Analysis of Vancomycin Susceptibility Testing Results for Presumptive Categorization of Telavancin

J Clin Microbiol. 2015 Aug;53(8):2727-30. doi: 10.1128/JCM.00611-15. Epub 2015 May 27.

Abstract

Scattergrams between vancomycin and telavancin demonstrated susceptibility agreement rates of 99.96, 99.65, and 100.00% for Staphylococcus aureus, Enterococcus faecalis, and streptococci, respectively. A single very major error was obtained against E. faecalis, while vancomycin-intermediate S. aureus (VISA) and vancomycin-resistant and teicoplanin-susceptible (VanB phenotype) E. faecalis were responsible for major and minor errors. These results support the use of vancomycin to infer telavancin susceptibility among indicated pathogens, except VISA, which should be tested for telavancin susceptibility.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aminoglycosides / pharmacology*
  • Anti-Bacterial Agents / pharmacology*
  • Diagnostic Errors
  • Enterococcus faecalis / drug effects*
  • Humans
  • Lipoglycopeptides
  • Microbial Sensitivity Tests / methods
  • Staphylococcus aureus / drug effects*
  • Streptococcus / drug effects*
  • Vancomycin / pharmacology*

Substances

  • Aminoglycosides
  • Anti-Bacterial Agents
  • Lipoglycopeptides
  • Vancomycin
  • telavancin