Linezolid reduces length of stay and duration of intravenous treatment compared with vancomycin for complicated skin and soft tissue infections due to suspected or proven methicillin-resistant Staphylococcus aureus (MRSA)

被引:83
作者
Itani, KMF
Weigelt, J
Li, JZ
Duttagupta, S
机构
[1] Pfizer Inc, Worldwide Outcomes Res, New York, NY 10017 USA
[2] Pfizer Inc, San Diego, CA USA
[3] Med Coll Wisconsin, Milwaukee, WI 53226 USA
[4] Boston VA Hlth Care Syst, Boston, MA USA
[5] Boston Univ, Boston, MA 02215 USA
关键词
MRSA; linezolid; complicated skin and soft tissue infection; length of stay; intravenous therapy duration;
D O I
10.1016/j.ijantimicag.2005.09.003
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
We compared the health outcomes in patients treated with linezolid or vancomycin for complicated skin and soft tissue infections (cSSTIs). This analysis is part of a randomised, open-label, Multinational trial involving 1200 adult patients hospitalised with cSSTIs due to suspected or proven methicillin-resistant Staphylococcus aureus (MRSA). Subjects received linezolid 600 mg intravenous (i.v.) or oral, or vancomycin 1 g i.v. every 12 h. A test-of-cure was assessed at 7 days post therapy. Compared with vancomycin, linezolid treatment was associated with significantly shorter length of stay (all P < 0.01), decreased i.v. antibiotic treatment duration (all P < 0.0001) and higher discharge rates (all P < 0.05). Thus, linezolid has the potential to reduce medical resource use for the treatment of cSSTls. (c) 2005 Elsevier B.V. and the International Society of Chemotherapy. All rights reserved.
引用
收藏
页码:442 / 448
页数:7
相关论文
共 27 条
[1]   Staphylococcus aureus:: A well-armed pathogen [J].
Archer, GL .
CLINICAL INFECTIOUS DISEASES, 1998, 26 (05) :1179-1181
[2]   The red shrimp Aristeus antennatus (Risso, 1816) fishery and biology in the Balearic Islands, Western Mediterranean [J].
Carbonell, A ;
Carbonell, M ;
Demestre, M ;
Grau, A ;
Monserrat, S .
FISHERIES RESEARCH, 1999, 44 (01) :1-13
[3]   Survey of infections due to Staphylococcus species:: Frequency of occurrence and antimicrobial susceptibility of isolates collected in the United States, Canada, Latin America, Europe, and the Western Pacific region for the SENTRY Antimicrobial Surveillance Program, 1997-1999 [J].
Diekema, DJ ;
Pfaller, MA ;
Schmitz, FJ ;
Smayevsky, J ;
Bell, J ;
Jones, RN ;
Beach, M .
CLINICAL INFECTIOUS DISEASES, 2001, 32 :S114-S132
[4]   Bacterial pathogens isolated from patients with skin and soft tissue infections: Frequency of occurrence and antimicrobial susceptibility patterns from the SENTRY Antimicrobial Surveillance Program (United States and Canada, 1997) [J].
Doern, GV ;
Jones, RN ;
Pfaller, MA ;
Kugler, KC ;
Beach, ML .
DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, 1999, 34 (01) :65-72
[5]  
*EARSS, ANN REP 2002
[6]   Adverse clinical and economic outcomes attributable to methicillin resistance among patients with Staphylococcus aureus surgical site infection [J].
Engemann, JJ ;
Carmeli, Y ;
Cosgrove, SE ;
Fowler, VG ;
Bronstein, MZ ;
Trivette, SL ;
Briggs, JP ;
Sexton, DJ ;
Kaye, KS .
CLINICAL INFECTIOUS DISEASES, 2003, 36 (05) :592-598
[7]   ECONOMIC-IMPACT OF ORAL CIPROFLOXACIN FOLLOWING STANDARD INTRAVENOUS THERAPY [J].
FLIEGELMAN, RM ;
MATTINGLY, PM ;
DEMPSEY, CL ;
SOKALSKI, SJ .
DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, 1990, 13 (02) :187-189
[8]   Efficacy and safety of linezolid in the treatment of skin and soft tissue infections [J].
Hau, T .
EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES, 2002, 21 (07) :491-498
[9]   Antimicrobial therapy of methicillin resistant Staphylococcus aureus infection [J].
Khare, M ;
Keady, D .
EXPERT OPINION ON PHARMACOTHERAPY, 2003, 4 (02) :165-177
[10]  
Li Jim Zhiming, 2003, Surg Infect (Larchmt), V4, P57, DOI 10.1089/109629603764655290