Selection of oxacillin resistance in oxacillin-sensitive Staphylococcus aureus through exposure to ciprofloxacin but not piperacillin/tazobactam

Eur J Clin Microbiol Infect Dis. 2002 Aug;21(8):621-3. doi: 10.1007/s10096-002-0779-0. Epub 2002 Aug 10.

Abstract

Ten oxacillin-sensitive Staphylococcus aureus strains were grown on agar containing four times their ciprofloxacin MIC to determine if exposure to ciprofloxacin would increase their resistance to oxacillin. All strains grew on the ciprofloxacin-containing agar and subsequently grew on oxacillin-salt agar. The geometric mean MICs for oxacillin increased one- to sixteen-fold and remained elevated after ten passages on antibiotic-free agar. The mecA gene was not detected in any strain. There was no increase in oxacillin MICs when the bacteria were passaged on agar containing four times their MIC of piperacillin/tazobactam. Exposure of oxacillin-sensitive strains of Staphylococcus aureus to ciprofloxacin may increase their MICs to oxacillin.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Infective Agents / pharmacology
  • Ciprofloxacin / pharmacology*
  • Drug Resistance, Multiple, Bacterial*
  • Drug Therapy, Combination / pharmacology
  • Microbial Sensitivity Tests
  • Oxacillin / pharmacology*
  • Penicillanic Acid / analogs & derivatives
  • Penicillanic Acid / pharmacology*
  • Penicillins / pharmacology
  • Piperacillin / pharmacology*
  • Piperacillin, Tazobactam Drug Combination
  • Selection, Genetic
  • Staphylococcus aureus / drug effects*
  • Staphylococcus aureus / physiology*

Substances

  • Anti-Infective Agents
  • Penicillins
  • Piperacillin, Tazobactam Drug Combination
  • Ciprofloxacin
  • Penicillanic Acid
  • Oxacillin
  • Piperacillin