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Rifampicin as monotherapy for infections caused by S. aureus: Considerations for not applying “breakpoints in brackets”

Title: Rifampicin as monotherapy for infections caused by S. aureus: Considerations for not applying “breakpoints in brackets”
Authors: Boyd, Sara E.; Wootton, Mandy; Howe, Robin A.; Livermore, David M.; MacGowan, Alasdair P.; Kahlmeter, Gunnar
Publication Year: 2025
Collection: University of East Anglia: UEA Digital Repository
Description: EUCAST introduced 'breakpoints in brackets' to warn against the use of specified agents without additional therapeutic measures (EUCAST. Guidance document "EUCAST breakpoints in brackets". 2021. Available at: www.mic.eucast.org.). Rifampicin is rarely used as monotherapy for Staphylococcus aureus infections, yet its breakpoints remain unbracketed. Here, we explore whether this remains appropriate. Although frequent emergent resistance largely precludes rifampicin's use as monotherapy, this does not meet EUCAST's core criterion for bracketing-that an agent is inherently ineffective as monotherapy.
Document Type: article in journal/newspaper
File Description: application/vnd.openxmlformats-officedocument.wordprocessingml.document
Language: English
ISSN: 0305-7453
Relation: https://ueaeprints.uea.ac.uk/id/eprint/100682/1/Rifampicin_Viewpoint_accepted.docx; Boyd, Sara E., Wootton, Mandy, Howe, Robin A., Livermore, David M., MacGowan, Alasdair P. and Kahlmeter, Gunnar (2025) Rifampicin as monotherapy for infections caused by S. aureus: Considerations for not applying “breakpoints in brackets”. Journal of Antimicrobial Chemotherapy, 80 (12). 3191–3193. ISSN 0305-7453
DOI: 10.1093/jac/dkaf392
Availability: https://ueaeprints.uea.ac.uk/id/eprint/100682/; https://ueaeprints.uea.ac.uk/id/eprint/100682/1/Rifampicin_Viewpoint_accepted.docx; https://doi.org/10.1093/jac/dkaf392
Rights: cc_by
Accession Number: edsbas.213EFFCB
Database: BASE