federal de São Paulo, São Paulo, BrazilTufts Univ, Sch Med, Boston, MA 02111 USAUniversidade Federal de São Paulo, São Paulo, BrazilWeb of ScienceOxford Univ PressJMI LabUniversidade Federal de São Paulo (UNIFESP)Tufts Univ2016-01-24T13:49:46Z2016-01-24T13:49:46Z2008-05-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion1092-1098http://dx.doi.org/10.1093/jac/dkn074Journal of Antimicrobial Chemotherapy. Oxford: Oxford Univ Press, v. 61, n. 5, p. 1092-1098, 2008.10.1093/jac/dkn0740305-7453http://repositorio.unifesp.br/handle/11600/30611WOS:000254955300022ark:/48912/0013000023mxfengJournal of Antimicrobial Chemotherapyinfo:eu-repo/semantics/openAccesshttp://www.oxfordjournals.org/access_purchase/self-archiving_policyb.htmlreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPFritsche, Thomas R.Rhomberg, Paul R.Sader, Helio S. [UNIFESP]Jones, Ronald N.2016-01-24T11:49:46Zoai:repositorio.unifesp.br:11600/30611Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652016-01-24T11:49:46Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Antimicrobial activity of omiganan pentahydrochloride tested against contemporary bacterial pathogens commonly responsible for catheter-associated infections
title Antimicrobial activity of omiganan pentahydrochloride tested against contemporary bacterial pathogens commonly responsible for catheter-associated infections
spellingShingle Antimicrobial activity of omiganan pentahydrochloride tested against contemporary bacterial pathogens commonly responsible for catheter-associated infections
Fritsche, Thomas R.
cationic peptides
topical antimicrobials
resistance
bloodstream infections
title_short Antimicrobial activity of omiganan pentahydrochloride tested against contemporary bacterial pathogens commonly responsible for catheter-associated infections
title_full Antimicrobial activity of omiganan pentahydrochloride tested against contemporary bacterial pathogens commonly responsible for catheter-associated infections
title_fullStr Antimicrobial activity of omiganan pentahydrochloride tested against contemporary bacterial pathogens commonly responsible for catheter-associated infections
title_full_unstemmed Antimicrobial activity of omiganan pentahydrochloride tested against contemporary bacterial pathogens commonly responsible for catheter-associated infections
title_sort Antimicrobial activity of omiganan pentahydrochloride tested against contemporary bacterial pathogens commonly responsible for catheter-associated infections
dc.creator.none.fl_str_mv Fritsche, Thomas R.
Rhomberg, Paul R.
Sader, Helio S. [UNIFESP]
Jones, Ronald N.
author Fritsche, Thomas R.
author_facet Fritsche, Thomas R.
Rhomberg, Paul R.
Sader, Helio S. [UNIFESP]
Jones, Ronald N.
author_role author
author2 Rhomberg, Paul R.
Sader, Helio S. [UNIFESP]
Jones, Ronald N.
author2_role author
author
author
dc.contributor.none.fl_str_mv JMI Lab
Universidade Federal de São Paulo (UNIFESP)
Tufts Univ
dc.subject.por.fl_str_mv cationic peptides
topical antimicrobials
resistance
bloodstream infections
topic cationic peptides
topical antimicrobials
resistance
bloodstream infections
description Objectives: Omiganan pentahydrochloride is a cidal cationic peptide with a broad antimicrobial spectrum, including yeast, currently in development as a topical agent for the prevention of catheter-associated infections. We evaluated the spectrum and potency of omiganan against pathogens commonly associated with such infections.Methods: A recent (2005-06) collection of bacterial isolates originating from patients with bloodstream, respiratory tract, and skin and skin structure infections in US medical centres was evaluated by reference broth microdilution methods against omiganan and comparator agents.Results: All tested Gram-positive (390) and -negative (167) isolates were inhibited by <= 128 and <= 1024 mg/L, respectively, of omiganan. the agent was the most active against coagulase-negative staphylococci (range 1-8 mg/L; MIC50/90, 4 mg/L) and inhibited all Staphylococcus aureus at <= 32 mg/L (MIC50/90, 16 mg/L). Omiganan was 16-fold more active against Enterococcus faecium than Enterococcus faecalis (MIC50/90 results, 4/8 versus 64/128 mg/L, respectively). MIC ranges and MIC50 potencies were unaffected by methicillin resistance in staphylococci, vancomycin resistance in enterococci, and penicillin resistance in streptococci. Omiganan potency was also unaffected by extended-spectrum beta-lactamase (ESBL) production in Escherichia coli when compared with wild-type strains (MIC50 values 32 mg/L), although a 4-fold increase was noted among ESBL-positive Klebsiella spp. (128 versus 32 mg/L, respectively). Wild-type Enterobacter spp. displayed higher omiganan MIC50/90 results (64/512 mg/L) compared with AmpC-hyperproducing strains (32/64 mg/L). Carbapenem-susceptible and -resistant P. aeruginosa strains exhibited omiganan MIC50/90 values of 128/256 mg/L.Conclusions: At a 1% (10 000 mg/L) topical gel formulation, omiganan can be expected to inhibit all clinically relevant bacterial species producing catheter-associated infections (all MIC values, <= 1024 mg/L), including those with antimicrobial-resistant phenotypes.
publishDate 2008
dc.date.none.fl_str_mv 2008-05-01
2016-01-24T13:49:46Z
2016-01-24T13:49:46Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1093/jac/dkn074
Journal of Antimicrobial Chemotherapy. Oxford: Oxford Univ Press, v. 61, n. 5, p. 1092-1098, 2008.
10.1093/jac/dkn074
0305-7453
http://repositorio.unifesp.br/handle/11600/30611
WOS:000254955300022
dc.identifier.dark.fl_str_mv ark:/48912/0013000023mxf
url http://dx.doi.org/10.1093/jac/dkn074
http://repositorio.unifesp.br/handle/11600/30611
identifier_str_mv Journal of Antimicrobial Chemotherapy. Oxford: Oxford Univ Press, v. 61, n. 5, p. 1092-1098, 2008.
10.1093/jac/dkn074
0305-7453
WOS:000254955300022
ark:/48912/0013000023mxf
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Journal of Antimicrobial Chemotherapy
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
http://www.oxfordjournals.org/access_purchase/self-archiving_policyb.html
eu_rights_str_mv openAccess
rights_invalid_str_mv http://www.oxfordjournals.org/access_purchase/self-archiving_policyb.html
dc.format.none.fl_str_mv 1092-1098
dc.publisher.none.fl_str_mv Oxford Univ Press
publisher.none.fl_str_mv Oxford Univ Press
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
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