High-dose daptomycin plus fosfomycin is safe and effective in treating methicillin-susceptible and methicillin-resistant Staphylococcus aureus endocarditis.


Autoria(s): Miró J.M.; Entenza J.M.; Del Río A.; Velasco M.; Castañeda X.; Garcia de la Mària C.; Giddey M.; Armero Y.; Pericàs J.M.; Cervera C.; Mestres C.A.; Almela M.; Falces C.; Marco F.; Moreillon P.; Moreno A.; Hospital Clinic Experimental Endocarditis Study Group
Data(s)

2012

Resumo

We describe 3 patients with left-sided staphylococcal endocarditis (1 with methicillin-susceptible Staphylococcus aureus [MSSA] prosthetic aortic valve endocarditis and 2 with methicillin-resistant S. aureus [MRSA] native-valve endocarditis) who were successfully treated with high-dose intravenous daptomycin (10 mg/kg/day) plus fosfomycin (2 g every 6 h) for 6 weeks. This combination was tested in vitro against 7 MSSA, 5 MRSA, and 2 intermediately glycopeptide-resistant S. aureus isolates and proved to be synergistic against 11 (79%) strains and bactericidal against 8 (57%) strains. This combination deserves further clinical study.

Identificador

http://serval.unil.ch/?id=serval:BIB_7B56DF392269

isbn:1098-6596 (Electronic)

pmid:22644033

doi:10.1128/AAC.06449-11

isiid:000306826300066

Idioma(s)

en

Fonte

Antimicrobial Agents and Chemotherapy, vol. 56, no. 8, pp. 4511-4515

Palavras-Chave #Aged; Anti-Bacterial Agents/administration & dosage; Anti-Bacterial Agents/adverse effects; Daptomycin/administration & dosage; Daptomycin/adverse effects; Drug Synergism; Drug Therapy, Combination; Endocarditis, Bacterial/drug therapy; Female; Fosfomycin/administration & dosage; Fosfomycin/adverse effects; Humans; Male; Methicillin-Resistant Staphylococcus aureus/drug effects; Microbial Sensitivity Tests; Middle Aged; Staphylococcal Infections/drug therapy; Staphylococcal Infections/microbiology
Tipo

info:eu-repo/semantics/article

article