Selection of a surrogate agent (vancomycin or teicoplanin) for initial susceptibility testing of dalbavancin: results from an international antimicrobial surveillance program

J Clin Microbiol. 2006 Jul;44(7):2622-5. doi: 10.1128/JCM.00576-06.

Abstract

The immediate lack of market-dominating commercial products (Vitek or MicroScan) for susceptibility testing of the new glycolipopeptide, dalbavancin, requires a surrogate marker agent to assist microbiologists in the correct categorization of potentially indicated species (staphylococci and streptococci). Error-rate analyses for 16,749 isolates using vancomycin or teicoplanin results to categorize dalbavancin susceptibilities demonstrated that both glycopeptide agents were highly predictive of dalbavancin-susceptible results (nearly 100%) with only a rare minor error. Vancomycin test results most reliably predict dalbavancin susceptibility until validated commercial reagents become available for direct testing in clinical practice.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents / pharmacology*
  • Gram-Positive Bacteria / drug effects*
  • Humans
  • Microbial Sensitivity Tests / methods*
  • Staphylococcus / drug effects
  • Statistics as Topic
  • Streptococcus / drug effects
  • Teicoplanin / analogs & derivatives*
  • Teicoplanin / pharmacology*
  • Vancomycin / pharmacology*

Substances

  • Anti-Bacterial Agents
  • Teicoplanin
  • Vancomycin
  • dalbavancin