Efficacy profiles of Daptomycin for treatment of Iinvasive and noninvasive pulmonary infections with treptococcus pneumoniae
Date
2010
Authors
Henken, S.
Bohling, J.
Martens-Lobenhoffer, J.
Paton, J.
Ogunniyi, A.
Briles, D.
Salisbury, V.
Wedekind, D.
Bode-Boger, S.
Welsh, T.
Editors
Advisors
Journal Title
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Journal article
Citation
Antimicrobial Agents and Chemotherapy, 2010; 54(2):707-717
Statement of Responsibility
Stefanie Henken, Jennifer Bohling, Jens Martens-Lobenhoffer, James C. Paton, A. David Ogunniyi, David E. Briles, Vyvyan C. Salisbury, Dirk Wedekind, Stefanie M. Bode-Böger, Thomas Welsh, Franz C. Bange, Tobias Welte and Ulrich A. Maus
Conference Name
Abstract
Daptomycin is a novel lipopeptide antibiotic with excellent activity against Gram-positive bacterial pathogens, but its therapeutic value for the treatment of invasive pneumococcal disease compared to that for the treatment of pneumococcal pneumonia is incompletely defined. We investigated the efficacy of daptomycin in two models of Streptococcus pneumoniae-induced lung infection, i.e., pneumococcal pneumonia and septic pneumococcal disease. Mice were infected with a bioluminescent, invasive serotype 2 S. pneumoniae strain or a less virulent serotype 19 S. pneumoniae strain and were then given semitherapeutic or therapeutic daptomycin or ceftriaxone. Readouts included survival; bacterial loads; and septic disease progression, as determined by biophotonic imaging. Semitherapeutic daptomycin treatment fully protected the mice against the progression of septic disease induced by serotype 2 S. pneumoniae, while therapeutic treatment of the mice with daptomycin or ceftriaxone led to 70% or 60% survival, respectively. In contrast, mice infected with serotype 19 S. pneumoniae developed severe pneumonia and lung leakage even in the presence of increased intra-alveolar daptomycin levels, resulting in only 40% survival, whereas the ceftriaxone-treated mice had 100% survival. Together, although daptomycin demonstrates little efficacy in the treatment of pneumococcal pneumonia, daptomycin is highly effective in preventing S. pneumoniae-induced septic death, thus possibly offering a therapeutic option for patients with life-threatening septic pneumococcal disease.
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Data source: Supplementary information, https://doi.org/10.1128/AAC.00943-09
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Copyright © 2010, American Society for Microbiology. All Rights Reserved.