TABLE 2.
Daptomycin monotherapy compared to ceftriaxone plus vancomycin therapy against penicillin-resistant S. pneumoniae WB4 and a penicillin- and quinolone-resistant mutant in experimental meningitis
Strain and antibiotic treatment (infecting strain susceptibility)a | n | Mean initial titer ± SD (log10 CFU/ml) | Mean killing rate ± SD (Δlog10 CFU/ml · h) | Mean killing rate/8 h ± SD (log10 CFU/ml) |
---|---|---|---|---|
S. pneumoniae WB4 (Penr) | ||||
None (controls) (Penr) | 10 | 6.75 ± 0.30 | +0.04 ± 0.06 | +0.40 ± 0.42 |
Daptomycin, 15 mg/kg (Penr) | 10 | 6.95 ± 0.85 | −1.20 ± 0.32b | −6.95 ± 0.85b |
Ceftriaxone + vancomycin (Penr) | 10 | 6.25 ± 0.45 | −0.45 ± 0.12c | −3.45 ± 0.76c |
S. pneumoniae WB4 mutant | ||||
None (controls) (Penr, Qur) | 10 | 5.39 ± 1.0 | +0.20 ± 0.19 | +1.31 ± 0.87 |
Daptomycin, 15 mg/kg (Penr, Qur) | 10 | 6.01 ± 0.34 | −0.97 ± 0.32c | −6.01 ± 0.34de |
Daptomycin, 20 mg/kg (Penr, Qur) | 10 | 6.22 ± 0.23 | −0.91 ± 0.08c | −6.22 ± 0.23de |
Ceftriaxone + vancomycin (Penr, Qur) | 10 | 5.79 ± 0.64 | −0.63 ± 0.13c | −5.02 ± 1.11de |
Penr, penicillin resistant; Qur, quinolone resistant.
P < 0.01, daptomycin versus ceftriaxone plus vancomycin.
P < 0.01, daptomycin (15 and 20 mg/kg) versus ceftriaxone plus vancomycin.
P < 0.01, daptomycin (15 and 20 mg/kg) versus ceftriaxone plus vancomycin.
P > 0.05, difference between daptomycin 20 versus 15 mg/kg not significant.