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. 2009 Feb;41(1):47-8.
doi: 10.4103/0253-7613.48884.

Emergence of pristinamycin resistance in India

Shyam Sunder Keshari  1 , Arun Kumar Kapoor, Nira Kastury, Dharmendra Kumar Singh, Anudita Bhargava
Affiliations

Emergence of pristinamycin resistance in India

Shyam Sunder Keshari et al. Indian J Pharmacol. 2009 Feb.

Abstract

Quinupristin and dalfopristin combination has been advocated as a drug of choice for multi-drug resistant (MDR) gram-positive cocci (GPC). We are reporting two cases of neonatal septicemia, caused by the methicillin resistant Staphylococcus aureus (MRSA), showing primary in vitro pristinamycin resistance. The Minimum inhibitory concentrations (MIC) for pristinamycin in these two cases were 30 mug and 25 mug, respectively. Universal advocacy of pristinamycin for the therapy of MDR GPC infections should be re-evaluated.

Keywords: Dalfopristin/quinupristin; pristinamycin resistance; staphylococcus.

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