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“Introduction Staphylococcus aureus continues to be a major healthcare threat. Methicillin-resistant S. aureus (MRSA) demonstrating reduced susceptibility to glycopeptides and lipopeptides such as vancomycin (VAN), teicoplanin (TEI), and daptomycin (DAP) severely limits our therapeutic Navitoclax options for treating complicated infections due to this pathogen. MRSA now comprises 55.5% of hospital-acquired S. aureus infections [1, 2]. MRSA with reduced susceptibility to glyco- and lipopeptide antibiotics is increasingly being reported. Infections caused by MRSA isolates with reduced VAN susceptibility often lead to worse clinical outcomes, especially in strains identified as VAN-intermediate S. aureus (VISA), heterogeneous VISA (hVISA), or DAP non-susceptible (DNS) [3–10]. However, relatively few new antimicrobial agents are available, necessitating alternative treatment strategies including combination therapies and dose optimization as well as maximization of older antimicrobials.

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