Abstract |
Staphylococcus aureus bacteremia (SAB) is one of the most common serious bacterial infections and the most frequent invasive infection due to methicillin-resistant S. aureus (MRSA). Treatment is challenging, particularly for MRSA, because of limited treatment options. Telavancin is a bactericidal lipoglycopeptide antibiotic that is active against a range of clinically relevant gram-positive pathogens including MRSA. In experimental animal models of sepsis telavancin was shown to be more effective than vancomycin. In clinically evaluable patients enrolled in a pilot study of uncomplicated SAB, cure rates were 88% for telavancin and 89% for standard therapy. Among patients with infection due to only gram-positive pathogens enrolled in the 2 phase 3 studies of telavancin for treatment of hospital-acquired pneumonia, cure rates for those with bacteremic S. aureus pneumonia were 41% (9/22, telavancin) and 40% (10/25, vancomycin) with identical mortality rates. These data support further evaluation of telavancin in larger, prospective studies of SAB.
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Authors | G Ralph Corey, Ethan Rubinstein, Martin E Stryjewski, Matteo Bassetti, Steven L Barriere |
Journal | Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
(Clin Infect Dis)
Vol. 60
Issue 5
Pg. 787-96
(Mar 01 2015)
ISSN: 1537-6591 [Electronic] United States |
PMID | 25472944
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Review)
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Copyright | © The Author 2014. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. |
Chemical References |
- Aminoglycosides
- Anti-Bacterial Agents
- Lipoglycopeptides
- telavancin
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Topics |
- Aminoglycosides
(therapeutic use)
- Animals
- Anti-Bacterial Agents
(therapeutic use)
- Bacteremia
(drug therapy, microbiology)
- Clinical Trials, Phase II as Topic
- Clinical Trials, Phase III as Topic
- Disease Models, Animal
- Humans
- Lipoglycopeptides
- Staphylococcal Infections
(drug therapy, microbiology)
- Staphylococcus aureus
(drug effects)
- Treatment Outcome
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